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LAKESIDE CENTER INC. <br />BANKING VERIFICATION <br />Date: <br />To: <br />Gentlemen: <br />The individual listed below has indicated that helshe has an account(s) with your <br />institution. In order that we may determine eligibility and establish rents, we are required <br />to verify this information from you regarding applicants and tenants of our complex, the <br />Apartments. We therefore request your cooperation in <br />supplying the information. Please be assured it well be kept in strict confidence. <br />Sincerely, <br />Resident Manager <br />I hereby authorize the Apartments to make inquires regarding my <br />income and assets. <br />Signature: <br />Account Number Average Account <br />Balance <br />$ <br />Date: <br />Interest Income earned <br />over the last 12 months <br />Signature and Title of authorized official providing information <br />Signature: Title: - Date: <br />Please Return Form to: Apartments Phone # <br />DOC 209 <br />