SM
Wells Fargo Clear Access Banking
February 26, 2021
■
Page 1 of 8
Questions?
Available by phone 24 hours a day, 7 days a week:
SHAYNA NOEL GOODMAN
3962 MAYBREEZE RD
MARIETTA GA 30066-2732
We accept all relay calls, including 711
1-800-TO-WELLS
(1-800-869-3557)
En español: 1-877-727-2932
Online: wellsfargo.com
Write: Wells Fargo Bank, N.A. (297)
P.O. Box 6995
Portland, OR 97228-6995
You and Wells Fargo
Account options
Thank you for being a loyal Wells Fargo customer. We value your trust in our
company and look forward to continuing to serve you with your financial needs.
A check mark in the box indicates you have these
convenient services with your account(s). Go to
wellsfargo.com or call the number above if you have
questions or if you would like to add new services.
✓
Direct Deposit
Online Bill Pay
✓
Auto Transfer/Payment
✓
Online Statements
✓
Overdraft Protection
Mobile Banking
✓
Debit Card
My Spending Report
✓
Overdraft Service
Account number: 5986593936
Statement period activity summary
Beginning balance on 1/30
Online Banking
$101.99
SHAYNA NOEL GOODMAN
Deposits/Additions
10,426.14
Georgia account terms and conditions apply
Withdrawals/Subtractions
- 5,204.69
Ending balance on 2/26
$5,323.44
For Direct Deposit use
Routing Number (RTN): 061000227
Transaction history
Date
2/1
2/1
2/1
2/1
(297)
Sheet Seq = 0240603
Sheet 00001 of 00004
Check
Number Description
Online Transfer From Madden W Checking xxxxxx6557 Ref
#Ib09Qrhb35 on 01/31/21
Purchase authorized on 01/28 Qt 781 Woodstock GA
S381028782641280 Card 9604
Purchase authorized on 01/28 Qt 781 Woodstock GA
S301028833240057 Card 9604
Purchase authorized on 01/29 Little Caesars 156 Marietta GA
S581029646513005 Card 9604
Deposits/
Additions
207.00
Withdrawals/
Subtractions
10.22
8.88
7.95
Ending daily
balance
February 26, 2021
■
Page 2 of 8
Transaction history (continued)
Date
2/1
2/1
2/1
2/1
2/1
2/1
2/2
2/3
2/3
2/4
2/4
2/5
2/5
2/5
2/5
2/5
2/5
2/5
2/5
2/5
2/5
2/5
2/5
2/5
2/8
2/8
2/8
2/8
2/8
2/8
2/8
2/8
Check
Number Description
Purchase authorized on 01/29 Little Caesars 156 Marietta GA
S301029649499293 Card 9604
Purchase authorized on 01/29 Castrol Premium Lu Marietta GA
S301029655320613 Card 9604
Purchase authorized on 01/29 Cash App*Shayna Go 8774174551
CA S461029726679185 Card 9604
Purchase authorized on 01/29 Xhale City - 3205 Marieta GA
S461030045230644 Card 9604
Purchase authorized on 01/30 Cash App*Shayna Go 8774174551
CA S461030795393918 Card 9604
Purchase authorized on 01/31 Cash App*Shayna Go 8774174551
CA S381031755921058 Card 9604
Online Transfer From Madden W Checking xxxxxx6557 Ref
#Ib09Rbkmxw on 02/02/21
Money Transfer authorized on 02/03 From Shayna Goodman GA
S00381035055958340 Card 9604
Purchase authorized on 02/02 Walgreens #5447 Marietta GA
S581034032529894 Card 9604
GA Dept of Labor Reg Ui 31005987 Shayna N Goodman
GA Dept of Labor Reg Ui 31308376 Shayna N Goodman
Online Transfer From Madden W Checking xxxxxx6557 Ref
#Ib09Rwbkmh on 02/05/21
Online Transfer From Madden W Checking xxxxxx6557 Ref
#Ib09Rwcdv4 on 02/05/21
Purchase authorized on 02/04 Cash App*Shayna Go 8774174551
CA S581035384178944 Card 9604
Recurring Payment authorized on 02/04 Afterpay 185-52896014
CA S461035454496140 Card 9604
Purchase authorized on 02/04 Olde School Tattoo Marietta GA
S581035698703718 Card 9604
Purchase authorized on 02/04 Cash App*Shayna Go 8774174551
