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Theft Case Incident Report Form
INFORMATION
What has been affected by this theft such as bank accounts, credit cards and credit report? List names and account numbers.
AMOUNT
OF LOSS,
IF KNOWN
Please list any other details relating to this incident.
I do state the above facts are true to the best of my knowledge. I also will testify under oath in a court of law in reference to my complaint
if it goes to trial. I am aware that it is unlawful to make a false report to a police officer. I affirm the above information is true...
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