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Affidavit of Forgery Template
Report a forged signature or unauthorized document with a clear Affidavit of Forgery using this template.
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Affidavit of Forgery Template
This Affidavit of Forgery (the “Affidavit”) is made on [Date] by:
Affiant: [Full Name], address: [Address], phone/email: [Contact].
Relationship/Role (Optional): ☐ Account holder ☐ Document signer ☐ Authorized representative ☐ Other: [Explain]
1. Purpose
1.1 I am making this Affidavit to report a suspected forgery and dispute an unauthorized signature/document described below.
2. Disputed Document / Transaction
2.1 Document/Transaction Type: ☐ Check ☐ Contract ☐ Authorization form ☐ Letter ☐ Other: [Type]
2.2 Date on Document/Transaction: [Date]
2.3 Counterparty / Institution: [Bank/Company/Agency name]
2.4 Account/Reference Number (Optional): []
2.5 Amount (If Applicable): $[]
2.6 Description: [Brief description of the document or transaction].
3. Statement of Non-Authorization
3.1 I did not sign the document/authorize the transaction described above.
3.2 I did not give any person permission to sign on my behalf.
3.3 The signature appearing on the document is not my signature (or was not signed by me).
4. How I Discovered the Forgery (Optional)
4.1 I discovered the issue on [Date] when: [Explain briefly].
4.2 Any known suspected person(s) (optional): [Name(s)], if known.
5. Actions Taken (Optional)
5.1 I notified: ☐ the institution/company ☐ law enforcement ☐ credit bureaus ☐ other: [List].
5.2 Police Report (If Any): ☐ Not filed ☐ Filed (agency: [], report no.: [], date: [__]).
6. Signature Sample (Optional)
6.1 My true signature sample (optional): ___________________________
6.2 Additional identity verification provided: ☐ Yes ☐ No.
7. Attachments (Optional)
7.1 ☐ Copy of disputed document/transaction record
7.2 ☐ Account statement showing transaction
7.3 ☐ Photo ID (copy)
7.4 ☐ Police report (if filed)
7.5 ☐ Other: [List]
8. Statement Under Oath
8.1 I declare under penalty of perjury that the statements in this Affidavit are true and correct to the best of my knowledge.
Signatures
Affiant: [Full Name]
Date: [Date]
Signature: ___________________________
Witnesses (If Required)
Witness Name: [Name]
Date: [Date]
Signature: ___________________________
Notary / Notarization (If Required)
State of [State]
County of [County]
On [Date], before me, [Notary Name], personally appeared [Affiant Full Name], known to me (or satisfactorily proven) to be the person whose name is subscribed to this Affidavit, and acknowledged that they executed it for the purposes stated.
Notary Public Signature: _______________________
My Commission Expires: _______________________
Notary Seal (if applicable): ___________________
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Easy-to-understand jargon
Easy-to-understand jargon
Easy-to-understand jargon
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Affidavit of Forgery Template
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
AFFIDAVIT OF FORGERY TEMPLATE FAQ
What is an affidavit of forgery?
An Affidavit of Forgery is a sworn statement that a signature or document was forged or signed without authorization. It may be used to notify a bank, employer, landlord, government agency, or other party that a transaction or document is disputed. It is often submitted with supporting documents and may be used in investigations.
When should you use it?
Use it as soon as you discover an unauthorized signature or suspected forgery. If money or identity theft is involved, you may also need to notify your bank immediately, file a police report, and place fraud alerts with credit bureaus (as applicable).
What should you include?
Include: the disputed document/transaction details, why you believe it is a forgery, confirmation you did not authorize it, your true signature sample (optional), and a list of attachments. This template includes each of these in plain language.
Do you need a police report?
Sometimes. Banks or institutions may request a report number. This template includes an optional section for police report details if you have one.
Do you need notarization?
Often yes. Notarization adds credibility and may be required by the receiving institution. This template includes a notarization section and an optional witness section.
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