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Debit Card Affidavit of Disputed Item(s) or Unauthorized Use. Fax to 972 391 6785. Faxing to any other number will cause delays. IMPORTANT: the account holder disputing the item or alleging unauthorized
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How to fill out debit card affidavit

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How to fill out debit card affidavit

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Step 1: Obtain the debit card affidavit form from your bank or financial institution.
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Step 2: Read the instructions carefully to understand the information required.
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Step 3: Provide your personal details such as name, address, and contact information.
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Step 4: Enter your debit card details, including the card number, expiration date, and CVV.
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Step 5: Specify the reason for filing the affidavit, such as unauthorized transactions or lost/stolen card.
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Step 6: Provide a detailed explanation of the incident or issue related to your debit card.
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Step 7: Attach any supporting documents or evidence if required, such as transaction records or police reports.
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Step 8: Review the completed affidavit form for accuracy and make any necessary corrections.
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Step 9: Sign the affidavit and include the date of submission.
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Step 10: Submit the filled-out debit card affidavit form to your bank or financial institution as per their instructions.

Who needs debit card affidavit?

01
Individuals who have experienced unauthorized transactions on their debit card.
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Individuals who have lost their debit card or had it stolen.
03
Individuals who need to report fraudulent activity on their debit card.
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Individuals who need to dispute certain transactions on their debit card.
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Individuals who have encountered issues with their debit card, such as being charged incorrectly.
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A debit card affidavit is a form used to report all transactions made with a debit card.
Any individual or entity that has used a debit card for financial transactions is required to file a debit card affidavit.
To fill out a debit card affidavit, one must provide details of all transactions made using the debit card, including the date, amount, and purpose of the transaction.
The purpose of a debit card affidavit is to track and report all transactions made using a debit card to ensure transparency and accuracy in financial records.
The information that must be reported on a debit card affidavit includes details of all transactions made using the debit card, such as date, amount, and purpose of the transaction.
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