Counterfeit Note Report



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How to deal with Counterfeit Notes? Download this Counterfeit Note Report template now!

Reporting counterfeit notes to your government is very important to locate the source of maleficent notes. communication is essential and important. Accurately keeping track of financial data is not only critical for running the day-to-day operations of your small or medium-sized business, but it is also important when seeking funds from investors or lenders to grow your business to the next level. 

Bank tellers and persons surrendering the note should date and initial each counterfeit note one time with pen and ink in the border area of the note for identification. If the person surrendering the note knows from whom he/she received it, or has a description of the passer, or his/her auto, or any other information, TELEPHONE the local police department or Secret Service office IMMEDIATELY and hold the note. Otherwise, if no information is available, please mail the note to the Secret Service local office on the day it is received. The submitting bank agrees to abandon any property interest in counterfeit
notes it surrenders to the Secret Service.

Counterfeit Note Report:

1. Prepare and submit one copy of this completed form with each suspected counterfeit note to your local SECRET SERVICE OFFICE.
2. If desired, an additional copy of this form should be prepared and retained for your records.
3. Unless advised otherwise, the suspect note submitted to the Secret Service should be considered counterfeit.
4. The Secret Service WILL NOT return a copy of this form.

Using this Counterfeit Note Report enables you to reach out for help in solving this harmful situation. Download it now!

Looking for more? Our collection of financial documents, templates, forms, and spreadsheets includes templates designed specifically for small business owners, private individuals, or Finance Staff. Find financial projections to calculate your startup expenses, payroll costs, sales forecast, cash flow, income statement, balance sheet, break-even analysis, financial ratios, cost of goods sold, amortization, and depreciation for your company. 




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The new source of power is not money in the hands of a few, but information in the hands of many. | John Naisbitt