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MARATHON COUNTY DISTRICT ATTORNEYS OFFICE (715)2611111 FORM A WORTHLESS CHECK STATEMENT (UPDATED 8/2004) PART ONE: CHECK WRITERS NAME & ADDRESS: CHECK NUMBER: CHECK DATE: I, took the above check in

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How to fill out worthless check form

1. Obtain a worthless check form from your local bank or law enforcement agency.
2. Fill in your personal contact information, including your name, address, and phone number.
3. Provide the date the check was written and the name of the recipient or business.
4. Enter the check number and the amount of the check.
5. Include a brief explanation or reason why the check is considered worthless.
6. Sign and date the form.
7. Attach any supporting documentation or evidence, such as a copy of the bounced check.
8. Submit the completed form to the appropriate authority, usually the bank or law enforcement agency.
9. Follow up with any additional information or documentation as requested by the authority.

Who needs worthless check form?

1. Individuals who have received a bounced or worthless check from someone.
2. Businesses that have experienced financial loss due to receiving worthless checks.
3. Banks and financial institutions that need to report and document instances of worthless checks.
4. Law enforcement agencies who handle cases related to fraudulent or worthless checks.

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What is worthless check form?

The worthless check form is a legal document used to report a check that has bounced due to insufficient funds in the account.

Who is required to file worthless check form?

Merchants or individuals who receive a bounced check are required to file a worthless check form with the relevant authorities.

How to fill out worthless check form?

To fill out a worthless check form, you need to provide details such as the check amount, date of the check, name of the bank, and contact information of the check issuer.

What is the purpose of worthless check form?

The purpose of the worthless check form is to report bounced checks to the authorities and take legal action against the check issuer.

What information must be reported on worthless check form?

The information that must be reported on a worthless check form includes the check amount, date of issuance, bank name, check issuer's details, and any relevant transaction details.