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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 Account: Statement I (please
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How to fill out written statement of unauthorized

01
Start by writing your full name at the top of the written statement.
02
Include the date on which you are filling out the statement.
03
Clearly state that the statement is being made without authorization.
04
Provide a detailed account of the incident or events for which the statement is being prepared.
05
Include any relevant supporting documents or evidence.
06
Sign and date the written statement at the bottom.
07
Make copies of the statement for your records or any applicable authorities.

Who needs written statement of unauthorized?

01
A person who wants to make a formal complaint or report regarding an unauthorized incident or event.
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The written statement of unauthorized is a form used to report any unauthorized activity on a bank account.
Any account holder who notices unauthorized activity on their account is required to file a written statement of unauthorized.
The written statement of unauthorized can be filled out by providing details of the unauthorized transactions, signing the form, and submitting it to the bank.
The purpose of the written statement of unauthorized is to alert the bank of any unauthorized activity on an account and to request an investigation into the matter.
The written statement of unauthorized should include details of the unauthorized transactions, dates and times of the transactions, and any other relevant information.
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