Bank Withdrawal Form

Bank Withdrawal Form Template for Netherlands

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Key Requirements PROMPT example:

"I need a standard Bank Withdrawal Form for my Dutch retail bank that allows withdrawals up to €10,000, including sections for source of funds declaration and purpose of withdrawal, to be implemented by March 2025."

Document background

The Bank Withdrawal Form is a fundamental banking document used in the Netherlands for facilitating cash withdrawals from bank accounts. This document is essential for maintaining accurate transaction records and ensuring compliance with Dutch financial regulations, including the Financial Supervision Act (Wft) and anti-money laundering legislation. The form must be used for all over-the-counter cash withdrawals exceeding standard ATM limits or requiring special handling. It includes sections for customer identification, transaction details, purpose declaration, and proper authorization, with additional provisions for third-party withdrawals when applicable. The document serves both as a transaction record and a compliance tool, helping financial institutions meet their regulatory obligations while providing customers with a standardized method for accessing their funds.

Suggested Sections

1. Customer Information: Essential personal details including full name, account number, contact information, and identification details as required by Dutch banking regulations

2. Withdrawal Details: Specification of the amount to be withdrawn (in numbers and words), currency, and desired denomination of bills if applicable

3. Account Details: Full details of the account from which the withdrawal is to be made, including account type and branch information

4. Purpose Declaration: Brief statement of the purpose of withdrawal (required for amounts above certain thresholds per anti-money laundering regulations)

5. Authentication Section: Space for customer signature and date, matching the signature specimen on file

6. Bank Use Only Section: Area for bank official's verification, transaction reference number, and processing details

Optional Sections

1. Third Party Authorization: To be included when someone other than the account holder is making the withdrawal, including authorized person's details and verification

2. International Withdrawal Declaration: Required for large cash withdrawals being taken abroad, including declaration under Dutch customs regulations

3. Special Instructions: For specific requirements regarding the withdrawal, such as specific bill denominations or timing requirements

4. Source of Funds Declaration: Additional declaration required for large withdrawals explaining the source and intended use of funds

Suggested Schedules

1. Identification Requirements Appendix: List of acceptable identification documents and verification requirements as per Dutch banking regulations

2. Fee Schedule: Applicable fees for special services related to the withdrawal (if any)

3. Transaction Limits Guide: Information about daily withdrawal limits and requirements for different withdrawal amounts

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Banking

Financial Services

Retail Banking

Corporate Banking

Financial Technology

Professional Services

Compliance and Regulatory

Customer Service

Relevant Teams

Operations

Customer Service

Compliance

Risk Management

Front Desk

Treasury

Retail Banking

Corporate Banking

Legal

Internal Audit

Relevant Roles

Bank Teller

Branch Manager

Compliance Officer

Customer Service Representative

Financial Services Officer

Banking Operations Manager

Risk Management Officer

Account Manager

Treasury Officer

Anti-Money Laundering Specialist

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