CA S381035702935591 Card 9604
Purchase authorized on 02/04 McDonald's F11007 Woodstock
GA S461035776509517 Card 9604
Purchase authorized on 02/04 Cash App*Shayna Go 8774174551
CA S581036030096913 Card 9604
Purchase authorized on 02/04 Cash App*Shayna Go 8774174551
CA S461036058963117 Card 9604
Purchase authorized on 02/04 Metropcs Ivr 888-863-8768 WA
S301036084522144 Card 9604
Online Transfer to Madden W Checking xxxxxx6557 Ref
#Ib09Rwc2R7 on 02/05/21
Online Transfer to Madden W Checking xxxxxx6557 Ref
#Ib09Ryn532 on 02/05/21
Online Transfer to Madden W Checking xxxxxx6557 Ref
#Ib09S28563 on 02/05/21
Online Transfer From Madden W Checking xxxxxx6557 Ref
#Ib09S9C5TX on 02/07/21
Purchase authorized on 02/05 ATT*Bill Payment 800-288-2020 TX
S301036583640045 Card 9604
Purchase authorized on 02/05 Fsi*Scanaenergypay 866-416-0647
SC S461036601728169 Card 9604
Purchase authorized on 02/05 Qt 752 Kennesaw GA
S461036835786007 Card 9604
Purchase authorized on 02/05 The Home Depot #17 Marietta GA
S381037071838801 Card 9604
Purchase authorized on 02/06 Shogun Japanese St Kennesaw GA
S301037715760437 Card 9604
Online Transfer to Madden W Checking xxxxxx6557 Ref
#Ib09S5Mvm7 on 02/06/21
Purchase authorized on 02/06 Amzn Mktp US*V61Kr
Amzn.Com/Bill WA S581037764079433 Card 9604
Deposits/
Additions
Withdrawals/
Subtractions
2.00
Ending daily
balance
43.69
2.00
18.01
3.00
204.00
3.64
9.24
12.88
2.73
12.49
149.00
300.00
150.00
3.12
452.12
71.00
5.00
41.06
20.00
10.00
8.36
3.00
6.00
50.00
71.00
20.00
6.00
2.88
70.58
50.00
21.19
47.03
62.91
60.00
18.01
432.70
February 26, 2021
■
Page 3 of 8
Transaction history (continued)
Date
2/8
2/8
2/8
2/8
2/10
2/11
2/12
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/16
2/17
2/17
2/17
Sheet Seq = 0240604
Sheet 00002 of 00004
Check
Number Description
Online Transfer to Madden W Checking xxxxxx6557 Ref
#Ib09S69Hpg on 02/06/21
Purchase authorized on 02/06 Shell Service Station Marietta GA
P00381037839242427 Card 9604
Purchase authorized on 02/06 Dollar Tr 3544 Canton Marietta GA
P00000000537742236 Card 9604
Purchase authorized on 02/07 Walgreens Store 6111 Hick Canton
GA P00381038695023065 Card 9604
Purchase authorized on 02/05 Unique Card Servic 888-8057648
PA S461036685590930 Card 9604
Purchase authorized on 02/10 Cash App*Shayna Go 8774174551
CA S381042020399752 Card 9604
Mobile Deposit : Ref Number :708120169275
Money Transfer authorized on 02/16 From Shayna Goodman GA
S00461047438726151 Card 9604
Purchase authorized on 02/13 Advance Auto PA Marietta GA
P00000000380567807 Card 9604
Purchase authorized on 02/13 Checkers C325 College Park GA
S381044660931128 Card 9604
Purchase authorized on 02/13 Cash App*Shayna Go 8774174551
CA S461044707498922 Card 9604
Purchase authorized on 02/13 Cash App*Shayna Go 8774174551
CA S461044830767591 Card 9604
Purchase authorized on 02/13 Cvs/Pharmacy #02 02236--T
Woodstock GA P00381044863267460 Card 9604
Purchase authorized on 02/13 Cash App*Shayna Go 8774174551
CA S581045000750327 Card 9604
Purchase authorized on 02/13 Cash App*Shayna Go 8774174551
CA S301045001912057 Card 9604
Non-WF ATM Withdrawal authorized on 02/13 1600 Towne Lake
Pkwy Woodstock GA 00301045003914921 ATM ID Vs002236
Card 9604
Non-Wells Fargo ATM Transaction Fee
Purchase authorized on 02/14 Pet Supplies Plus # 80 Marietta GA
P00000000885130116 Card 9604
Purchase authorized on 02/14 Cash App*Shayna Go 8774174551
