Affidavit of forgery pdf

The affidavit will be completed by the alleged fraud victim and is generally required to be signed in the presence of notary public or other official capable of. Written comments should be received on or before april 8, 2019 to be assured of consideration. Both financial institutions and police departments use this statement as evidence that a crime has been committed, and when they enter either civil or criminal court to seek prosecution, a forgery affidavit is required among the original documents filed. I give my consent to the credit union to release any information regarding my account to any local, state andor federal law enforcement agency. Affidavit of forgery allsouth federal credit union. Affidavit attesting to forgery 3 4 before the undersigned, an officer duly authorized to take acknowledgement, personally apppeared the claimant who, being duly sworn, deposes and says that the claimant see below is payee of a certain state warrant as. Form 00952, affidavit of forgery pdf form 00953, affidavit and indemnity agreement for lost warrant pdf deposit slip. A typical affidavit of forgery will include your state and county, your name, and space to identify what it was, particularly, that was stolen and forged, such as a specific check number. I am first duly sworn and state i am name mailing address city, state, zip phone number home work 2. A collection of various posters and forms including the indemnity letter from barbara hurst at bankers hotline which you can adapt and use in instances where you are willing to take a business risk in connection with paying checks only if the customer is contractually obligated to indemnify you against losses or claims. I did not receive any part of the proceeds of the instruments listed above. This affidavit is made voluntarily for the purpose of establishing the fact that my signature is a forgery. Street city state zip code best number to reach you the checks listed below were neither written, nor authorized, by me or names related to the above mentioned account and are either forgery altered.

The affidavits need to be attested by a certain person with a legal background. I understand that this forgery is subject to investigation by local, state andor federal law enforcement agencies. The person alleging forgery or alteration of an instrument or an unauthorized instrument must complete this form in their own writing. Three notarized original affidavits are required for each forgery request. Fraud affidavit form please contact the payment operations center poc concerning matters of check fraud. Th is affidavit is made voluntarily for the purpose of establishing the fact t hat my signature is a forgery. I did not receive any part of the proceeds of the checks listed above. A signed and completed identity theft report or identity theft fraud and forgery declaration form. Financial institutions and law enforcement authorities may both require these affidavits after a crime has been committed. I understand that this forgery is subject to investigation by local, state andor federal law enforcement. Yes no if yes, provide the details on a separate page or on the back of this page. Check fraud claim affidavit of unauthorized action by. Claim to lost, stolen or destroyed cashiers check, tellers check or certified check html file.

To be completed by the person alleging the forgery all states. Signature i understand this forgery is subject to investigation by local, state andor federal law enforcement agencies. Currently the bureau of the fiscal service within the department of the treasury is soliciting comments concerning the affidavit of forgery for united states bondsnotes. If it is a joint account, each party must complete and sign an affidavit. Yes no if yes, provide details on the back of this page. To be completed by the person alleging the forgery california only, notary. I understand this forgery is subject to investigation by local, state andor federal law enforcement agencies. Oto forgery affidavit is maintained on the treasury server at databankingbank fraud. Affidavit of forgery see the detailed instructions listed below for completing tl1is form copy ofthe police report or incident number copy ofthe items in question. Yes no if yes, please provide details on the back of this page or attach a separate page. I did not receive any part of the proceeds affidavit is made voluntarily for the purpose of establishing the fact that my signature is a forgery. An affidavit of forgery is a statement attesting that a document has been fraudulently produced using a forged signature. The endorsement on the reverse of the items described below is a forgery, missing, or not as drawn.

The affidavit will be completed by the alleged fraud victim and is generally required to be signed in the presence of notary public or other official capable of authenticating the victims signature. In order to dispute a check that has a forged endorsement, signature, or other alteration made after the final possession by the drawer. Affidavit of forgery when dealing with a forged check or draft, many people need to have an official record denouncing the signature and any connection to it. Identity theft affidavit forms are important for the following reasons. The checks are an imitation of checks drawn on my account. Show factual information every type of affidavit form differs on where it is intended to be submitted and what information will be collected in it. I did not receive any part of the instruments listed above. Important the person alleging forgery must complete this form in long hand.

