0000007972 00000 n The easy-to-use drag&drop interface makes it easy to include or move fields. Get your online template and fill it in using progressive features. 0000013927 00000 n The form will serve as a documented report of … 0000001244 00000 n Victim Information: This section includes all of the victim's identifying information, such as their name, date of... 2. The information from the Social Security number, credit card number, bank account, telephone calling card number … Tax identity theft. This document … Identity Theft Statement 5 Part Two: Statement Of Unauthorized Account Activity Complete this section separately for each company you are notifying. 0000009003 00000 n Board... Use professional pre-built templates to fill in and sign documents online faster. �����xo��q��t��)�v孃�cd��D4���! 0000013255 00000 n 0000081312 00000 n This legislation created a new offense of identity theft, which prohibits "knowingly transfer[ring] or us[ing], without lawful authority, a means of identification of another person with the … trailer 0000012330 00000 n xref Get access to thousands of forms. The identity theft statement consists of two parts: Part One: Identity Theft Statement: This part asks for general information about you and the identity theft. If you are a confirmed victim of identity theft or fraud, in addition to an extended fraud alert, you also have the opportunity to include a fraud victim statement, up to 100 words, in your credit file to alert potential credit grantors that something is wrong… 0 0000011579 00000 n 0000000016 00000 n 0000021026 00000 n [;�K�����MsÎ�L]��}����� (��س�e��️�[t�o���=��&�D��n�9��;��*I�{t{�c�6���3ψ�ꑺ�OJ�8w�8�^6�0�ճ�����렴��K�g���̵r��"�Q��K���� oΊ��m�Ԇk-l�e���1��ύ��)��k��K���P��4O��aE����˷m���j~�k�4{���G2�Cm܀"��� Bcf?`B ad���w�����.a������.��24��k#���R]Q�Xa�:�0��LW�9=���� �ni��[ϼ�����kK5��缣�ɣ�,nwNpl.���(���L&d���N@�#R�! 03-19) • *063491903* UIA is an equal opportunity employer/program. 0000010018 00000 n Your personal information can easily fall into the wrong hands. 0000004813 00000 n • UIA 6349A (Rev. Apply your electronic signature to the page. startxref As featured in an article from Proofpoint, a survey conducted by a cybersecurity and compliance company showed that more than 30% of the respondents in the United States had experienced identity theft… *06349A1903* Affidavit of Identity Theft … Identity theft of credit, money, goods, services, or other property exceeding $10,000 and not exceeding $100,000 in value when the victim of the identity theft is an active duty member of the armed … If identity theft is a business sector, its net worth can easily reach billions of dollars. <<36DA2D2F8240DD4BA44D55B75047BC18>]>> Part Two: Statement of Unauthorized … Our state web-based samples and crystal-clear recommendations eradicate human-prone mistakes. 870 0 obj<>stream ��J� k�ܴD�߶;kay&0xn�� ��EBG{��~�[(�*u��Br�=5���h��~��~�~U��(G�ֱ2Z� �)���W��{_I�H���m\�Nbp���[��a�9G�`!,V4T��uޫ���1Gў�2�J�A~���_�L�ti��� =����!������b��K�҆\����yɠ�o?,�9�Pk���d�n�����-&a��Թ9�*��S[y�/��U����\� ���ǎ����R��]�@ Rp��u�*�7o������`ٹ(%dրk3P���Ee�Ĝ*'5M�2B��X[r6�UA0s�e��.z��n��� 0000008197 00000 n 0000081478 00000 n UIA 6349. An identity theft affidavit form is a document which is required to be filled out and submitted by individuals who have been a victim of identity thieves. 03-19). Now, using a Form 6349 Statement Of Identity Theft requires not more than 5 minutes. 0000007847 00000 n 0000009648 00000 n Adapt to change credit or bad form with little notice as a tech graduation gift? Identity theft is a crime for which the personal data are used illegally for material gain.