CA S381045690834824 Card 9604
Purchase authorized on 02/14 Kroger #6 2960 Shallow Marietta
GA P00000000174504324 Card 9604
Recurring Payment authorized on 02/15 Mind & Body Christ
WWW.Mindandbo GA S461046703591199 Card 9604
Purchase authorized on 02/15 Cash App*Shayna Go 8774174551
CA S381046732217242 Card 9604
Purchase authorized on 02/15 Cash App*Shayna Go 8774174551
CA S461046751651034 Card 9604
Purchase authorized on 02/15 Cash App*Shayna Go 8774174551
CA S301046751741631 Card 9604
Purchase authorized on 02/15 Cash App*Shayna Go 8774174551
CA S381047119401133 Card 9604
Purchase authorized on 02/16 Kroger CO 3595 Canton Marietta
GA P00000000884334684 Card 9604
Purchase authorized on 02/16 Kroger CO 3595 Canton Marietta
GA P00000000433140856 Card 9604
Purchase authorized on 02/16 Kroger Fuel #136 3595 Can
Marietta GA P00381047716231447 Card 9604
Purchase authorized on 02/16 Office DE 3605 Sandy P Marietta
GA P00000000976813567 Card 9604
Purchase authorized on 02/16 Wal-Mart #1766 Marietta GA
P00000000080002882 Card 9604
Green Dot Bank Transfer Shayna Goodman Shayna Goodman
GA Dept of Labor Reg Ui 32775248 Shayna N Goodman
GA Dept of Labor Reg Ui 33115599 Shayna N Goodman
Deposits/
Additions
Withdrawals/
Subtractions
10.00
Ending daily
balance
38.13
26.46
6.32
24.95
29.95
-5.00
20.00
-25.00
1,372.00
124.60
1,347.00
5.29
12.13
40.00
30.00
146.85
100.00
57.00
103.00
2.50
139.58
40.00
246.19
60.00
35.00
4.00
5.00
20.00
52.13
156.33
15.00
36.01
46.00
100.00
149.00
149.00
119.59
February 26, 2021
■
Page 4 of 8
Transaction history (continued)
Date
2/17
2/17
2/17
2/17
2/17
2/17
2/17
2/17
2/17
2/18
2/18
2/18
2/18
2/18
2/18
2/19
2/19
2/19
2/19
2/19
2/19
2/19
2/19
2/22
2/22
2/22
2/22
2/22
2/22
2/22
2/22
2/22
Check
Number Description
GA Dept of Labor Reg Ui 32788126 Shayna N Goodman
GA Dept of Labor Reg Ui 33361448 Shayna N Goodman
Purchase authorized on 02/16 Domino's 5747 Marietta GA
S581047719255568 Card 9604
Purchase authorized on 02/17 Advance Auto PA Marietta GA
P00000000972810596 Card 9604
Purchase authorized on 02/17 Advance Auto PA Marietta GA
P00000000081673289 Card 9604
Purchase authorized on 02/17 Advance Auto PA Marietta GA
P00000000572346714 Card 9604
Purchase authorized on 02/17 Advance Auto PA Marietta GA
P00000000182485847 Card 9604
Purchase authorized on 02/17 Advance Auto PA Marietta GA
P00000000374285358 Card 9604
Purchase authorized on 02/17 WM Superc Wal-Mart Sup Holly
Springs GA P00000000072663659 Card 9604
Purchase authorized on 02/14 Amzn Mktp US*RI0Px
Amzn.Com/Bill WA S301045814996881 Card 9604
Purchase authorized on 02/17 Cash App*Shayna Go 8774174551
CA S381048764882166 Card 9604
Purchase authorized on 02/17 Cash App*Shayna Go 8774174551
CA S381048793122706 Card 9604
Purchase authorized on 02/17 Cash App*Shayna Go 8774174551
CA S581049013610482 Card 9604
Purchase authorized on 02/18 Wal-Mart #1586 Austell GA
P00000000732733613 Card 9604
Purchase authorized on 02/18 Publix Super Mar 4290 Bel
Kennesaw GA P00301050056620811 Card 9604
Money Transfer authorized on 02/19 From Shayna Goodman GA
S00581050425521208 Card 9604
Online Transfer From Madden W Checking xxxxxx6557 Ref
#Ib09Vhzdyp on 02/19/21
Purchase authorized on 02/17 Sally Beauty 10669 Marietta GA
S381048735873590 Card 9604
Purchase authorized on 02/18 Cash App*Shayna Go 8774174551
CA S461049493226178 Card 9604
Purchase authorized on 02/18 Cash App*Shayna Go 8774174551
