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Certification of any of the following, as applicable:
- Services were not rendered by the expected date/time
- Merchandise was not received by the expected date/time
- Merchandise was not received at the agreed location (Issuer must specify the address of the agreed location)
- Cardholder attempted to resolve with Merchant
- The date the merchandise was returned
- The non-fiat currency or non-fungible token(s) was not successfully delivered to the destination wallet address supplied by the Cardholder at the time of the Transaction.
A detailed description of the merchandise or services purchased, unless prohibited by applicable laws or regulations. This description must contain additional information beyond the data required in the Clearing Record.
A Statement of Dispute, if both:
- The Cardholder has disputed 3 or more Transactions for non-receipt of merchandise or services at the same Merchant.
- The disputed Transactions all occurred within the same 30-calendar day period.

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