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Print Form 2013 WRITTEN STATEMENT OF UNAUTHORIZED DEBIT FINANCIAL INSTITUTION NAME: 1. Account/Transaction Information Name: Account Number: Party Debiting the Account or Originator of Debit: Amount

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Begin by carefully reading the instructions provided on the form. Make sure you understand the purpose of the written statement and what information needs to be included.

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What is b2013b written statement of?

The b2013b written statement is a document that contains important information about a particular topic or subject.

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The filing of the b2013b written statement is required by individuals or entities who are involved in the specific topic or subject.

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To fill out the b2013b written statement, individuals or entities must provide accurate and complete information as required by the regulations.

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The b2013b written statement must include all relevant information related to the specific topic or subject.

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