CA S381049494057244 Card 9604
Purchase authorized on 02/18 Cash App*Shayna Go 8774174551
CA S301049557705918 Card 9604
Purchase authorized on 02/18 Cash App*Shayna Go 8774174551
CA S461049602681382 Card 9604
Purchase authorized on 02/18 Cash App*Shayna Go 8774174551
CA S381050007172320 Card 9604
Online Transfer From Madden W Checking xxxxxx6557 Ref
#Ib09Vq5Rnj on 02/20/21
Recurring Payment authorized on 02/19 Curology Httpscurology
CA S381050379554192 Card 9604
Purchase authorized on 02/19 Cash App*Shayna Go 8774174551
CA S381050651762296 Card 9604
Purchase authorized on 02/19 Cash App*Shayna Go 8774174551
CA S381050651951500 Card 9604
Purchase authorized on 02/19 Cash App*Shayna Go 8774174551
CA S381050655743416 Card 9604
Purchase authorized on 02/19 Cash App*Shayna Go 8774174551
CA S461050656908896 Card 9604
Purchase authorized on 02/19 Cash App*Shayna Go 8774174551
CA S581051004668313 Card 9604
Purchase authorized on 02/19 Big Lots 2960 Canton Marietta GA
P00000000583225753 Card 9604
Purchase authorized on 02/19 Wendy's 91 Marietta GA
S301051123231577 Card 9604
Deposits/
Additions
300.00
300.00
Withdrawals/
Subtractions
Ending daily
balance
5.30
5.29
10.59
24.35
9.52
14.70
174.96
672.88
16.00
15.00
2.00
21.00
63.11
145.92
409.85
529.74
110.00
15.54
20.00
12.00
30.00
20.00
98.00
100.00
66.35
25.00
15.00
1.00
3.40
2.00
85.98
45.68
854.05
February 26, 2021
■
Page 5 of 8
Transaction history (continued)
Date
2/22
2/22
2/22
2/22
2/22
2/22
2/22
2/22
2/22
2/22
2/22
2/23
2/23
2/23
2/23
2/23
2/23
2/23
2/23
2/23
2/24
2/24
2/24
2/24
2/24
2/24
2/24
2/25
2/25
2/25
2/25
2/25
2/25
Sheet Seq = 0240605
Sheet 00003 of 00004
Check
Number Description
Purchase with Cash Back $ 60.00 authorized on 02/20 Kroger CO
3595 Canton Marietta GA P00000000231894104 Card 9604
Purchase authorized on 02/20 Ktm World Cedartown GA
P00000000272536136 Card 9604
Zelle to Santana on 02/20 Ref #Rp09Vrq7D3 Brileys Rotc
Purchase authorized on 02/20 Kroger CO 3595 Canton Marietta
GA P00000000474178961 Card 9604
Purchase authorized on 02/20 Racetrac2452 0002 Marietta GA
S581052063708884 Card 9604
Non-WF ATM Withdrawal authorized on 02/21 3349 Canton Rd
Marietta GA 00581052682509131 ATM ID P317521 Card 9604
Non-Wells Fargo ATM Transaction Fee
Purchase authorized on 02/21 McDonald's F2624 Marietta GA
S301052695208289 Card 9604
Purchase authorized on 02/21 Xhale City - 3205 Marieta GA
S381052710716780 Card 9604
Purchase authorized on 02/22 Uptown Cheapskate Woodsto
Woodstock GA P00581053701709206 Card 9604
Purchase authorized on 02/22 Dollar Tree 12184 Highway
Woodstock GA P00461053703001874 Card 9604
IRS Treas 310 Tax Ref 022321 xxxxxxxxxx00928 Goodman, Shayna
N
Purchase authorized on 02/20 Exxonmobil 4815 Acworth GA
S461051619776211 Card 9604
Purchase authorized on 02/21 Qt 801 Woodstock GA
S381052859947540 Card 9604
Purchase authorized on 02/22 Cash App*Shayna Go 8774174551
CA S581053571334530 Card 9604
Purchase authorized on 02/22 Cash App*Shayna Go 8774174551
CA S381053634890679 Card 9604
Purchase authorized on 02/22 Cash App*Shayna Go 8774174551
CA S581053808131377 Card 9604
Purchase authorized on 02/22 Cash App*Shayna Go 8774174551
CA S381054057657254 Card 9604
Purchase authorized on 02/22 Domino's 5747 770-777-2217 GA
S581054157073899 Card 9604
Purchase authorized on 02/23 Kroger CO 3595 Canton Marietta
GA P00000000984331412 Card 9604
