CHARLOTTE AIR NATIONAL GUARD SHOPPETTE

5225 Morris Field Drive, Charlotte, NC 28208 (ask guard at gate for directions to shoppette)

704-391-4112 or 704-359-0119

Store Hours: M-F 9am - 4pm  During Unit Training Days Sat 9am - 5pm and Sun 9am - 4pm

Ms. Jennifer Britton - Supervisor  - Special AFFEES orders are welcome.

IDENTITY THEFT VICTIM KIT

A Message from Attorney General Roy Cooper

Dear Consumer:

Realizing you are a victim of identity theft can be both traumatic and confusing. It is difficult to figure out how to reclaim your good name and to make sure you do not become responsible for the debts incurred by the identity thief in your name.

This Identity Theft Victim Kit is designed to help you through this maze-like process. The Kit provides concrete tips about how to remove this blemish from your record. It also includes an Identity Theft Affidavit that will help you report information to many companies using just one standard form.

Please review the instructions in the Identity Theft Victim Kit carefully, and contact my Consumer Protection Division at (919) 716-6000 if you have any questions about the Kit or you can also call the Federal Trade Commission toll free at (877) ID THEFT, or (877) 438-4338.

Sincerely,

Roy Cooper

Attorney General

WHAT DO I DO WHEN IDENTITY THEFT HAPPENS TO ME?

You are about to embark on a challenging process, but have hope. You can successfully reclaim your good name, and North Carolina and the federal government have many resources to help you. To minimize the damage to your credit history and reputation, it is important to act quickly, though.

In dealing with creditors and law enforcement, keep a log of all conversations, including dates, names, phone numbers, report numbers, if any, and additional comments. Note the time spent and any expenses incurred in case you are able to obtain restitution in a later judgment or conviction against the thief. Confirm conversations in writing. Send correspondence by certified mail, return receipt requested. Keep copies of all letters and documents. Do not send originals; send only photocopies. Finally, do not give in no matter how frustrated you are. You

do not owe the money. There is a light at the end of the tunnel. Your credit rating will be repaired, and no legal action should be taken against you.

Three basic steps should be taken in nearly all instances of identity theft.

Step 1: Promptly report the fraud to law enforcement.

North Carolina law provides that identity theft is a felony. Report the fraud to your local police department, and get a copy of the police report. This immediately alerts local law enforcement to the crime, and it establishes that you acted diligently. Get a police report, complaint number or other similar record, which you may need when contacting your creditors. Also, keep the phone number of your fraud investigator handy.

Also, file a complaint with the Federal Trade Commission by contacting the FTC’s Identity Theft Hotline by phone [1 (877) ID-THEFT (438-4338)] or online at www.consumer.gov/idtheft. The FTC maintains a confidential, national Identity Theft database, and may also be able to assist in pursuing identity thieves through federal channels.

Step 2: Contact the fraud departments of the three major credit bureaus.

Ask each credit bureau to take a report and to place a "fraud alert" on your credit report. Request a victim’s statement asking that creditors call you before opening any new accounts or changing your existing accounts. Also, ask each credit bureau to send you a copy of your credit report, so you can determine the extent of any unlawful credit activity that may have taken place using your identity. Credit bureaus must give you a free copy if you have been a victim of fraud and you request it in writing. Review the credit reports carefully.

If you already have a police report, file number or complaint number from your local law enforcement agency, give that information to the three major credit bureaus as well, to help them investigate any disputed accounts or other reports of fraud.

The three major credit bureaus may be contacted as follows:

Equifax: (800) 525-6285

Experian: (888) 397-3742

TransUnion: (800) 680-7289

Step 3: Contact the fraud department of each of your creditors.

Collect all your credit cards, bank account statements and other creditor information (such as utility or cable bills) and make note of the phone number/address of their "fraud" departments. Report the fraud to each creditor, even if that particular creditor has not been the subject of fraud, to ensure the creditor knows that an identity thief may have your account information.

Ask each creditor to place a "fraud alert" on your account. Follow up in writing.

