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 seven thousand seven hundred 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 Affidavit Form and a Sponsor
Statement Form.
• If sponsor’s financial institution(s) is Outside the U.S; a current, original bank statement/letter with
signature, seal or stamp needs to accompany this form or substituted in its place.
Regular Mail Certified/Registered Mail (UPS/FEDEX/DHL/EMS)
Mail to: Tarrant County Co llege Mail to: Tarrant County Co llege
Internatio nal Ad missions Internatio nal Ad missions
300 T rinity Camp us Circle 350 N. Henderson Street
Fort Worth, TX 76102-1964 Fort 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
(REV 07/15)
