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P: Notice of Transfer of Financial Records—Form DOJ-476

RFPA Form DOJ-476-- Notice of Transfer of Financial Records UNITED STATES DEPARTMENT OF JUSTICE Washington, D.C. ** OF FINANCIAL RECORDS Dear ________________________ : (Name of Customer) Copies of, or information contained in, your financial records lawfully in the possession of __________________________ (Government Agency) have been furnished to ________________________________ pursuant (Government Agency) 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 ___ (Date) ___________________________ (Name and Title of Official) ___________________________ (Telephone) ___________________________ (Government Agency) ___________________________ (Address) Sec. 1112(b) of the Right To Financial FORM DOJ-476 Privacy Act, 12 U.S.C. Sec. 3412(b)