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Get the free Cardholder Statement of Dispute/Affidavit of Fraudulent Use

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ATM/Debit Card Dispute Affidavit Name:Card Number:Address: City, State & Zip Code:Home Phone Number:Work Phone number:Account Number:Type of Transaction (Select One): Date of Transaction PIN BasedNonPin
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How to fill out cardholder statement of disputeaffidavit

01
Begin by obtaining a copy of the cardholder statement of dispute affidavit form from your bank or credit card company.
02
Fill out your personal information including your name, address, phone number, and account number.
03
Provide details about the transaction in question such as the date, amount, and merchant name.
04
Clearly explain the reason for disputing the transaction and provide any supporting documentation if available.
05
Sign and date the affidavit before submitting it to your bank or credit card company.

Who needs cardholder statement of disputeaffidavit?

01
Anyone who needs to dispute a credit card transaction and provide formal documentation to their bank or credit card company.
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The cardholder statement of dispute affidavit is a form used by cardholders to dispute charges on their credit card statement.
Any cardholder who wishes to dispute charges on their credit card statement is required to file a cardholder statement of dispute affidavit.
Cardholders can fill out the dispute affidavit by providing their personal information, details of the disputed charge, and any supporting documentation.
The purpose of the cardholder statement of dispute affidavit is to allow cardholders to formally dispute charges on their credit card statement.
Cardholders must report their personal information, details of the disputed charge, and provide any supporting documentation.
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