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Affidavit of Unauthorized Remotely Created Check RCC I swear and state under the penalties of perjury that the issuance of the remotely created check listed below was not authorized by me with regard to either the amount stated on the check the payee stated on the check or both. NAME ADDRESS CITY STATE ZIP CHECK AMOUNT PAYEE POST DATE ACCOUNT NUMBER I further state that the transaction was not authorized with fraudulent intent by me or by any person acting in concert with me and that the signature below is my own proper signature. I understand making a false sworn statement is subject to federal and/or state statutes and may be punishable by fines and/or by imprisonment. SIGNATURE If you have any questions please call 989 835-7794 or 800 835-7794. Please fax completed form to 989 832-4883 or return to DCECU P. NAME ADDRESS CITY STATE ZIP CHECK AMOUNT PAYEE POST DATE ACCOUNT NUMBER I further state that the transaction was not authorized with fraudulent intent by me or by any person acting in concert with me and that the signature below is my own proper signature. I understand making a false sworn statement is subject to federal and/or state statutes and may be punishable by fines and/or by imprisonment. I understand making a false sworn statement is subject to federal and/or state statutes and may be punishable by fines and/or by imprisonment. SIGNATURE If you have any questions please call 989 835-7794 or 800 835-7794. Please fax completed form to 989 832-4883 or return to DCECU P. NAME ADDRESS CITY STATE ZIP CHECK AMOUNT PAYEE POST DATE ACCOUNT NUMBER I further state that the transaction was not authorized with fraudulent intent by me or by any person acting in concert with me and that the signature below is my own proper signature. I understand making a false sworn statement is subject to federal and/or state statutes and may be punishable by fines and/or by imprisonment. SIGNATURE If you have any questions please call 989 835-7794 or 800 835-7794. Please fax completed form to 989 832-4883 or return to DCECU P.

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Keywords relevant to Easy Remotely Created Checks

  • fraudulent
  • Midland
  • Statutes
  • fines
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  • imprisonment
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