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<Opening - Unresolved>

<Transaction Grid>

To expedite processing of your claimdispute, please complete, sign and return the attached affidavit Statement of Dispute to the address below within 7 days.


<ReturnAddress>


<Print Footer>

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Multiexcerpt include
MultiExcerptNameSample1
PageWithExcerptTransaction Grid

To expedite processing of your claimdispute, please complete, sign and return the attached affidavit Statement of Dispute to the address below within 7 days.


Quavo Financial Services
Attention: Card Operations
P.O. Box 12345
East Lansing, MI 48820-1234

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