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Get Under Penalty Of Perjury Statement Example

I, (account holder s name), state that I have examined the attached statement or other notification from (financial institution name) indicating that an ACH debit entry was charged to my account number: on (date) in the amount of $ , and that the entry was u.

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The tips below can help you complete Declaration Under Penalty Of Perjury Template easily and quickly:

  1. Open the template in the full-fledged online editor by hitting Get form.
  2. Fill out the required boxes which are marked in yellow.
  3. Press the arrow with the inscription Next to move from one field to another.
  4. Use the e-signature solution to add an electronic signature to the form.
  5. Add the date.
  6. Check the entire template to be sure that you haven?t skipped anything important.
  7. Press Done and download your new document.

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