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WRITTEN STATEMENT UNDER PENALTY OF PERJURY An Affidavit of Unauthorized/Improper Entry (For Consumer ACH Debits Only) State of County of I, (consumer s name) state that I have examined the attached
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How to fill out a written statement under penalty:

01
Begin by gathering all the necessary information and documents related to the matter you are addressing in the written statement.
02
Clearly state your identity at the top of the statement, including your full name, address, and contact information.
03
Provide a concise and accurate account of the incident or issue being addressed in the written statement. Include any relevant dates, times, locations, and names of parties involved.
04
Use clear and concise language to explain the facts and circumstances surrounding the matter. Be sure to stick to the facts and avoid any unnecessary exaggerations or personal opinions.
05
If applicable, provide any supporting evidence or documents that can help validate your claims. This may include photographs, videos, emails, or any other relevant materials.
06
Sign and date the written statement at the end, making it clear that you understand and acknowledge the penalty of perjury for providing false information.

Who needs a written statement under penalty:

01
Individuals involved in legal proceedings, such as court cases, where a written statement is required to present their side of the story or provide evidence.
02
Employees who are involved in workplace incidents or investigations and are asked to provide a written statement as part of the process.
03
Individuals involved in insurance claims or disputes, where a written statement is necessary to document the facts and support their case.
In summary, filling out a written statement under penalty requires gathering relevant information, providing a clear and concise account of the matter, including any supporting evidence, and understanding the legal consequences of providing false information. This type of statement is commonly needed in legal proceedings, workplace incidents, and insurance claims.
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A written statement under penalty is a legal document in which a person provides information or testimony under oath, declaring that the information is true and accurate to the best of their knowledge.
Certain individuals involved in legal proceedings, such as witnesses, defendants, or plaintiffs, may be required to file a written statement under penalty.
To fill out a written statement under penalty, one should carefully read the provided form and respond to the questions accurately and honestly. It is important to review and sign the statement under penalty of perjury, acknowledging the legal consequences of providing false information.
The purpose of a written statement under penalty is to ensure that individuals involved in legal proceedings provide truthful and accurate information, as the statement is made under oath and carries legal consequences for perjury.
The specific information to be reported on a written statement under penalty can vary depending on the nature of the legal proceedings. It often includes personal information, factual details relevant to the case, and the individual's perspective or testimony.
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