Free affidavit-regarding-demand-for-payment-of-worthless-check - West Virginia


File Size: 15.1 kB
Pages: 1
Date: May 21, 2008
File Format: PDF
State: West Virginia
Category: Court Forms - State
Author: Supreme Court of Appeals of West Virginia
Word Count: 218 Words, 1,290 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.wvcourtnet.org/shared/content_objects/repository_objects/public_documents/affidavit-regarding-demand-for-payment-of-worthless-check.pdf

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IN THE MAGISTRATE COURT OF

COUNTY, WEST VIRGINIA

Plaintiff v. Case No.

Defendant

AFFIDAVIT: REGARDING DEMAND FOR PAYMENT OF WORTHLESS CHECK
STATE OF WEST VIRGINIA COUNTY OF This day on his or her oath or affirmation says: 1. 2. I am the plaintiff in the above-styled action. That on (date), I delivered a written demand for payment of the check(s) by personal service or by certified mail or regular mail (if regular mail is selected complete number 3) with a notice of intent to file a lawsuit pursuant to W.Va. Code § 55-16-1 if payment is not received within 30 days. If service was achieved by regular mail, (check one) I have attached a post-marked certificate of mailing or I attest that on a written demand was mailed to the defendant at the following (date) address: Thirty days (30) have now passed, and I have not received full payment of the check debt. , TO-WIT, appeared before me, and

3.

4.

Plaintiff's Signature Taken, subscribed and sworn or affirmed before me this My Commission expires on day of . ,20

Notary Public/Magistrate Assistant/Magistrate Clerk
NOTICE: The intentional filing of a false affidavit may constitute a criminal violation [see e.g., W.Va. Code § 61-5-3

W. Va. Code § 55-16-1 SCA-M336NP / 5-02

Copy Distribution:

File Plaintiff Defendant