If there are charges on your accounts that are illegal, most creditors will also ask you to submit a written report of the fraud, along with a police report, complaint number or file number from law enforcement. You may use the enclosed Identity Theft Affidavit as part of your written report, to make sure you include all the necessary information. Many creditors will ask you to submit such an Affidavit within two weeks of your report of fraud, so you need to act promptly.

Step 4: Your next steps.

Depending on the type of identity theft that happened to you, there are some additional things you can do to take control of the situation.

Stolen checks and fraudulent bank accounts.

If you have had checks stolen or bank accounts set up fraudulently in your name, notify the bank. Put stop payments on any outstanding checks that you are unsure of. Cancel your checking and savings accounts and obtain new account numbers. Give the bank a secret password for your accounts. If a store rejects one of your own checks, contact the check verification company the store uses.

The major check verification companies are:

CheckRite: (800) 766-2748

ChexSystems: (800) 428-9623

Equifax: (800) 437-5120

International Check Services (formerly NPC): (800) 526-5380

SCAN: (800) 262-7771

TeleCheck: (800) 710-9898

ATM cards.

If your ATM or debit card has been stolen or compromised, report it immediately. Get a new card, account number and password. Do not use your old password. When creating a password, don’t use common numbers like the last four digits of your Social Security number or your birth date.

Fraudulent change of address.

Notify the U.S. Postal Inspection Service if you suspect an identity thief has filed a change of your address with the post office or has used the mail to commit credit or bank fraud. Find out where fraudulent credit cards were sent. Notify the local Postmaster for that address to forward all mail in your name to your own address. You may also need to talk with the mail carrier.

Social Security number misuse.

Call the Social Security Administration's fraud hotline (1-800-269-0271) to report fraudulent use of your Social Security number. Order a copy of your Personal Earnings and Benefit Estimate Statement (PEBES) and check it for accuracy–the

thief might be using your Social Security number for employment purposes. You can request a PEBES application at your local Social Security office or download one from the Social Security Administration's website: http://www.ssa.gov. As a last resort, you might want to request a new number. The SSA will only assign you a new number, however, if you fit its fraud victim criteria.

Passports.

If you have a passport, notify the passport office in writing to be on the lookout for

anyone ordering a new passport in your name. Washington Passport Agency, 1111 19th Street, N.W., Washington DC 20524; (202) 647-0518.

Phone service.

If your long distance calling card has been stolen or you discover fraudulent

charges on your bill, cancel the account and open a new one. Provide a password that must be used any time the account is changed.

Legal help.

You may want to consult an attorney to determine legal action to take against

creditors and/or credit bureaus if they are not cooperative in removing fraudulent entries from your credit report or if negligence is a factor.

IDENTITY THEFT AFFIDAVIT

Directions

The Identity Theft Affidavit will help you report information to many creditors using one form. It is an important tool to help you reclaim your good name and reputation. It is very important that you complete your Identity Theft Affidavit promptly and accurately. You may make as many copies of this Identity Theft Affidavit as you need. Please make sure you fill in all the requested information, and please write neatly. While you may choose not to provide some of the information requested in the Affidavit, please bear in mind that incorrect or

incomplete information may slow the process.

Many companies investigating your claim will accept this Identity Theft Affidavit as your main report of fraud. However, some companies may require that you submit additional or different information, or may require you to use their own forms. Either way is fine. But by completing the Identity Theft Affidavit, you will have all the key facts necessary to report the fraud in one convenient document.

Before you send your Identity Theft Affidavit to your creditors, contact each creditor to find out if they will accept this Affidavit. It is also important that you include all relevant documents with your Identity Theft Affidavit. Make sure you only send copies of your documents - do not send the originals. Send the appropriate documents to each company by certified mail, return receipt requested.

Once a creditor has investigated your fraud complaint, you will receive a written response telling you the outcome of their investigation. Keep a copy of everything you send and everything you receive.

While completing this Affidavit does not guarantee that the identity thief will be captured, and that all disputed credit information will be fully resolved, it will help law enforcement and your creditors investigate the fraud and work towards helping you restore your good name.

IDENTITY THEFT AFFIDAVIT

PART I - Victim Information

1. My full legal name is _________________________________________________

(First) (Middle) (Last) (Jr., Sr., III)

2. I have/have not used any other names during the last two year period.

(If so, please state name(s) used).

