Gramm-Leach-Bliley Act (GLBA) Privacy Notice
Financial Institution Name | [Your Company Name] |
Address | [Your Company Address] |
Date | August 1, 2055 |
Privacy Notice |
|---|
At [Your Company Name], we are committed to protecting the privacy and confidentiality of our customers' nonpublic personal information. This Privacy Notice explains how we collect, use, and protect your information. Please read it carefully. |
Information We Collect |
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Information we receive from you on applications or other forms. |
Information about your transactions with us, our affiliates, or others. |
Information we receive from consumer reporting agencies. |
Information We Disclose |
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We do not disclose any nonpublic personal information about our customers or former customers to anyone, except as permitted by law. |
Information Security |
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We maintain physical, electronic, and procedural safeguards that comply with federal standards to guard your nonpublic personal information. |
Your Right to Opt Out |
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If you prefer that we do not disclose nonpublic personal information about you to non-affiliated third parties, you may opt out of those disclosures. You may direct us not to make those disclosures (other than disclosures permitted by law). |
Changes to Our Privacy Policy |
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We reserve the right to amend, modify, or revise our Privacy Notice at any time. |
By signing below, you acknowledge that you have received and understand our Privacy Notice.

[Customer's Name]
Date: [Date Signed]

[Your Name]
Date: [Date Signed]
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