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Get Western Union Forgery Affidavit C

who should have received a refund check. STATE OF ___________________________ COUNTY OF__________________________ I, _______________________________________________ ____________________ being duly sworn, (Full Name ) depose and say: I am the authorized receiver of the attached Refund Check # ____________________ _____________ (First 11 Digits of the Check number) in the amount of $_______________________________ (Check amount in dollars and cents) This instrument was made payable to me. I h.

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