Get the free Written Statement of Unauthorized ACH Debit - Kentucky Farmers bb

Written Statement of Unauthorized ACH Debit Name Account Number Amount of Debit $ Date of Debit Company Debiting the Account Statement I (the undersigned) hereby attest that (i) I have reviewed the

How to fill out written statement of unauthorized

How to Fill Out a Written Statement of Unauthorized:

1. Start by including your personal information at the top of the statement. This should include your full name, address, contact information, and any relevant identification numbers or account numbers.
2. Clearly state the purpose of the statement, which is to report and document any unauthorized activity that has taken place. Provide a brief introduction explaining the situation and why you believe it to be unauthorized.
3. Provide a detailed description of the unauthorized activity. Include dates, times, and any other relevant information that can help support your claim. Be as specific as possible in describing what happened and how it affected you.
4. If there were any witnesses to the unauthorized activity, include their names and contact information. Their testimony can strengthen your case and provide additional evidence.
5. Attach any supporting documentation that you may have. This can include bank statements, receipts, emails, or any other evidence that supports your claim of unauthorized activity.
6. Clearly state what action you would like to be taken to resolve the issue. This can include requesting a full investigation, freezing your account, or any other appropriate measures.
7. Sign and date the statement at the bottom to certify that the information provided is true and accurate to the best of your knowledge.

Who Needs a Written Statement of Unauthorized:

1. Individuals who have experienced unauthorized activity on their accounts, such as unauthorized transactions, fraudulent charges, or identity theft.
2. Victims of stolen or lost personal information, including social security numbers, credit card numbers, or bank account details.
3. Anyone who suspects that their personal information has been compromised and wants to officially document the incident for potential legal or financial reasons.

Remember, it is important to consult with a legal professional or contact the relevant authorities for advice specific to your situation.

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