Section 35.54 - What information must appear on the sworn statement required by Section 523.052(b)(2), Business & Commerce Code, for use when a person contacts a financial institution with the intent to send information through the electronic notification system?The sworn statement form required by §523.052(b)(2), Business & Commerce Code, must include:
(1) a notice, at the top of the first page, that provides that: (A) the customer must file a police report regarding an offense under § RSA 32.51, Penal Code; and(B) the customer must return the completed sworn statement with either: (i) the incident or case number of the police report; or(ii) a copy of the police report.(2) blanks for the customer to provide: (A) customer's name, address, phone number, date of birth;(B) the number and the issuing governmental entity's name for the customer's: (i) driver's license or state issued identification card; or(ii) if the customer does not have a driver's license or state issued identification card, other government-issued identification.(C) the account number of any account compromised by the alleged offense and closed in response to the alleged offense;(D) routing number for the financial institution where the account was closed;(E) numbers or the range of numbers of any checks that have been lost, stolen, or compromised, if any;(F) the incident or case number of the police report; and(G) a signature before a notary public.7 Tex. Admin. Code § 35.54
The provisions of this §35.54 adopted to be effective January 3, 2008, 32 TexReg 9940; amended to be effective September 9, 2010, 35 TexReg 8102