What is a letter to send a bank manager for a bank statement?

To,

The Manager

__________ (Fill in the name of the bank and branch in the blanks)

From,

_____ (Fill in your Name)

______(Fill in your Address & Phone number)

Sir,

Sub: Reg. Request for a Statement on the Account ______ (Fill in the Account number)

As I need a statement of transactions on my bank account _____ (fill in your bank account number) could you kindly arrange to provide me the same. The Statement is required for the following dates. Date From & Date To (Fill in the dates)

Thank you

________ (Fill your name and sign)