Claimants name last, first, mi or business name account number date endorsement forged. During 2001, id theft was the number one consumer fraud complaint received by the ftc, stated timothy j. An affidavit is a written document that contains a swearing by a particular person and is legally recognized by the court. Id thieves steal personal information, such as a credit card account number or social. Apr 30, 2020 a forgery affidavit is a legal document that is filled out and signed by a consumer who became a victim to a type of identity fraud. Before returning a fraudulent check for any type of forgery, we require the completed forgery affidavit to be scanned to the operations department before the check is returned, and the original follows later. Regular vendor single vendor employee travel and expense agency information all fields must be completed. Complete the identity theft report online at the website of the federal trade commission ftc at identitytheft. All requests must be accompanied by a pocs affidavit of forgery form. Yes provide details on a separate sheet or reverse side of this form no 7.

I did not receive any part of the proc eeds of the instruments listed above. The affiant noted below, and evidenced by hisher signature, does affirm that the instruments listed and described. If more space is required, please use a separate sheet. This form is to be used when a client swears a warrant with their signature on it is a forgery. I did not endorse the checks and i did not authorize the endorsement. Known either as an affidavit of forgery or a forgery affidavit, these legal documents are completed by a person who has been the victim of identity fraud. It may also ask for the amount for which the check was written.

Department school campus that issued check assistance. I am first duly sworn and state i am name address city state zip home phone work phone 2. Download the affidavit of forgery or altered ltem form pdf all requests must be accompanied by a pocs affidavit of forgery form. Muris, the chairman of the federal trade commission. I am first duly sworn and under penalties of perjury state the following. This affidavit of forgery is submitted by the undersigned to the bank of new york mellon in support of the undersigneds claim that certain checks of the undersigned drawn on a health savings account were im properly paid over a forged signatures.

Identity theft victims complaint and affidavit a voluntary form for filing a report with law enforcement, and disputes with credit reporting agencies and creditors about identity theftrelated problems. I understand this forgery is subject to investigation by local, state, andor state andor federal law enforcement agencies. Printable affidavit of forgery legal pleading template. No if yes, provide details on a separate page or the back of this page. I did not sign the checks and i did not authorize the signature. I further agree to assist the owensboro police department in any investigation and criminal prosecution by testifying for the commonwealth of kentucky in court to the facts stated herein. Request for stop payment, replacement check, photocopy of check, or forgery affidavit td346 320 check type mark an x in the applicable box.

Street city state zip code best number to reach you the checks listed below were neither written, nor authorized, by me or names related to the above mentioned account and are either forgeryaltered. Do you know who forged your signature or has possession of your checks. Notary services are available in branch or by private notary. I understand this forgery is subject to investigation by local, state andor federal law enforcement. My endorsement on the reverse of the checks listed below is a forgery, missing or not as drawn. This free printable can be attested to and signed by a notary public. Member information first flight federal credit union. Print out of the members history showing the item clearing. Date instrument number dollar amount a b c if more space is required, use a separate sheet 6. The deposit slip form is for state agencies when making deposits to the banking and electronic processing division. When it comes to an identity theft affidavit form, the details of how the affiant determined or found out about the incident will be stated along with his particulars. These documents are used for various purposes, and you. This affidavit is made voluntarily for the purpose of establishing the fact that my signature has been forged.

Affidavit of forgery complete this form in longhand. Federal trade commission announces id theft affidavit. Yes no if yes, provide details on a separate page or the back of this page. Provide a detailed statement of what occured on page 2. Free affidavit of forgery template pdf word eforms. It is used to state some facts regarding marriage, divorces, births and change of names. In order to dispute a check that has a forged endorsement, signature, or other alteration made after the final possession by the drawer, please fill out this form in its entirety and have it notarized by a notary public.