Form DOJ-476-- Notice of Transfer of Financial Records
UNITED STATES DEPARTMENT OF JUSTICE
** OF FINANCIAL RECORDS
Dear ________________________ :
(Name of Customer)
Copies of, or information contained in, your financial records lawfully in the possession of __________________________
have been furnished to ________________________________ pursuant
to the Right to Financial Privacy Act of 1978 for the following purpose: _____________________________________________ _______________________________________________________________ .
If you believe that this transfer has not been made to further a legitimate law enforcement inquiry, you may have legal rights under the Right To Financial Privacy Act of 1978 or the Privacy Act of 1974.
____________ ____ , 19 ___
(Name and Title of Official)
Sec. 1112(b) of the Right To Financial FORM DOJ-476
Privacy Act, 12 U.S.C. Sec. 3412(b)