___________________________________________________________

(First) (Middle) (Last) (Jr., Sr., III)

3. My date of birth is ___________________________ (month/day/year)

4. My Social Security number is ___________________________

5. My driver’s license or state identification card number is __________________

6. My current address is ________________________________________________________________

City___________________________ State _____________ Zip Code________

7. I have lived at this address since _________________________________.

8. My previous address was ________________________________________________________________

City ___________________________State______________ Zip Code________

9. I lived at my previous address from _______________to_________________.

10. My daytime telephone number is ( _______) _________________________

11. My evening telephone number is ( _______)__________________________

PART II - How the Fraud Occurred

Check all that apply for items 12-17:

12. ____ I did not authorize anyone to use my name or personal information to seek the money, credit, loans, goods or services described in this report.

13. ____ I did not receive any benefit, money, goods or services as a result of the events described in this report.

14. My identification documents (for example: credit cards; birth certificate; driver’s license; Social Security card; etc.) were stolen or lost on or about ________________ (month/day/year)

15. To the best of my knowledge and belief, the following person(s) used my information (for example: my name; address; date of birth; existing account numbers; Social Security number; mother’s maiden name; etc.) or identification documents to get money, credit, loans, goods or services without my knowledge or authorization:

Name _________________________ Name __________________________

Address________________________ Address_________________________

_______________________________ ______________________________

Phone_________________________ Phone __________________________

Additional information______________ Additional Information______________

_______________________________ ____________________________

16. ___ I do NOT know who used my information or identification documents to get money, credit, loans, goods or services without my knowledge or authorization.

17. Additional comments: (For example: description of the fraud, which documents to information were used or how the identity thief gained access to your information.)

________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________

18. I am / am not willing to assist in the prosecution of the person(s) who committed this fraud.

19. I ____ am/ _____ am not authorizing the release of this information to law enforcement for the purpose of assisting them in the investigation and the prosecution of the person(s) who committed this fraud.

20. I ____ have/ ____ have not reported the events described in this affidavit to the police or other law enforcement agencies. The police ___ did/ ___ did not write a report.

In the event you have contacted the police or other law enforcement agency, please complete the following:

Agency___________________ Officer/staff ________________________

Date of report_______________ Report number, if any_________________

Phone ___________________ email _____________________________

Agency___________________ Officer/staff ________________________

Date of report_______________ Report number, if any_________________

Phone ___________________ email _____________________________

21. A copy of a valid government issued photo identification card (For example: driver’s license, passport etc). If you are under 16 and don’t have a photo- ID, you may submit a copy of your birth certificate or a copy of your official school records showing your enrollment and place of residence.

22. Proof of residency during the time the disputed bill occurred, the loan was made or the other event took place (for example, a rental/lease agreement in your name, a copy of a utility bill or a copy of an insurance bill).

23. A copy of the report you filed with the police department. If you are unable to obtain a report number from the police, please indicate that in Paragraph 20, above. Some companies only need the report number, not a copy of the report. You may want to check with each company.

PART V- Signature

I declare under penalty of perjury that the information I have provided in this affidavit is true and correct to the best of my knowledge.

Signature_________________________ Date_________

Notary Public/ Witness ______________________ Date _________________

Printed Name______________________________ Telephone ____________

(Check with each creditor- not everyone requires notarization)

PART VI- Fraudulent Account Statement

Please make as many copies of this page as you need. Complete a separate Part VI- Fraudulent Account Statement for each company you’re notifying and only send it to that company. Include a copy of your signed affidavit. Be sure to list only the account (s) you are disputing with the creditor who is going to receive this form. If a collection agency sent you a statement, letter or notice about the fraudulent account, attach a copy of that letter or notice with Part VI. (Do not send the original).

________________________________________________________________

I hereby declare as follows:

As a result of the event s described in my Identity Theft Affidavit, (copy attached), the following account(s) was/were opened or charges made at your company in my name without my knowledge, permission or authorization using my personal information or identifying documents:

Creditor -Name/Address Account Number Type of credit/ goods/services Date issued or provided Amount/Value

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