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Affidavit for Disputed Transaction www.pbibank.com 1 Complete sections 1 through 3 of this form. 2 Obtain a Notary signature for section 4. 3 Mail, fax or scan the completed and signed form to PBI.
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How to fill out affidavit for disputed transaction
How to fill out affidavit for disputed transaction:
01
Begin by clearly stating your personal information, such as your full name, address, and contact details.
02
Provide a detailed description of the disputed transaction, including the date, time, location, and any relevant transaction details like the amount, merchant, or product description.
03
Outline the reasons why you believe the transaction is disputed. Include any supporting documentation or evidence that you may have, such as receipts, bank statements, or emails.
04
Clearly state the desired outcome or resolution you are seeking from the affidavit, whether it is a refund, cancellation, or correction of the transaction.
05
Sign and date the affidavit, and include a statement that everything you have stated is true and accurate to the best of your knowledge.
06
Attach any supporting documents or evidence to the affidavit to strengthen your case and provide further clarification.
Who needs affidavit for disputed transaction:
01
Anyone who has experienced a disputed transaction and wishes to officially document their complaint or claim may need an affidavit.
02
This may include individuals who have encountered fraudulent charges, unauthorized transactions, billing errors, or any other type of disputed transaction.
03
A properly filled out affidavit can serve as a legal document to support and strengthen a case when seeking resolution, refund, or compensation for a disputed transaction.
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