Pennsylvania Sworn Statement of Identity Theft

State:
Multi-State
Control #:
US-02725BG
Format:
Word; 
Rich Text
Instant download

Description

Identity theft is governed by federal and state criminal statutes. State laws vary, but typically define the crime to include an intent to use another's identity to commit, aid, or abet any unlawful activity. A person commits the crime of identity theft if, without the authorization, consent, or permission of the victim, and with the intent to defraud for his or her own benefit or the benefit of a third person, he or she does any of the following:
1. Obtains, records, or accesses identifying information that would assist in accessing financial resources, obtaining identification documents, or obtaining benefits of the victim.
2. Obtains goods or services through the use of identifying information of the victim.
3. Obtains identification documents in the victim's name.

Identity theft statutes vary by state and usually do not include use of false identification by a minor to obtain liquor, tobacco, or entrance to adult business establishments. The types of information protected from misuse by identity theft statutes includes, among others:
-Name
-Date of birth
-Social Security number
-Driver's license number
-Financial services account numbers, including checking and savings accounts
-Credit or debit card numbers
-Personal identification numbers (PIN)
-Electronic identification codes
-Automated or electronic signatures
-Biometric data
-Fingerprints
-Passwords
-Parent's legal surname prior to marriage
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FAQ

Provide your full name including middle initial (and generation such as Jr., Sr., II, III), Social Security number, date of birth, and proof of residence (such as utility bill or bank statement). Equifax: Write or call in your request each month. Mail to Equifax Fraud Department, P.O. Box 740250, Atlanta, GA 30374.

With regard to Pennsylvania law, the relevant statute is 18 Pa. C.S. § 4120, which states that a person commits identify theft if they obtain or use someone else's personal identifying information without permission or consent, and the information is then used for an illegal or unlawful purpose.

I am a victim of identity theft. I recently learned that my personal information was used to open an account at your company. I did not open or authorize this account, and I therefore request that it be closed immediately.

I am a victim of identity theft, and I did not make [this/these] charge(s). I request that you remove the fraudulent charge(s) and any related finance charge and other charges from my account, send me an updated and accurate statement, and close the account (if applicable).

Identity theft happens when someone takes your name and personal information (like your social security number) and uses it without your permission to do things like open new accounts, use your existing accounts, or obtain medical services.

In most cases, taxpayers do not need to complete this form. Only victims of tax-related identity theft should submit the Form 14039, and only if they haven't received certain letters from the IRS.

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Pennsylvania Sworn Statement of Identity Theft