GA Dept of Labor Reg Ui 34173266 Shayna N Goodman
GA Dept of Labor Reg Ui 34426930 Shayna N Goodman
Purchase authorized on 02/20 Canton Used Cars I Canton GA
S461051572246496 Card 9604
Purchase authorized on 02/22 Sport Clips - GA13 Woodstock GA
S301053704445172 Card 9604
Purchase authorized on 02/22 Xhale City - 3205 Marieta GA
S301053836576881 Card 9604
Online Transfer to Madden W Checking xxxxxx6557 Ref
#Ib09Wdz955 on 02/24/21
Online Transfer to Madden W Ref #Ib09WF3Tgy Checking
Insurance
ATM Cash Deposit on 02/25 3601 Sandy Plains Rd Marietta GA
0005792 ATM ID 0726Y Card 9604
Online Transfer From Madden W Checking xxxxxx6557 Ref
#Ib09Whx4Dl on 02/24/21
Purchase authorized on 02/23 Cash App*Shayna Go 8774174551
CA S301055254033878 Card 9604
Purchase authorized on 02/23 Cash App*Shayna Go 8774174551
CA S461055262783034 Card 9604
Purchase authorized on 02/24 Xhale City - 3205 Marieta GA
S301055621503013 Card 9604
Purchase authorized on 02/24 Moon's Wing and HI Marietta GA
S461055632605233 Card 9604
Deposits/
Additions
Withdrawals/
Subtractions
64.47
Ending daily
balance
54.46
19.00
52.13
12.35
22.50
2.50
7.73
13.77
79.48
1.02
380.23
2,879.00
15.89
10.35
2.00
5.00
30.00
10.00
16.83
266.60
2,902.56
125.00
252.00
204.00
25.00
15.89
10.00
254.12
3,000.00
9.00
3.00
2.00
96.88
58.04
2,770.55
February 26, 2021
■
Page 6 of 8
Transaction history (continued)
Date
2/25
2/25
2/25
2/26
2/26
2/26
2/26
2/26
2/26
2/26
2/26
2/26
2/26
2/26
Check
Number Description
Purchase authorized on 02/24 Cash App*Shayna Go 8774174551
CA S461056014587021 Card 9604
Recurring Payment authorized on 02/24 Amazon Prime*Io14V
Amzn.Com/Bill WA S301056087902277 Card 9604
Purchase authorized on 02/24 Kroger CO 3595 Canton Marietta
GA P00000000076861286 Card 9604
Money Transfer authorized on 02/26 From Shayna Goodman GA
S00461058020333186 Card 9604
Online Transfer From Madden W Ref #Ib09Wvyzvf Checking Car
Purchase authorized on 02/24 Xhale City - 9745 Woodstock GA
S301055812594871 Card 9604
Purchase authorized on 02/24 Vaperite Woodstock Woodstock
GA S461055829647657 Card 9604
Purchase authorized on 02/25 Texaco 0308516 Canton GA
S461056791112221 Card 9604
Purchase authorized on 02/26 Kroger CO 3595 Canton Marietta
GA P00000000439264953 Card 9604
Purchase authorized on 02/26 Claire's #5945 400 Ernest
Kennesaw GA P00301057748829125 Card 9604
Non-WF ATM Withdrawal authorized on 02/26 400 Ernestw
Barrett Pk Kennesaw GA 00581057765513269 ATM ID CT008637
Card 9604
Non-Wells Fargo ATM Transaction Fee
Purchase authorized on 02/26 Walgreens Store 3299 Cant
Marietta GA P00581057790251837 Card 9604
Monthly Service Fee
Deposits/
Additions
Withdrawals/
Subtractions
20.00
Ending daily
balance
12.99
95.04
5,491.60
30.55
110.00
120.25
38.14
2.11
16.93
12.72
63.25
2.50
47.81
5.00
Ending balance on 2/26
5,323.44
5,323.44
Totals
$10,426.14
$5,204.69
The Ending Daily Balance does not reflect any pending withdrawals or holds on deposited funds that may have been outstanding on your account when your
transactions posted. If you had insufficient available funds when a transaction posted, fees may have been assessed.
Monthly service fee summary
For a complete list of fees and detailed account information, see the disclosures applicable to your account or talk to a banker. Go to wellsfargo.com/feefaq for a
link to these documents, and answers to common monthly service fee questions.
