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This form acknowledges the account holder s request to stop payment on pre-authorized electronic funds transfer as indicated above. The account holder further represents that the debit transaction s described above was not originated with fraudulent intent by me or any person acting in concert with me and that the signature below is my own proper signature. Signature Date For Credit Union use only Received By Date Received Return Reason Code M767/Date Time Tran Date s. P. O. Box 5760...
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Box 5760 is used to report specific information related to financial transactions.
Individuals or entities who engaged in certain financial transactions are required to file box 5760.
Box 5760 should be filled out with accurate and detailed information regarding the financial transactions being reported.
The purpose of box 5760 is to provide the necessary information for regulatory and compliance purposes.
Box 5760 must include details such as the type of financial transaction, amount involved, and parties involved.
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