ACH Affidavit of Unauthorized Activity上述证词的未经授权的活动.pdfVIP

ACH Affidavit of Unauthorized Activity Account # __________________ IMPORTANT: the person alleging must complete this form in longhand. I, _________________________________, depose and say that I have examined the attached statement or other notification from Pacific Postal Credit Union that an ACH debit entry was charged to my account number _________________, on _____/_____/_____, in the amount of $____________________, and that debit was unauthorized. An unauthorized debit is an electronic fund transfer from a members account initiated by a person who was not authorized by the member in writing to initiate the transfer. An electronic fund transfer in an amount greater than that authorized by the member, or which results in a debit to the members account earlier than that authorized by the member is also an unauthorized debit. An unauthorized debit does not include an electronic fund transfer initiated with fraudulent intent by the member or any person acting in concert with the member. I further depose and say that: (Check the appropriate item) [ ] I did not authorized and have not ever authorized ___________________________________ in writing to originate one or more ACH entries to debit funds from any account at Pacific Postal Credit Union. [ ] I authorized _________________________________ to originate one or more ACH entries to debit funds from an account at Pacific Postal Credit Union, but: (check the appropriate item) [ ] The amount debited exceeds the amount I authorized to be debited. The amount I authorized was $______________________. [ ] The debit was made to my account on a date earlier than the date on which I authorized