Each depositor insured to at least $250,000 per insured bank

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6500 - Consumer Financial Protection Bureau

The prescribed form for this disclosure is a separate document that is substantially similar to the Bureau's notice with all information clearly and prominently displayed. Consumer reporting agencies may limit the disclosure to only those items that they know are relevant to the user that will receive the notice.

[Codified to 12 C.F.R. Part 1022, Appendix N]

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