STATEMENT OF FRAUD

RE: Case 230912000604C for account ending in 6814

I, Patsy McClure, hereby state that the above referenced card was (select one):

1. ____ Lost / Stolen

2. ____ Never received in the mail
3. ____ Used without my authorization, but still in my possession

I have not used the card account described as above for the transaction(s) listed below. I have not
authorized anyone else to use or have possession of the card account described above. I did not,
and will not, receive any goods, services or other benefit as a result of the transaction(s) listed
below.

The signatures or other forms of authorization appearing on any of the sales drafts, ATM
transactions, telephone/mail orders, or applications for the transaction(s) listed below, are and will
be forgeries.
Date Description Amount Disputed Amount
CASH APP*GLORIA
05/29/2023 $15.00 $15.00
BEL
CASH
05/29/2023 $30.00 $30.00
APP*LILSHAWN
CASH
05/29/2023 $120.00 $120.00
APP*LILSHAWN
CASH APP*GLORIA
05/29/2023 $199.00 $199.00
BEL
CASH
05/28/2023 $1.00 $1.00
APP*LILSHAWN
CASH
05/28/2023 $1.00 $1.00
APP*LILSHAWN
CASH
05/28/2023 $1.00 $1.00
APP*LILSHAWN
CASH
05/28/2023 $1.00 $1.00
APP*LILSHAWN
CASH APP*GLORIA
05/28/2023 $1.00 $1.00
BEL
CASH
05/28/2023 $1.00 $1.00
APP*LILSHAWN
CASH
05/28/2023 $5.00 $5.00
APP*LILSHAWN
 CASH
05/28/2023 $5.00 $5.00
APP*LILSHAWN
CASH
05/28/2023 $5.00 $5.00
APP*LILSHAWN
CASH
05/28/2023 $5.00 $5.00
APP*LILSHAWN
CASH
05/28/2023 $15.00 $15.00
APP*LILSHAWN
CASH
05/28/2023 $15.00 $15.00
APP*LILSHAWN
CASH
05/28/2023 $15.00 $15.00
APP*LILSHAWN
CASH
05/28/2023 $15.00 $15.00
APP*LILSHAWN
CASH
05/28/2023 $15.00 $15.00
APP*LILSHAWN
CASH APP*GLORIA
05/28/2023 $15.00 $15.00
BEL
CASH APP*GLORIA
05/28/2023 $15.00 $15.00
BEL
CASH APP*GLORIA
05/28/2023 $15.00 $15.00
BEL
CASH
05/28/2023 $15.00 $15.00
APP*LILSHAWN
CASH
05/28/2023 $15.00 $15.00
APP*LILSHAWN
CASH APP*GLORIA
05/28/2023 $15.00 $15.00
BEL
CASH
05/28/2023 $30.00 $30.00
APP*LILSHAWN
CASH
05/28/2023 $30.00 $30.00
APP*LILSHAWN
CASH
05/28/2023 $30.00 $30.00
APP*LILSHAWN
CASH APP*GLORIA
05/28/2023 $30.00 $30.00
BEL
 CASH APP*GLORIA
05/28/2023 $30.00 $30.00
BEL
CASH
05/28/2023 $30.00 $30.00
APP*LILSHAWN
CASH APP*GLORIA
05/28/2023 $30.00 $30.00
BEL
CASH
05/28/2023 $60.00 $60.00
APP*LILSHAWN
CASH
05/28/2023 $60.00 $60.00
APP*LILSHAWN
CASH
05/28/2023 $60.00 $60.00
APP*LILSHAWN
CASH
05/28/2023 $60.00 $60.00
APP*LILSHAWN
CASH
05/28/2023 $60.00 $60.00
APP*LILSHAWN
CASH APP*GLORIA
05/28/2023 $99.00 $99.00
BEL
CASH APP*GLORIA
05/28/2023 $99.00 $99.00
BEL
CASH APP*GLORIA
05/28/2023 $99.00 $99.00
BEL
CASH
05/28/2023 $120.00 $120.00
APP*LILSHAWN
CASH
05/28/2023 $120.00 $120.00
APP*LILSHAWN
CASH
05/28/2023 $120.00 $120.00
APP*LILSHAWN
CASH
05/28/2023 $120.00 $120.00
APP*LILSHAWN
CASH
05/28/2023 $120.00 $120.00
APP*LILSHAWN
CASH
05/28/2023 $120.00 $120.00
APP*LILSHAWN
CASH
05/28/2023 $120.00 $120.00
APP*LILSHAWN
 CASH
05/28/2023 $120.00 $120.00
APP*LILSHAWN
CASH APP*GLORIA
05/28/2023 $199.00 $199.00
BEL
CASH
05/28/2023 $199.00 $199.00
APP*LILSHAWN
CASH APP*GLORIA
05/28/2023 $199.00 $199.00
BEL
CASH
05/28/2023 $199.00 $199.00
APP*LILSHAWN
CASH
05/28/2023 $199.00 $199.00
APP*LILSHAWN
CASH APP*GLORIA
05/28/2023 $199.00 $199.00
BEL
CASH
05/28/2023 $199.00 $199.00
APP*LILSHAWN
CASH
05/28/2023 $199.00 $199.00
APP*LILSHAWN
CASH
05/28/2023 $199.00 $199.00
APP*LILSHAWN
CASH APP*GLORIA
05/28/2023 $199.00 $199.00
BEL
CASH APP*GLORIA
05/28/2023 $199.00 $199.00
BEL
CASH
05/28/2023 $240.00 $240.00
APP*LILSHAWN
CASH
05/28/2023 $240.00 $240.00
APP*LILSHAWN
CASH
05/28/2023 $240.00 $240.00
APP*LILSHAWN
CASH
05/28/2023 $240.00 $240.00
APP*LILSHAWN

____ I have no knowledge of the identity or whereabouts of the person(s) responsible for the
transactions
listed above, OR:
____ I can identify the suspect as:
 Name: Phone Number:
Address:
City, State:
Please provide any additional information you may believe may be helpful in our investigation (you
may attach additional pages, if needed):
I have contacted cashapp to report the unauthorized transaction
_________________________________________________________________________________
_________________________________________________________________________________
I certify that, to the best of my knowledge and belief, all the information on this Statement is true,
correct, complete and made in good faith. I understand that this Statement and the information it
contains may be made available to federal, state, and/or local law enforcement agencies for such
action within their jurisdiction as they deem appropriate.

Signature: _________________________________________________ Date:

___________________
13th September 2023