Customer Opt-Out Form

You may choose to opt out of disclosure of certain information. If you prefer that we not disclose nonpublic personal information with our affiliates, you may direct us not to make those disclosures.

Your Right To Choose

Your decision to block the disclosure will apply to information collected in regard to any of our company's products and services. It will also block disclosure of nonpublic personal information about each of the joint borrowers, owners or purchasers. You need opt out only once for the duration of your account. However, please note that we are required by law to send our privacy statement each year.

REMEMBER: If you have previously opted out, you do not have to submit any further requests.

Please note, disclosing information related to your actual transactions and experiences with us, and information allowable by law, will still be permissible.

To opt out of the disclosure, you may do so by printing and mailing this completed form to:

Seattle Bank
P.O. Box 19102
Seattle, WA 98109

 
  

Do not share my information, other than information relating to your transactions and experiences with me, with your affiliates.

 
 

I am a customer of (check all that apply):

  

Seattle Bank

  

Seattle Capital

  

Seattle Escrow

  

Seattle Insurance Group

  

Seattle Mortgage

 
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Signature

 
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*Name(s)

 
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*Last Four Digits of Social Security Number(s)

 
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Account Number(s)

 
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*Street Address

 
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*City, State, Zip

Note: We cannot honor your request without the required information, marked with an asterisk.