Affidavit of Forgery
State Of:
County of:
Before me, personally appeared the undersigned affiant (“Affiant”), who first being duly
sworn according to law, upon Affiant’s oath did depose and say:
That certain draft(s) (original or certified attached hereto) was not signed/endorsed by
Affiant or with the Affiant’s knowledge or consent. Affiant did not receive or retain any
benefit or value from the draft(s) and has not ratified the signature/endorsement on the
draft(s).
Affiant says he/she will testify, declare, depose, certify or acknowledge the truth of any
or all of the foregoing statements before a Court competent Jurisdiction, Officer or
person thereof.
Affiant understands that Central Jersey Federal Credit Union may provide law
enforcement authorities with information provided by Affiant, which may cause the
arrest of a person for the unauthorized signature on the draft(s) in reliance on the
representation made by the Affiant.
Affiant will indemnify and hold harmless Central Jersey Federal Credit Union from any
liability arising out of such arrest in the event that the representative made by Affiant
should prove to be false.
Signature of Affiant
Print Name (business name, if applicable)
Address
City
State
Zip
Telephone
Subscribed and sworn to me this
Day of
,
Notary Public
Stamp