Get the free Affidavit of Unauthorized Debit Activity

Written Statement Of Unauthorized Debit Automated Clearing House (ACH)Name(s) Date Address Phone Number Work Number Account Number Type of Account I have reviewed the statement or other notification

How to fill out affidavit of unauthorized debit

How to fill out affidavit of unauthorized debit

1. Start by gathering all the necessary information and documentation related to the unauthorized debit, such as the date and amount of the debit, account details, and any supporting evidence.
2. Download or obtain an affidavit of unauthorized debit form from your bank or financial institution. This form is typically available on their website or at a branch location.
3. Carefully read the instructions on the form to understand the requirements and information needed to complete it accurately.
4. Begin filling out the form by providing your personal details, such as your name, address, and contact information. Make sure to provide the exact information that is associated with your bank account.
5. Clearly state the nature of the unauthorized debit, including all relevant details and any steps you have taken thus far to resolve the issue.
6. Attach any supporting documents or evidence that you have gathered, such as bank statements, transaction records, or communication with the entity responsible for the unauthorized debit.
7. Review the completed form to ensure all information is accurate and complete. Make any necessary corrections or additions before submitting it.
8. Sign and date the affidavit in the designated spaces provided, and if required, have your signature notarized by a certified notary public.
9. Make copies of the completed and signed form for your records before submitting it to your bank or financial institution.
10. Submit the affidavit of unauthorized debit to your bank or financial institution via mail, fax, or by visiting a branch in person. Follow their specific instructions for submission.

Who needs affidavit of unauthorized debit?

1. Anyone who has experienced an unauthorized debit from their bank account needs an affidavit of unauthorized debit.
2. This form is particularly useful for individuals who want to dispute a fraudulent or unauthorized transaction and seek a resolution with their bank or financial institution.
3. It helps provide a formal document that outlines the details of the unauthorized debit, supporting evidence, and a formal request for investigation and resolution.
4. Both personal and business account holders who have faced unauthorized debits can use an affidavit of unauthorized debit to protect their rights and seek reimbursement for any losses incurred.

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What is affidavit of unauthorized debit?

An affidavit of unauthorized debit is a legal document used to report transactions made on a bank account without the account holder's consent.

Who is required to file affidavit of unauthorized debit?

Any individual or business who suspects unauthorized debits on their bank account is required to file an affidavit of unauthorized debit.

How to fill out affidavit of unauthorized debit?

To fill out the affidavit of unauthorized debit, the account holder must provide their personal information, details of the unauthorized transactions, and any supporting documentation.

What is the purpose of affidavit of unauthorized debit?

The purpose of affidavit of unauthorized debit is to report and dispute unauthorized transactions on a bank account.

What information must be reported on affidavit of unauthorized debit?

The account holder must report their personal information, details of the unauthorized transactions, dates of the transactions, and any other relevant information.