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Affidavit of Unauthorized ACH Debit Activity 1. Account/Transaction Information Name Account Number Amount of Debit(s) Date of Debit (s) Party Debiting the Account 2. Statement I (the undersigned)

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How to fill out affidavit of unauthorized ach

01

To fill out an affidavit of unauthorized ach, follow these steps:

02

Start by entering your personal information at the top of the form, including your name, address, and contact information.

03

Provide details about the unauthorized ACH transaction, such as the date, amount, and recipient's information.

04

Indicate whether you have notified your bank of the unauthorized transaction and provide any relevant documentation or communication with the bank.

05

Sign and date the affidavit to confirm the accuracy of the information provided.

06

Submit the completed affidavit to your bank as per their instructions or requirements.

Who needs affidavit of unauthorized ach?

01

Anyone who has experienced an unauthorized ACH transaction and wants to dispute the charges or seek reimbursement may need an affidavit of unauthorized ach.

02

This document is typically required by banks or financial institutions as part of their investigation process for unauthorized transactions.

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What is affidavit of unauthorized ach?

Affidavit of unauthorized ach is a legal document used to report unauthorized Automated Clearing House (ACH) transactions.

Who is required to file affidavit of unauthorized ach?

Individuals or businesses who believe that unauthorized ACH transactions have been made from their accounts are required to file affidavit of unauthorized ach.

How to fill out affidavit of unauthorized ach?

To fill out affidavit of unauthorized ach, you need to provide your personal information, details of the unauthorized transaction, and a sworn statement declaring that you did not authorize the transaction.

What is the purpose of affidavit of unauthorized ach?

The purpose of affidavit of unauthorized ach is to dispute and report unauthorized ACH transactions and to request for the reversal of the transaction.

What information must be reported on affidavit of unauthorized ach?

You must report your personal information, details of the unauthorized transaction (such as date, amount, and recipient), and provide a description of why you believe the transaction is unauthorized.

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