"BLANK CHECK" by Tom_Kirkman

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Kirkman Federal
Bank
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President:
Thomas H. Kirkman

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OFFICIAL
BANK
CHECK

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Kirkman Federal
Bank
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Directions
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Take this check to a Kirkman Federal Bank to cash or deposit it.

DISCLAIMER: Write it for only as much is in your account!

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Kirkman Federal
Bank
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Account Information
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Account Holder Name:
xxxxx x. xxxxx

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Kirkman Federal
Bank
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Account Information
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Account Number:
xxx-xxx

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Kirkman Federal
Bank
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Check Information
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Check Recipient (Name):
xxxxx x. xxxxx

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Kirkman Federal
Bank
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Check Information
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Check Amount:
$xx,xxx

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Kirkman Federal
Bank
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Check Information
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Check Purpose:
xxxx xxxx xxx

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Kirkman Federal
Bank
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Certification
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VALID ONLY IF:
- Signed ORIGINAL Copy
- Signed by ACCOUNT Owner
- Amount is IN THE ACCOUNT

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Kirkman Federal
Bank
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Signature
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(Sign below & title book ‘Check’)


Account Owner:
xxxxx x. xxxxx