Missouri Code § 408.682

Customer authorization, requirements.
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1. A customer may authorize disclosure of his financial records if he furnishes to the financial institution and to the government authority seeking to obtain such disclosure a signed and dated statement which:
(1) Authorizes such disclosure for such period as may be agreed upon;
(2) States that the customer may revoke such authorization at any time before the financial records are disclosed;
(3) Identifies the financial records which are authorized to be disclosed;
(4) Specifies the purpose and the government authority to which such records may be disclosed; and
(5) States the customer's rights under sections 408.675 to 408.700 .
2. Such authorization shall not be required as a condition of doing business with any financial institution.
3. The customer has the right to obtain a copy of the information which shall be disclosed to a government authority pursuant to sections 408.675 to 408.700 , and the identity of the government authority to which such disclosure was made.

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