Fillable Printable Sample Bank Affidavit Form
Fillable Printable Sample Bank Affidavit Form
![Sample Bank Affidavit Form](/resources/formfile/images/10000/sample-bank-affidavit-form-page1.png)
Sample Bank Affidavit Form
![](/resources/formfile/htmls/10000/sample-bank-affidavit-form/bg1.png)
I, ,
NameTitle
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.