Gladwin County, MI · Gladwin County

No notary required

Verification of Resources

This resource verification form is completed by a bank or financial institution to report accounts and balances for a named household member.

At a glance

Issued by
City of Gladwin County · Gladwin County, Gladwin County, Michigan
Notarization
Not required: file this form without a notary.
Official source
gladwincounty-mi.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The form asks a bank or financial institution to verify current resources and resources held during the past year, including closed accounts. It records account types, account details, balances, withdrawals, interest, and institution contact information, then is returned to Gladwin County for its file. It cites the Michigan Public Act and federal housing act shown on the form.

Who needs it

A household member whose resources must be verified should provide the form to their bank or financial institution for completion.

How to submit it

The completed form should be returned to Gladwin County Court House, Attn: Melanie Thume or Kimberly Hines, TPA, 401 W. Cedar St., Gladwin, MI 48624.

About notarization

This form has no notary block; the financial institution representative signs and dates it, certifying the information under penalty of perjury.

How to submit this form

  1. 1

    Download the Form

    Download the Verification of Resources PDF.

  2. 2

    Complete the Household Information

    Enter the head of household’s name and last four Social Security number digits, then provide the account holder’s information.

  3. 3

    Have the Institution Complete It

    Give the form to the bank or financial institution to report account history and institution details.

  4. 4

    Return the Completed Form

    Return it to Gladwin County Court House, Attn: Melanie Thume or Kimberly Hines, TPA, at the address on the form.

Frequently asked questions

What is the Verification of Resources form for?
It asks a bank or financial institution to verify a named person’s current and past-year resources, including accounts that have been closed.
Who completes the Verification of Resources form?
A bank or financial institution completes the account history and institution information sections for the person named on the form.
Do I need a notary for the Verification of Resources form?
No. There is no notary block; the financial institution representative signs and dates the form and certifies the information under penalty of perjury.
How do I submit the Verification of Resources form?
Return the completed form to Gladwin County Court House, Attn: Melanie Thume or Kimberly Hines, TPA, 401 W. Cedar St., Gladwin, MI 48624.

Need something notarized?

This Verification of Resources doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.