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Get the free Written Statement of Unauthorized Debits - Exchange Bank & Trust

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Written Statement Of Unauthorized Debit (ACH) Account/Transaction Information Full Name Account Number Amount of Debit Date Debit Posted to Account Party Debiting the AccountStatement I (the undersigned)
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How to fill out written statement of unauthorized

01
Step 1: Begin by writing your name, address, and contact information at the top of the form.
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Step 2: Next, provide a detailed description of the unauthorized activity or incident that occurred.
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Step 3: Include any supporting evidence or documentation that you have to strengthen your case.
04
Step 4: Clearly state your desired outcome or resolution in the statement.
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Step 5: Sign and date the written statement to confirm its authenticity and completeness.
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Step 6: Make copies of the written statement for your records and submit the original to the relevant authority or party that requires it.

Who needs written statement of unauthorized?

01
Anyone who has experienced unauthorized activity or incident and needs to formally document it can benefit from a written statement of unauthorized.
02
This may include victims of identity theft, fraudulent transactions, or any other unauthorized actions that require official documentation for legal or administrative purposes.
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Written statement of unauthorized is a formal document used to report any unauthorized charges or activities on a person's account.
Any account holder who notices unauthorized charges or activities on their account is required to file a written statement of unauthorized.
To fill out a written statement of unauthorized, one must provide details of the unauthorized charges or activities, account information, contact information, and a signature.
The purpose of a written statement of unauthorized is to alert the financial institution or company of any unauthorized charges or activities on an account.
The information that must be reported on a written statement of unauthorized includes details of the unauthorized charges or activities, account information, contact information, and a signature.
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