Fillable Printable Sample Bank Affidavit Form
Fillable Printable Sample Bank Affidavit Form
Sample Bank Affidavit Form
I, ,
Name Title
Company
on oath depose and say that a certain check, drawn on the Fleet Bank, Maine, Check #
dated in the amount of
payable to the order of
was not endorsed by me nor endorsed with my knowledge or consent, nor did I receive any benet therefrom.
Date
Signature
Address
STATE OF
COUNTY OF , 20___
en personally appeared the above name
and made oath that the foregoing statement by him/her subscribed is true, before me.
Notary Public Signature
My Commission Expires
BANK AFFIDAVIT: Corporation
AIGCD001-1011
Place endorsement stamp
if one used.
