Fillable Printable Bank Affidavit - Tarrant County College
Fillable Printable Bank Affidavit - Tarrant County College
Bank Affidavit - Tarrant County College
BANK AFFIDAVIT FORM FOR INTERNATIONAL STUDENTS
(Please have this form filled out by your bank)
1.Write your name as it appears (or will appear) on your passport. Your passport name and application
I-20 must be the same.
Student’s Name: Last/Family___________________________ First __________________________ Middle _________
Date of Birth(MM/DD/YY): _______/_______/_______
2.Sponsor/Account holder’s Name (print):
Last/Family: ________________________________________ First: __________________________Middle ________
3.Bank certification: I certify that the account holder listed above has liquid assets deposited in this bank that me ets o r
exceeds U.S $27,766 (Twenty seventhousand sevenhundred and sixty-six dollars).
N
ame and Address of Bank:
____
________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
B
ank Representative’s Name: ____________________________________________________________________________
Bank Representative’s Title: _____________________________________________________________________________
Bank Representative’s Signature: _________________________________________________________________________
Date Account Opened: _______/_______/_______ Current Account Balance as of today’s date: _________________
Date Form Completed by Bank Representative: _______/_______/_______
NOTICE TO STUDENT
•If you have more than one sponsor, each sponsor must complete a Bank AffidavitForm and a Sponsor
Statement Form.
•If sponsor’s financial institution(s) isOutside the U.S; a current,original bank statement/letterwith
signature, seal or stamp needs to accompany this form or substituted in its place.
Regular MailCertified/Registered Mail(UPS/FEDEX/DHL/EMS)
Mail to: Tarrant County Co llegeMail to:Tarrant County Co llege
Internatio nal Ad missionsInternatio nal Ad missions
300 T rinity Camp us Circle 350 N. Henderson Street
Fort Worth, TX 76102-1964Fort Worth, TX 76102
Affix Bank Stamp
Or
Bank Seal Here
Tarrant County College is an Equal Opport unit y Institution/Equa l Access to persons with disabilit ies
(REV07/15)
