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Exact amount of item s List each denomination when more than one item was purchased. Exact date of purchase MM/DD/YY // Must have exact date of purchase search will only be completed for the date requested. If more then one date please fill out a separate form for each Name of person or company to whom money order was made out to What is the name and address of the store/company where you bought your money order Name Store Address City State Zip code Phone Number Purchaser Information Your daytime telephone number include area code Any additional comments Please return this form with your payment. You will be notified by mail with one of the following search results 1. Item cleared- You will receive a photocopy front and back of the cashed item. 2. Item not cleared- You will receive a refund for the item. Signing below authorizes MoneyGram International to stop payment on the Money order and you agree to hold MoneyGram International harmless against any and all expense and/or liability to the negotiation of the Money Order. 6701 Parkway Circle Mail Station GO2-0023 Brooklyn Center MN 55430 Dear Customer Please do not use this form if you have your money order serial number. Because special handling is required for tracing a money order when the serial number is unknown we must charge for this service. If you would like us to attempt to locate the money order s about which you inquire we must have the EXACT information requested below. Please allow 6-8 weeks for processing* Please return this form with 40 processing fee which is not refundable. Exact amount of item s List each denomination when more than one item was purchased* Exact date of purchase MM/DD/YY // Must have exact date of purchase search will only be completed for the date requested* If more then one date please fill out a separate form for each Name of person or company to whom money order was made out to What is the name and address of the store/company where you bought your money order Name Store Address City State Zip code Phone Number Purchaser Information Your daytime telephone number include area code Any additional comments Please return this form with your payment. You will be notified by mail with one of the following search results 1. Item cleared- You will receive a photocopy front and back of the cashed item* 2. Item not cleared- You will receive a refund for the item* Signing below authorizes MoneyGram International to stop payment on the Money order and you agree to hold MoneyGram International harmless against any and all expense and/or liability to the negotiation of the Money Order. 3. Item not located by MoneyGram International The information that I have provided above is accurate to the best of my knowledge. I understand that MoneyGram for research only. MoneyGram International does not guarantee that the serial number will be located* Customer Signature Date. 6701 Parkway Circle Mail Station GO2-0023 Brooklyn Center MN 55430 Dear Customer Please do not use this form if you have your money order serial number. Because special handling is required for tracing a money order when the serial number is unknown we must charge for this service.

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