Fee period 01/30/2021 - 02/26/2021
Standard monthly service fee $5.00
You paid $5.00
Minimum required
This fee period
How to avoid the monthly service fee
Have any ONE of the following account requirements
· Age of primary account owner
13 - 24
RD/RD
IMPORTANT ACCOUNT INFORMATION
Effective on or after April 1, 2021, Wells Fargo will no longer issue temporary debit cards, including Wells Fargo Instant Issue Debit
Cards, Wells Fargo Business Instant Issue Debit Cards, and EasyPay Instant Cards. If you need a replacement card, you may request one
®
by signing on to Wells Fargo Online or calling the number on your statement. Once requested, replacement cards arrive by mail in 5
to 7 calendar days. You may add your Wells Fargo Debit Card or EasyPay Card to a Wells Fargo-supported digital wallet on your mobile
device so you can make secure, convenient purchases in stores, online, and in apps, and access Wells Fargo ATMs while you wait for
your replacement card. For more details on digital wallets, please visit
wellsfargo.com/mobile/payments.
Availability may be
3
February 26, 2021
■
Page 7 of 8
affected by your mobile carrier's coverage area. Your mobile carrier's message and data rates may apply. Some ATMs within secure
locations may require a physical card for entry.
Effective on or after April 1, 2021, the ATM Access Code feature will no longer be available to access your accounts at Wells Fargo ATMs.
You may continue to access Wells Fargo ATMs using your Wells Fargo Debit, ATM or EasyPay Card, or with a Wells Fargo-supported
digital wallet on your mobile device. For more information about adding your card to a digital wallet, please visit
wellsfargo.com/mobile/payments. Availability may be affected by your mobile carrier's coverage area. Your mobile carrier's message
and data rates may apply. Some ATMs within secure locations may require a physical card for entry. Note: After the ATM Access Code
feature for accessing Wells Fargo accounts is discontinued, the "Use an Access Code" button may continue to be displayed on Wells
Fargo ATMs to support other services.
To provide you with additional flexibility to access accounts, we have increased the daily ATM withdrawal limit on your Wells Fargo
Debit, ATM, or EasyPay Card(s) to $1,010. Any card that already has a daily ATM withdrawal limit of $1,010 or more remains the same. To
view your card limits any time, sign on at wellsfargo.com/cardcontrol and click on Open Card Details.
Sheet Seq = 0240606
Sheet 00004 of 00004
February 26, 2021
■
Page 8 of 8
Worksheet to balance your account
General statement policies for Wells Fargo Bank
Follow the steps below to reconcile your statement balance with your
account register balance. Be sure that your register shows any interest
paid into your account and any service charges, automatic payments or
ATM transactions withdrawn from your account during this statement
period.
A Enter the ending balance on this statement.
$
■
To dispute or report inaccuracies in information we have furnished to a
Consumer Reporting Agency about your accounts. You have the right to
dispute the accuracy of information that Wells Fargo Bank, N.A. has
furnished to a consumer reporting agency by writing to us at Overdraft
Collection and Recovery, P.O. Box 5058, Portland, OR 97208-5058. Please
describe the specific information that is inaccurate or in dispute and the
basis for the dispute along with supporting documentation. If you believe
the information furnished is the result of identity theft, please provide us
with an identity theft report.
■
In case of errors or questions about your electronic transfers,
telephone us at the number printed on the front of this statement or write
us at Wells Fargo Bank, P.O. Box 6995, Portland, OR 97228-6995 as soon as
you can, if you think your statement or receipt is wrong or if you need more
information about a transfer on the statement or receipt. We must hear
from you no later than 60 days after we sent you the FIRST statement on
which the error or problem appeared.
B List outstanding deposits and other
credits to your account that do not appear on
this statement. Enter the total in the column
to the right.
Description
Amount
Total
$
+ $
C Add A and B to calculate the subtotal.
= $
We will investigate your complaint and will correct any error promptly. If
we take more than 10 business days to do this, we will credit your account
for the amount you think is in error, so that you will have the use of the
money during the time it takes us to complete our investigation.
D List outstanding checks, withdrawals, and
other debits to your account that do not appear
on this statement. Enter the total in the column
to the right.
Number/Description
Total
1. Tell us your name and account number (if any).
2. Describe the error or the transfer you are unsure about, and explain as
clearly as you can why you believe it is an error or why you need more
information.
3. Tell us the dollar amount of the suspected error.
Amount
$
E Subtract D from C to calculate the
adjusted ending balance. This amount should be
the same as the current balance shown in your
register.
-
$
= $
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. NMLSR ID 399801