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Notary Id Verification Form

This document is an identity verification form for Discover Bank. It contains three sections: 1) for the applicant to acknowledge that they are applying for an account and any information provided will be used for verification, 2) for a notary to document the applicant's identification details like name, ID number, issuance date, and date of birth, and 3) for the notary officer to provide their signature, commission number, business information, and place their stamp.

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0% found this document useful (0 votes)
577 views1 page

Notary Id Verification Form

This document is an identity verification form for Discover Bank. It contains three sections: 1) for the applicant to acknowledge that they are applying for an account and any information provided will be used for verification, 2) for a notary to document the applicant's identification details like name, ID number, issuance date, and date of birth, and 3) for the notary officer to provide their signature, commission number, business information, and place their stamp.

Uploaded by

Sandra Benjamin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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| ID Verification Form

Section 1: Discover Bank Applicant or Customer Identify Verification Acknowledgement


To be completed by the Discover Bank applicant or customer

By signing this form in the presence of a licensed notary, you acknowledge that you applied for or have a deposit
account with Discover Bank and any information you provide will be used for verification.

Printed name as it appears on your application/account: ________________________________________________

Applicant/Customer Signature: _________________________________________ Toda s Date: ____ / ___/ _____

Best Contact Phone Number: ____________________________

Section 2: Identification Details


To be completed by the Bank Notary / U.S. Embassy Representative / Military Legal Office Representative
Instructions: Please document the applicant/customer s identification detail.

Type of ID: ________________________________________


Acceptable IDs include: U.S. Dri er s License, U.S. State ID, U.S. Visa, Passport, or other U.S./ U.S. State Government issued ID

Name as it appears on the ID: ____________________________________________________

ID Number: ___________________________________________________________________

State or Country of Issuance: _____________________________________________________

Issue Date: ____ / ___/ _____ Expiration Date: ____ / ___/ _____

Date of Birth: ____ / ___/ _____

Section 3: Notarizing Officer/Signature Guarantor Information & Stamp


Name of Notarizing Officer/Signature Guarantor: ______________________________________

Notary Commission/Identification Number: ___________________________________________

Name of Business/Other: _________________________________________________________

Street Address: _________________________________________________________________

City, State, & ZIP Code: __________________________________________________________

Direct Business Phone Line: _______________________________________________________

Notarizing Officer Signature: _______________________________________________________

Place Notary Stamp/Signature Guarantee Stamp below and/or attach any applicable documents
Note: If the individual resides in California, please provide a Signature Guarantee.

©2020 Discover Bank, Member FDIC

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