Get the free AFFIDAVIT OF UNAUTHORIZED DEBIT ACH - Icon Credit Union - iconcreditunion

For Branch Use Only MSR Initials AFFIDAVIT OF UNAUTHORIZED DEBIT (ACH) Account/ Transaction Information Date of Debit: Account Number: Member Name: Amount of Debit: $ Party Debiting the Account: Statement

How to fill out affidavit of unauthorized debit

Point by point guide on how to fill out an affidavit of unauthorized debit:

1. Gather the necessary information: Start by collecting all the details related to the unauthorized debit, such as the date, amount, and description of the transaction. Make sure to have any supporting documents, such as bank statements or receipts, that can help prove your claim.
2. Download or obtain the affidavit form: Search for the specific affidavit of unauthorized debit form used by your bank or financial institution. This form can typically be found on their website, or you can visit a local branch to request a physical copy.
3. Read and understand the instructions: Carefully read through the instructions provided with the affidavit form. Familiarize yourself with the requirements, guidelines, and any specific sections that need to be completed.
4. Fill out your personal information: Begin by filling out your personal details, such as your full name, address, contact information, and account number. Provide the necessary identification details as requested, such as your social security number or driver's license number.
5. Provide details of the unauthorized debit: In the relevant section of the form, clearly describe the unauthorized debit, including all pertinent details such as the date, description, and amount. Be as specific and detailed as possible to strengthen your case.
6. Explain why the debit is unauthorized: In a separate section, explain why you believe the debit is unauthorized. Provide a detailed account of any fraudulent activity you have identified or any unauthorized access to your account. Include any supporting evidence or documentation that can support your claim.
7. Sign and date the affidavit: Once you have completed all the required sections, carefully review the entire form for accuracy and completeness. Sign and date the affidavit in the designated area as a declaration that the information provided is true and accurate to the best of your knowledge.

Who needs an affidavit of unauthorized debit?

An affidavit of unauthorized debit may be needed by individuals who have experienced unauthorized transactions on their bank accounts or credit cards. This can include cases of fraudulent activity, identity theft, or any unauthorized access to their financial accounts. The affidavit serves as a formal document that helps the bank or financial institution investigate the matter and potentially refund the unauthorized charges. It is important to contact your bank or financial institution to confirm if they require an affidavit and to understand their specific process for resolution.

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What is affidavit of unauthorized debit?

Affidavit of unauthorized debit is a legal document used to report and dispute unauthorized withdrawals or charges from a bank account.

Who is required to file affidavit of unauthorized debit?

Anyone who notices unauthorized transactions on their bank account is required to file an affidavit of unauthorized debit.

How to fill out affidavit of unauthorized debit?

To fill out an affidavit of unauthorized debit, you must provide your personal information, details of the unauthorized transaction, and sign the document in front of a notary public.

What is the purpose of affidavit of unauthorized debit?

The purpose of affidavit of unauthorized debit is to formally dispute unauthorized transactions and request a refund from the bank.

What information must be reported on affidavit of unauthorized debit?

Information such as account number, transaction details, date and time of transaction, and any supporting evidence must be reported on the affidavit of unauthorized debit.