Fill and Sign the Charges Form

SAMPLE LETTER FROM KNOWN IMPOSTER TO CREDITOR ACCEPTING RESPONSIBILITY FOR ACCOUNTS, CHARGES OR DEBITS DATE Your Name Your Address Your City, State, Zip Code Name of Creditor Address City, State, Zip Code Dear Sir or Madam: I am writing to accept responsibility for [accounts, charges or debits] that I have fraudulently [opened or made] in [enter name of identity theft victim] ’s name without [his or her] authorization or knowledge. (Provide your identifying information, including full legal name, date of birth, social security number, driver’s license number or identification card number, address, telephone number, and your relationship to the victim) . (Provide identifying information for the identity theft victim, including full legal name, address, telephone number, and social security number) . (Describe the nature of the fraudulent activity, such as opening a credit account in the identity theft victim’s name, incurring charges on one of the victim’s existing credit card accounts, using the victim’s bank or checking account or opening a bank or checking account in the victim’s name) . (Provide the account numbers and any information regarding the dates the accounts were opened and/or fraudulent charges or debits made, amounts of charges or debits, and the social security number used to open the accounts, if applicable) . [Enter name of identity theft victim] did not authorize me to use [his or her] identifying information to (describe fraudulent activity, such as obtaining money, credit, loans, goods or services in the victim’s name) , nor did [enter name of identity theft victim] receive any benefit, money, goods or services as a result of the fraudulent activity. I am requesting that the debt described above be transferred from [enter name of identity theft victim] ’s name to my name so that I may assume full financial responsibility for my fraudulent acts and that in the future you contact me regarding repayment. Please confirm to [enter name of identity theft victim] in writing at the address above that you have removed the fraudulent charges from [his or her] records and that you have notified the credit bureaus to also remove such information from [his or her] reports. Enclosed are copies of (use this sentence to describe any enclosed information, such as a police report) supporting my position. Sincerely, Your Name Victim's Signature Enclosures: (List what you are enclosing.)