Written Statement of Unauthorized Debit


CAACU

Written Statement of Unauthorized Debit (ACH)







Statement


Signature

I am an authorized signer, or otherwise have authority to act, on the account identified in this statement. I attest that the debit above was not originated with fraudulent intent by me or any person acting in concert with me. I have read this statement in its entirety and attest that the information provided on this statement is true and correct.

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Signature Certificate
Document name: Written Statement of Unauthorized Debit
lock iconUnique Document ID: 3b56398fbf10e9ccfd81e410b06c35fc2c060740
Timestamp Audit
September 26, 2021 9:28 pm PDTWritten Statement of Unauthorized Debit Uploaded by California Community Credit Union - thestaff@caccu.org IP 67.199.161.80
November 28, 2021 10:50 pm PDTCalifornia Community Credit Union - backoffice@caccu.org added by California Community Credit Union - thestaff@caccu.org as a CC'd Recipient Ip: 67.199.161.80