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Form #801

Affidavit - Unauthorized Signature Or Endorsement

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Affidavit - Unauthorized Signature Or Endorsement (free form to use)

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AFFIDAVIT - UNAUTHORIZED SIGNATURE OR ENDORSEMENT

 

 

State of:     ____________________

 

County of: ____________________

  

 

I, ___________________ (depositor), after being sworn on oath, affirm that I reside at _____________________________ (address), _______________________ (city), ________________ County, _____________________ (state). On _____________ (date), I was shown check number __________, dated _____________, for the amount of $__________. The check was payable to ______________________ (payee), and was drawn on ___________________________________ (account number and name of bank).

 

I have examined the _________________________ (signature or endorsement) on the check described above. Though the _____________________________ (signature or endorsement) purports to be mine, it is a forgery. I did not execute the instrument, nor did I authorize another person to execute it on my behalf. I have received no benefits from the proceeds of the check. I make this affidavit to induce ___________________ (bank) to reimburse me in the check amount of $__________.

 

State of:    ______________________

 

County of: _____________________

 

 

 

 

 

 

 

This instrument was acknowledged before me on ___________________ (date), by,

 

 

­­­­­­­­­­­­­­­­______________________________________________________________________

(name(s) of person(s)).

 

 

________________________________

(Signature of notarial officer)

 

________________________________

 (Seal)

 

_______________________________

 (Title or Rank of Officer)

 

 (My commission expires: ______________)

Contributed by
Anonymous
 
Name of Firm Anonymous
Total Forms Contributed 51
 

See All Anonymous's Forms
 

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Terms Of Use

Submissions to this site, including any legal or business forms, posts, responses to questions or other communications by contributors are not intended as and should not be construed as legal advice. You are strongly encouraged to consult competent legal council before engaging in any action based upon content contained on this site.

These downloadable forms are only for personal use. Retransmission, redistribution, or any other commercial use is prohibited. This includes reposting forms from this site to another site offering free legal or other document forms for download.

Please note that the donator may have included different usage terms regarding this form, and you agree to abide by these terms. It is highly recommended that you have a licensed attorney review any legal documents for which you are searching in order to make sure that your needs are being properly and completely satisfied.

Your use of this site constitutes your acceptance of our terms of use and your agreement to hold this site, its officers, employees and any contributors to this site harmless for any damage you might incur from your use of any submissions contained on this site. If you do not agree to the above terms, please do not proceed.

These forms are provided to assist business owners and others in understanding important points to consider in different transactions. They are offered with the understanding that no legal advice, accounting, or other professional service is being offered by these documents or on this website. Laws vary in the different states. Agreements acceptable in one state may not be enforced the same way under the laws of another state. Also, agreements should relate specifically to the particular facts of each situation. Therefore, it is important to consult legal counsel whenever utilizing these forms. The Forms are not a substitute for legal advice YourFreeLegalForms.com is not engaged in recommending or referring members on the site or making claims about the competence, character or qualifications of its participating members.
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