To ADDRESSEEFIRST ADDRESSEELAST, 

[ADDRESSEEADDRESS]

<DATE>

 

Dear [Mr / Mrs / Ms] ADDRESSEELAST,

Re: Bank Statement [ACCOUNTNUMBER] [Bank statement date]

I am writing with regards to formally request the bank statement/s of [MONTH1] [[to MONTH2]] of my account at [BANK]. The account is listed under [ACCOUNTNUMBER] and I have designated [SIGNATORY] as the verified signatory of the account during its period of operation. To the best of my knowledge, its current balance is [ACCOUNTBALANCE]. I am [missing some transactions/need to confirm some transactions/need the statements to update my personal records.

........................................