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WRITTEN STATEMENT OF UNAUTHORIZED USE OF ACCESS DEVICE Name: Account Number: Card Number: I, hereby attest that: I have carefully examined my checking×savings statement’s) for the period’s) and
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How to fill out a written statement of unauthorized:

01
Begin by stating your full name, address, and contact information at the top of the document.
02
Provide the date and location where the unauthorized incident took place.
03
Clearly describe the unauthorized activity or incident in detail. Include any relevant dates, times, and specific actions that took place.
04
Attach any evidence or supporting documents that you may have, such as photographs, videos, or witness statements, to strengthen your case.
05
Sign and date the statement at the bottom to confirm its accuracy and truthfulness.

Who needs a written statement of unauthorized?

01
Individuals who have experienced unauthorized use of their personal property or identity, such as unauthorized credit card charges or unauthorized access to online accounts.
02
Individuals who have witnessed unauthorized activity or know of someone who has engaged in unauthorized behavior.
03
Professionals in law enforcement or security who require written documentation as part of an investigation or legal proceedings.
Note: Remember to consult with legal professionals or relevant authorities for specific guidance and instructions on how to fill out a written statement of unauthorized, as requirements may vary depending on your jurisdiction and the nature of the incident.
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The written statement of unauthorized is a document that reports any unauthorized transactions on a credit or debit card.
Any individual who notices unauthorized transactions on their credit or debit card is required to file a written statement of unauthorized.
To fill out a written statement of unauthorized, the individual must provide their personal information, details of the unauthorized transaction, and any relevant supporting documents.
The purpose of the written statement of unauthorized is to notify the card issuer of any unauthorized transactions and request a refund or investigation.
The written statement of unauthorized must include details of the cardholder, the unauthorized transaction, and any relevant supporting documents.
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2013 EFT FOREGOING Debit disputed applicable POS attest accountability certify accessible transactions Revised user AFFIDAVIT

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