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FTC Report Number:

I am a victim of Identity theft. This is my official statement about the crime.

Contact Information

First Name: Last Name:

JASON LAWTON

Address: Phone: Email:

30969 STONE RIDGE , DR 3314 208-579-7019

Personal Statement

I am writing to report that I have been a victim of identity theft, resulting in unauthorized accounts and inquiries on my credit report. The following
accounts and inquiries were fraudulently opened or conducted using my personal information without my knowledge or consent: MACYS/CBNA
(Account #: 42283922XXXX) JPMCB CARD (Account #: 46401820XXXX) GENISYS CU (Account #: 1747141XXXX) AMEX (Account #:
349992425551XXX) GOODYR/CBNA (Account #: 603551011889XXX) CONGRESSCOLL (Account #: 38006XXXX) Additionally, there is an
unauthorized inquiry by AUTO SALES on 10/24/2023. I believe my identity was stolen after providing my driver's license and Social Security number
to an unknown party in the past. I have not authorized these accounts or inquiries and am suffering financial and personal distress as a result. I
request your assistance in investigating this matter and taking the necessary actions to clear my name and prevent further unauthorized use of my
personal information.

Accounts Affected by the Crime

Credit Card Opened by the Thief

Company or Organization: JPMCB CARD

Account Number: 46401820XXXX

Date fraud began: Date that I discovered it: Total fraudulent amount:

6/2024 4/2014 $ 1860.00

Credit Card Opened by the Thief

Company or Organization: GENISYS CU

Account Number: 1747141XXXX

Date fraud began: Date that I discovered it: Total fraudulent amount:

6/2024 3/2016 $0

Credit Card Opened by the Thief

Company or Organization: CONGRESSCOLL

Account Number: 38006XXXX

Date fraud began: Date that I discovered it: Total fraudulent amount:

6/2024 7/2023 $ 512.00

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Credit Card Opened by the Thief

Company or Organization: GOODYR CBNA

Account Number: 603551011889XXX

Date fraud began: Date that I discovered it: Total fraudulent amount:

6/2024 5/2012 $ 319

Credit Card Opened by the Thief

Company or Organization: GENISYS CU

Account Number: 1747141XXXX

Date fraud began: Date that I discovered it: Total fraudulent amount:

6/2024 2/2017 $ 5558

Fraudulent Information on Credit Reports

Accounts or Charges Yes, fraudulent accounts or charges appear on my credit report

Credit Inquiries AUTO SALES 10/24/2023

Under penalty of perjury, I declare this information is true and correct to the best of my knowledge.

I understand that knowingly making any false statements to the government may violate federal, state, or local criminal statutes, and may result in a fine,
imprisonment, or both.

JASON LAWTON 6/29/2024

Use this form to prove to businesses and credit bureaus that you have submitted an FTC Identity Theft Report to law enforcement. Some businesses
might request that you also file a report with your local police.

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