Get the free Worthless Check Affidavit - The State Attorney's Office, 18th Judicial ...

WORTHLESS CHECK PROGRAM State Attorney Phil Archer Eighteenth Judicial Circuit Brevard County: 2725 Judge Fran Jamieson Way Building D Vera, FL 32940 (321) 617-7550 Seminole County: P.O. Box 8006

How to fill out worthless check affidavit

How to fill out a worthless check affidavit:

1. Obtain a worthless check affidavit form from your local law enforcement agency or the district attorney's office. You may also be able to find this form online.
2. Read through the instructions on the form carefully to understand what information needs to be provided and any specific guidelines for filling it out.
3. Start by providing your personal information, including your name, address, phone number, and any other required details. Some forms may also ask for your social security number.
4. Next, you will need to provide information about the person who wrote the worthless check, including their name, address, phone number, and any other known information.
5. Specify the details of the worthless check, including the date it was written, the amount, and the name of the bank or financial institution on which it was drawn.
6. Describe the circumstances and any relevant conversations or interactions you had with the check writer regarding the check in question.
7. Sign and date the affidavit form, certifying that the information provided is true and accurate to the best of your knowledge.
8. Depending on the requirements of your jurisdiction, you may need to have the affidavit notarized by a public notary. Check the instructions on the form or consult with local authorities to determine if notarization is necessary.

Who needs a worthless check affidavit:

1. Merchants or individuals who have received a worthless check as payment for goods or services may need to fill out a worthless check affidavit.
2. Law enforcement agencies and district attorney's offices often require these affidavits as part of their investigation and prosecution process for check fraud cases.
3. Any individual who has been a victim of check fraud and wishes to report the incident and seek legal action may need to complete a worthless check affidavit.

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What is worthless check affidavit?

A worthless check affidavit is a legal document used to report a bounced or bad 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, one must provide details about the bounced check, the check writer, and other relevant information.

What is the purpose of worthless check affidavit?

The purpose of a worthless check affidavit is to report and document incidents of bounced checks for legal and financial recourse.

What information must be reported on worthless check affidavit?

Information such as the check writer's name, address, bank details, check number, and the amount of the bounced check must be reported on a worthless check affidavit.