5/14/23, 12:03 AM IC3 Complaint Referral Form
FEDERAL BUREAU OF INVESTIGATION
Victim Information
Name: ryan Zaklukiewicz
Are you reporting on behalf No
of a business?
Business Name:
Is the incident currently
impacting business
operations?
Age: 30 - 39
Address: 277 west main st
Address (continued):
Suite/Apt./Mail Stop:
City: MIDDLETOWN
County: PA
Country: United States of America
State: Pennsylvania
Zip Code/Route: 17057
Phone Number: 2722361502
Email Address: [email protected]
Business IT POC, if applicable:
Other Business POC, if
applicable:
Financial Transaction(s)
Transaction Type: CreditCard
If other, please specify:
Transaction Amount: 7575.00
Transaction Date: 2/28/2023
Was the money sent? Yes
Victim Bank Name:
Victim Bank Address:
Victim Bank Address
(continued):
Victim Bank Suite/Mail Stop:
Victim Bank City:
Victim Bank Country:
Victim Bank State:
Victim Bank Zip Code/Route:
Victim Name on Account:
Victim Account Number:
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5/14/23, 12:03 AM IC3 Complaint Referral Form
Recipient Bank Name:
Recipient Bank Address:
Recipient Bank Address
(continued):
Recipient Bank Suite/Mail
Stop:
Recipient Bank City:
Recipient Bank Country:
Recipient Bank State:
Recipient Bank Zip
Code/Route:
Recipient Name on Account:
Recipient Bank Routing
Number:
Recipient Account Number:
Recipient Bank SWIFT Code:
Description of Incident
Provide a description of the incident and how you were victimized. Provide information not
captured elsewhere in this complaint form.
The laptops that came are missing the chargers that are supposed to come with it so I can
charge the laptops. The laptops do not turn on now because there are no batteries. I had to buy
the laptops replacements in a razer shop so I have to return these.
Information About The Subject(s) Who Victimized You
Name:
Business Name: Razer (Asia-Pacific) Pte. Ltd.
Address: 1 One-north Cres, Singapore 138538
Address (continued):
Suite/Apt./Mail Stop:
City:
Country: Singapore
State:
Zip Code/Route:
Phone Number:
Email Address:
Website:
IP Address:
Other Information
If an email was used in this incident, please provide a copy of the entire email including full email
headers.
[No response provided]
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5/14/23, 12:03 AM IC3 Complaint Referral Form
Are there any other witnesses or victims to this incident?
[No response provided]
If you have reported this incident to other law enforcement or government agencies, please provide
the name, phone number, email, date reported, report number, etc.
[No response provided]
Check here if this an update to a previously filed complaint: ☐
Who Filed the Complaint
Were you the victim in the incident described above? Yes
Name:
Business Name:
Phone Number:
Email Address:
Digital Signature
By digitally signing this document, I affirm that the information I provided is true and accurate to
the best of my knowledge. I understand that providing false information could make me subject
to fine, imprisonment, or both. (Title 18, U.S.Code, Section 1001)
Digital Signature: ryan
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before closing this window. This is the only time you will have to make a copy of your
complaint.
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