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Office of the New York State Comptroller

Cash Management and Banking

Contact: Gary Harper (gharper@osc.state.ny.us)

State of New York
Office of the State Comptroller
Division of Pension Investment and Cash Management

NEW YORK STATE BANK ACCOUNT INVENTORY UPDATE FORM

Print this form, fill in the information, and fax to 518-473-9560

Agency Name:
Agency Code:
Mailing Address:
City:
Zip Code:
Contact Name:
Telephone Number:
E-Mail Address:

NEW ACCOUNT INFORMATION

Bank Name:
Account Title:
Account Number:
Date Opened:

Is this account part of a competitive bidding process?
Yes No

If yes, how will the account be paid?
Direct Fee Compensating Balance

Does this account replace an existing account?
Yes No

If yes, and the account has been closed, please provide the information on the closed account below. If the old account needs to remain open for outstanding checks, please complete the following information when the account in closed.

CLOSED ACCOUNT INFORMATION

Bank Name:
Account Title:
Account Number:
Date Closed: