Bank Account Checklist

Complete the checklist below for each bank account

Bank Name / Account Number / Type of Account
Click here to enter text / Click here to enter text / Click here to enter text

Yes No

1. ‘Trust’/’Escrow’ Appears on all Documents

☐ ☐ a. Bank agreement

☐ ☐ b. Bank statement

☐ ☐ c. Deposit tickets

☐ ☐ d. Checks

2. Verified Bank is in a Federally Insured Financial Institution

☐ ☐ a. http://www2.fdic.gov/IDASP/main.asp

☐ ☐ b. http://www.ncua.gov/Pages/default.aspx

☐ ☐ c. If not, beneficial owner request is attached

3. Authorized Signer(s) on account (if more than three signers, please attach list):

☐ ☐ a. Name: Enter Name Title: Enter Title signer #1 is an active employee

☐ ☐ b. Name: Enter Name Title: Enter Title signer #2 is an active employee

☐ ☐ c. Name: Enter Name Title: Enter Title signer #3 is an active employee

☐ ☐ d. Approval document imaged into employee file(s)

4. Account has Positive Pay or Reverse Positive Pay (if more than three signers, please attach list)

☐ Positive Pay or Reverse Positive Pay is not used because it is not available in our marketplace (Check the box if applicable)

☐ ☐ a. Name: Enter Name Title: Enter Title exception approver #1 is an active employee

☐ ☐ b. Name: Enter Name Title: Enter Title exception approver #2 is an active employee

☐ ☐ c. Name: Enter Name Title: Enter Title exception approver #3 is an active employee

☐ ☐ d. Approval document imaged into employee file(s)

☐ ☐ 5. Account Set Up to Control ACH Transfers

If “No” to #5, identify approvers for ACH transactions (if more than three signers, please attach list)

☐ ☐ a. Name: Enter Name Title: Enter Title approver #1 is an active employee

☐ ☐ b. Name: Enter Name Title: Enter Title approver #2 is an active employee

☐ ☐ c. Name: Enter Name Title: Enter Title approver #3 is an active employee

☐ ☐ 6. Account Set Up to Control International Wire Transfers

If “No” to #6, identify approvers for International Wires (if more than three signers, please attach list)

☐ ☐ a. Name: Enter Name Title: Enter Title approver #1 is an active employee

☐ ☐ b. Name: Enter Name Title: Enter Title approver #2 is an active employee

☐ ☐ c. Name: Enter Name Title: Enter Title approver #3 is an active employee

☐ ☐ 7. Electronic Daily Banking

8. Wiring Documentation (if more than three signers, please attach list)

☐ ☐ a. Name: Enter Name Title: Enter Title initiator/approver #1 is an active employee

☐ ☐ b. Name: Enter Name Title: Enter Title approver #2 is an active employee

☐ ☐ c. Name: Enter Name Title: Enter Title approver #3 is an active employee

☐ ☐ d. Approval document imaged into employee file(s)

9. Gather together (scan, if possible) and store the following checklist of documents in a known location as supporting documentation for the Assessment Procedure Testing.

☐ ☐ a. Bank agreement

☐ ☐ b. Bank statement

☐ ☐ c. Deposit ticket

☐ ☐ d. Check

☐ ☐ e. Positive Pay Agreement

☐ ☐ f. ACH/International Wire Control Protocol (or Bank Agreement)

☐ ☐ g. Approval documents

☐ ☐ h. Documentation of verbal agreements with bank personnel

☐ ☐ 10. Access to Front and Back of Canceled Checks Provided by Bank

☐ ☐ 11. Account is Dormant/Inactive

D: Enter Text

List reason for each selection where “No” is selected: (Copy this page for each account and complete the checklist)

Click here to enter text

Dormant/Inactive Accounts

Bank Name / Account Number / Type of Account / Approver for Disbursement
Enter text / Enter text / Enter text / Enter text
Enter text / Enter text / Enter text / Enter text
Enter text / Enter text / Enter text / Enter text
Enter text / Enter text / Enter text / Enter text
Enter text / Enter text / Enter text / Enter text
Enter text / Enter text / Enter text / Enter text

Approval by senior management required for disbursements from Dormant/Inactive Accounts.

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