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STATE ATTORNEY IS OFFICE FOURTH JUDICIAL CIRCUIT OF FLORIDA For Office Use Only: WORTHLESS CHECK AFFIDAVIT (Please type or print legibly) SA No.: (Office use only) Juvenile Misdemeanor Felony Acts
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How to fill out worthless check affidavit

How to fill out a worthless check affidavit:
01
Start by obtaining a copy of the worthless check affidavit form. You can typically get this form from your local law enforcement agency or the district attorney's office.
02
Fill in your personal information on the form, including your name, address, and contact information. Make sure to provide accurate information as it will be used for documentation purposes.
03
Provide the details of the worthless check, such as the date it was written, the name of the person or business it was written to, and the amount of the check.
04
Attach any supporting documentation that you have, such as a copy of the bounced check, any communication you've had with the person or business who wrote the check, or any other relevant evidence.
05
Sign the affidavit, affirming that the information provided is true and accurate to the best of your knowledge.
06
Submit the completed affidavit to the appropriate law enforcement agency or the district attorney's office. They will review the information and determine whether to pursue legal action against the person who wrote the worthless check.
Who needs a worthless check affidavit?
A worthless check affidavit may be needed by individuals or businesses who have received a bounced or fraudulent check. This affidavit serves as a formal document to report the incident to law enforcement or the district attorney's office. It can be used as evidence in potential legal proceedings against the person who wrote the worthless check. Therefore, anyone who has been a victim of a worthless check should consider filing a worthless check affidavit to help protect their rights and potentially recover the funds owed to them.
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What is worthless check affidavit?
The worthless check affidavit is a legal document used to report a bounced or dishonored check.
Who is required to file worthless check affidavit?
Merchants or individuals who receive a bounced check are required to file a worthless check affidavit.
How to fill out worthless check affidavit?
To fill out a worthless check affidavit, you need to include information such as the check number, amount, date, and issuer's information.
What is the purpose of worthless check affidavit?
The purpose of a worthless check affidavit is to report a bounced or dishonored check and seek legal action against the issuer.
What information must be reported on worthless check affidavit?
The information that must be reported on a worthless check affidavit includes the check number, amount, date, issuer's information, and details of the bounced check.
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