Affidavit of Forgery/Fraud

State of [Your State], County of [Your County]

INTRODUCTION

I, [Your Name], being duly sworn, depose and state as follows:

STATEMENT OF FACTS

1. I am of legal age and competent to make this affidavit, and the information provided herein is true and accurate to the best of my knowledge.

2. I am an account holder with [Financial Institution Name], holding account number [Your Account Number].

3. I am filing this affidavit to report unauthorized transactions on my account, which I believe to be the result of forgery or fraud.

4. The unauthorized transactions occurred on the following dates and amounts:

   • Date: [Date of Unauthorized Transaction]

   • Description: [Description of Transaction]

   • Amount: [Amount of Transaction]

   • Transaction ID or Reference Number: [If Available]

5. I did not authorize or initiate these transactions in any way, nor did I provide consent to any individual or entity to conduct transactions on my behalf.

6. I have taken the necessary steps to secure my account, including changing passwords, notifying the financial institution, and reviewing my account activity regularly.

7. I hereby request that [Financial Institution Name] conduct a thorough investigation into these unauthorized transactions and take appropriate actions to rectify the situation, including but not limited to reversing the unauthorized transactions and securing my account from further unauthorized access.

8. I am willing to cooperate fully with [Financial Institution Name] and any law enforcement agencies involved in the investigation of this matter.

OATH

I affirm that all the unauthorized transactions mentioned above are true and accurate to the best of my knowledge and belief. I understand that this affidavit is made in support of a claim for forgery/fraud and will be used by the financial institution for the investigation and possibly, legal proceedings.

SIGNATURE

[Your Name]

Dated this [Date]

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