Certificate of Deposit Transaction Form

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File: EFTA01269100_p35_i0.png dataset_10
Summary:

The image shows a scanned Certificate of Deposit Transaction Form from First Bank, dated March 11, 2016, for an amount of $25,000.00. The document includes handwritten information and a signature, and is marked as confidential.

Content Type:
Image
Document Type:
image
Date:
2016-03-11
Model Used:
gemini-2.0-flash-001
Image Classification
Category:
document_scan
Subcategory:
financial_document
Objects Detected (1)
Certificate of Deposit Transaction Form
A scanned form from First Bank, filled out with handwritten and typed information. The form is for a certificate of deposit transaction. The form is dated March 11, 2016 and has an effective date of 03/11/2016. The amount is $25,000.00. There is a signature on the form.
First Bank, CERTIFICATE OF DEPOSIT TRANSACTION FORM, 9621 FirstBank 9621, 717, MAR 11 '16, CD, IRA, New, Close, Deposit, Withdrawal, Branch 717, Account number 7178105695, Amount $25,000.00, Date: 03/11/2016, East End Plaza 9621 Effective Date: 03/11/2016, Pen. Y/N Prior Year? IRA Code, N
Scene & Environment

Setting: indoor

Location Type: office

Identified Location: First Bank, East End Plaza

Time: unclear

Atmosphere: formal

Document Extraction

Type: form

Date: 03/11/2016

Letterhead: First Bank

Key Points:

  • Certificate of Deposit Transaction
  • Amount: $25,000.00
  • Date: 03/11/2016
  • Branch: 717
  • Account number: 7178105695

Full Transcription:

1 First Bank
CERTIFICATE OF DEPOSIT
TRANSACTION FORM
9621 FirstBank 9621
717
MAR 11'16
CDIRA
New
Close
Deposit
Withdrawa
Branch
Account number
Amount
717
7178105695
NA1736 6/2006
NNNS-0613
coune Dunnol
Customer's Signature
Prepared by
71706/41045
Authorized by
1370
Date: 03/11/2016
East End
09621 Effective Date: 03/11/2016
9821 Plaza
$25,000.00
Pen. Y/N Prior Year? IRA Code
N
Customer's Signature
CONFIDENTIAL
SDNY_GM_00013287
CONFIDENTIAL
FirstBankPR000450
EFTA_00123930
Text in Image
1 First Bank
CERTIFICATE OF DEPOSIT
TRANSACTION FORM
9621 FirstBank 9621
717
MAR 11'16
CDIRA
New
Close
Deposit
Withdrawa
Branch
Account number
Amount
717
7178105695
NA1736 6/2006
NNNS-0613
coune Dunnol
Customer's Signature
Prepared by
71706/41045
Authorized by
1370
Date: 03/11/2016
East End
09621 Effective Date: 03/11/2016
9821 Plaza
$25,000.00
Pen. Y/N Prior Year? IRA Code
N
Customer's Signature
CONFIDENTIAL
SDNY_GM_00013287
CONFIDENTIAL
FirstBankPR000450
EFTA_00123930

Significance: The text provides details about a financial transaction, including the date, amount, and parties involved.

Full Description

The image is a scanned document, specifically a Certificate of Deposit Transaction Form from First Bank. The form is mostly white with black printed text and some handwritten entries. At the top, the First Bank logo is visible. Below the logo, the title "CERTIFICATE OF DEPOSIT TRANSACTION FORM" is printed. The form includes fields for CD/IRA selection, whether it's a new or closed account, deposit or withdrawal, branch number, account number, and amount. The amount field shows "$25,000.00". There are also fields for the date and effective date, both listed as "03/11/2016". A signature is present, identified as "coune Dunnol". The bottom of the document contains the word "CONFIDENTIAL" in orange, along with document IDs: "SDNY_GM_00013287", "FirstBankPR000450", and "EFTA_00123930". The image quality is medium, with some slight blurring. The document appears to be a standard bank form used for processing certificate of deposit transactions.

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Raw Analysis