Product: Checking or savings account

XX/XX/2022 XXXX XXXX XXXX XXXX XXXX XXXX XXXX, FLORIDA XXXX XXXX / XXXX MEMBER NO : XXXX XXXX XXXX ENDING : XXXX _____________________ VS SUNCOAST CREDIT UNION XXXX XXXX XXXX XXXX, FL XXXX [ XXXX ] XXXX AND XXXX XXXX, XXXX OPERATING UNDER THE BRAND NAMES : XXXX XXXX, AND XXXX XXXX XXXX XXXX XXXX XXXX XXXX XXXX XXXX XXXX XXXX XXXX, CA XXXX XXXX / WEB : XXXX XXXX XXXX, HEREBY -- DISPUTE THE UNAUTHORIZED FRAUDULENT DEBIT WITHDRAWAL CHARGES AND NON-SUFFICIENT FUNDS FEES/ AND SUBMIT THIS AFFIDAVIT CLAIM REQUEST FOR REFUND / CAUSE OF ACTION : : | FINANCIAL INSTITUTION MISHANDLING OF ACCOUNT -- SUMMARY OF XXXX XXXX XXXX ACCOUNTENDING [ XXXX ] THE CHARGES AND ACTIVITIESAS OF TODAYS DATE : XX/XX/2022. THERE HAVE BEEN A NUMBER OF UNAUTHORIZED _FRAUDULENT DEBIT WITHDRAWAL CHARGES ; OF WHICH, WAS INITIATED BY XXXX  XXXX XXXX AND TOTALLING IN THE SUM AMOUNT OF [ {$53.00} ] XXXX XXXX XXXX XXXX XXXX. WHEREUNTO, DUE TOTHESE UNAUTHORIZED ACH DEBIT WITHDRAWAL PAYMENTS BEING GIVEN TO LAFITNESS ESPORTA. XXXX XXXX, XXXX BANK ACCOUNT WASOVERDRAWNMISHANDLED, AND INCURRED NSF PENALTY FEE CHARGES TOTALLING [ {$110.00} ] XXXX XXXX XXXX DOLLARS. 

FURTHERMOREAT THIS MOMENTACCORDING TO THE FINANCIAL INSTITUTION RECORD. XXXX XXXX, ACCOUNT HAS A NEGATIVE BALANCE, CURRENTLY REFLECTING ON HIS CHECKING ACCOUNT. 

XXXX XXXX | XXXX ACCOUNT ACTIVITY AND CHARGE DESCRIPTION ( XXXX ) : DATE AMOUNT BEGINNING BAL.AS OF : DEPOSIT ( S ) WITHDRAWAL ( S ) | NON-SUFFICIENT FUNDS FEES XXXX XXXX XXXX- -- -- -- -- -- -- -- -- -- -- -- - XXXX XXXX -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- XXXX XXXXXXXX NSF FEES NSF FEES NSF FEES NSF FEES GRAND TOTAL AMOUNT : : OF UNAUTHORIZED FRAUDULENT DEBIT WITHDRAWAL & FEES XXXX {$26.00} XXXX XXXX - {$26.00} XXXX - {$26.00} XXXX - {$29.00} XXXX - {$29.00} XXXX - {$29.00} XXXX - {$29.00} XXXX - {$160.00} RELIEF AND REMEDYHEREBY BEING SOUGHT : XXXX XXXX, XXXX REQUESTING FROM XXXX XXXX ; A SUM -- IN THE AMOUNT TOTALLING [ {$160.00} ]. XXXX XXXX XXXX XXXX XXXX XXXX XXXX. THE FUNDS, SHOULD BE CREDITED BACK -- TO XXXX SUNCOAST CREDIT UNION ACCOUNT. VIATHRU THE XXXX XXXX  PAYMENTS REVERSAL PROCESSEFFECTIVE, IMMEDIATELY! THE XXXX CRUCIAL TO OFFSET ALL NEGATIVE ASSESSED TRANSACTION CHARGES. THUSRENDERING XXXX  ACCOUNT, BACK IN GOOD STANDINGAND REFLECTING THE BEGINNING BALANCE OF [ {$26.00} XXXX XXXX XXXX  AND XXXX CENTS. THAT, WAS AVAILABLE WITHIN XXXX XXXX ACCOUNT -- PRIOR TO THE UNAUTHORIZED_FRAUDULENT DEBIT WITHDRAWAL OCCURRENCE [ XXXX ]. [ PROOF, OF WHICH ] WAS RECORDED ON THE ACCOUNT STATEMENT PERIOD DATE : [ XXXX XXXX ]. 



CERTIFICATION I, XXXX XXXX, THE BEFORE MENTIONEDVICTIM OF THESE UNAUTHORIZED FRAUDULENT ACH DEBIT WITHDRAWAL CHARGES. XXXX. THAT, THE STATEMENT AND DOCUMENTATION BEING PRESENTEDARE ACCURATE AND TRUE. AND A COPY HERETOWITHWILL BE FORWARDED TO XXXX XXXX. AND ALL RELEVANT PARTIES ASSOCIATED WITH THIS CLAIM. 
DONE AND DATED ON THIS XXXX, DAY OF XX/XX/2022. 


RESPECTFULLY SUBMITTED BY :. 
XXXX XXXX XXXX XXXX XXXX XXXX XXXX, FL XXXX XXXX |Note : this is a ( Copy Paste ) -- from original file Format ; some of the item on this page are out of place... Please, refer to the attached PDF file, for clarification.