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Park view Community Federal Credit Union WRITTEN STATEMENT OF UNAUTHORIZED DEBIT (ACH) Receivers Name ___ Receivers Account Number ___ Date and Amount of Debit ___$___ Date and Amount of Debit ___$___Date

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How to fill out written statement of unauthorized

01

Start by writing your full name and contact information at the top of the statement.

02

Next, provide a clear and concise description of the unauthorized activity that occurred.

03

Include the date and time when the unauthorized activity took place.

04

Provide any evidence or supporting documents that you may have, such as screenshots or receipts.

05

Clearly state the impact or harm caused by the unauthorized activity.

06

Conclude the statement by signing and dating it.

07

Make sure to keep a copy of the written statement for your records.

Who needs written statement of unauthorized?

01

Anyone who has experienced unauthorized or fraudulent activity can benefit from filing a written statement of unauthorized. This includes individuals, businesses, or organizations.

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What is written statement of unauthorized?

Written statement of unauthorized is a legal document that declares unauthorized charges on a credit or debit card.

Who is required to file written statement of unauthorized?

Any individual who notices unauthorized charges on their credit or debit card is required to file a written statement of unauthorized.

How to fill out written statement of unauthorized?

To fill out a written statement of unauthorized, the individual needs to provide details of the unauthorized charges, contact information, account details, and sign the document.

What is the purpose of written statement of unauthorized?

The purpose of a written statement of unauthorized is to dispute and report unauthorized charges on a credit or debit card.

What information must be reported on written statement of unauthorized?

The written statement of unauthorized must include details of the unauthorized charges, account information, contact information, and a signature.

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