Affidavit of Forgery

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Affidavit of Forgery Powered By Docstoc
					Affidavit of Forgery
If a check was fraudulently cashed under your name without permission, the bank may
require you to submit an Affidavit of Forgery. This affidavit requires the person to certify
under the penalty of perjury that they did not cash the check in question. Fill out the
required areas, such as the name of the signing party, the name of the bank, the check
number, and the name of the party that fraudulently endorsed the check. This affidavit is
ideal for individuals or small businesses that had a check fraudulently cashed without
consent.
                                      AFFIDAVIT OF FORGERY

STATE OF _________________ [Instructions: Insert the state where this affidavit will be
signed]

COUNTY OF _________________ [Instructions: Insert the county where this affidavit will
be signed]



_________________, [Instructions: Insert the name of the individual executing this
affidavit, hereinafter referred to as the “Affiant”] being duly sworn according to law, deposes
and attests under penalty of perjury to the following:

I, _________________________, [Instructions: Insert the name of the Affiant] of
_____________________________________________ [Instructions: Insert the address of
the Affiant] being first duly sworn on oath, state that:

    1. I am over 18 years of age and competent enough to testify of my own knowledge of the
       facts stated herein.

    2. All the facts stated by me herein are true, correct and complete to the best of my
       knowledge and understanding.

    3. I depose and say that check number _______ [Instructions: Insert the check number
       that is being contested] dated _______ [Instructions: Insert date of the contested
       check] drawn on _____________________ [Instructions: Insert the bank name of the
       checking         account]        Bank,        at    the   Branch        located     at
       __________________________________ [Instructions: Insert the address of the
       bank] in favor of ______________________ [Instructions: Insert the name of the
       party the check was made out to] in the amount of $_____________ [Instructions:
       Insert the check amount] and endorsed by ______________________ [Instructions:
       Insert the name of the party that fraudulently endorsed the check] and purporting to
       be endorsed by Affiant, which was paid by ______________________ [Instructions:
       Insert the bank name that paid the check] on ______________________
       [Instructions: Insert the date the check was cashed] was not signed or endorsed by me,
       and that this signature on said check is a forgery.

    4. I further state that I did not authorize the signing or endorsement of said check, and that
       no part of the money so paid by ______________________ [Instructions: Insert the
       bank name that paid the check] was received by me, directly or indirectly, and that no
       part of said money was applied to any use or purpose in my behalf.




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    5. I further state that I will testify, declare, depose or certify to the truth of any or all of the
       foregoing before any competent court, officer, or person in any case now pending or that
       may be hereafter instituted in connection with the matter contained in this Affidavit.


I swear that to the best of my knowledge, the information contained in this affidavit is true and
correct as of _________________. [Instructions: Insert the date that Affiant will sign this
affidavit]

Printed Name of Affiant: _________________ [Instructions: Insert the name of the Affiant]

Signature of Affiant: _________________________________________ [Instructions: Insert
the Affiant’s signature]
Signed on _________________ [Instructions: Insert the date that Affiant will sign this
affidavit]

Address of Affiant: _____________________________________________ [Instructions:
Insert the address of the Affiant]




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Notary Form

STATE OF                                       }
COUNTY OF                                      }

On ________________________________ before me, __________________________,
personally appeared ___________________________________________________, personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)
on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed
the instrument.

WITNESS my hand and official seal.


_____________________________
Signature


Affiant: _____Known _____Unknown

ID Produced: __________________________


[Seal]




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Description: If a check was fraudulently cashed under your name without permission, the bank may require you to submit an Affidavit of Forgery. This affidavit requires the person to certify under the penalty of perjury that they did not cash the check in question. Fill out the required areas, such as the name of the signing party, the name of the bank, the check number, and the name of the party that fraudulently endorsed the check. This affidavit is ideal for individuals or small businesses that had a check fraudulently cashed without consent.