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Customer Statement of Disputed Transaction Please check only one item and print all information. Use a separate form or additional pages to document each dispute. Email: Hyperwalletdisputes FISGlobal.com
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Use a separate form is used to report specific information separately from the main form.
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The purpose of use a separate form is to ensure that specific information is properly reported and accounted for.
Specific types of income or deductions that are not included in the main form must be reported on the separate form.
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