Western Union, a company that provides money transfer services, released a blank form to its customers. The release of this document comes as no surprise because the company has been making changes to its policies and procedures in order to provide better service. This new form allows customers to transmit money without having to go through a Western Union agent. The release of this blank form coincides with the phasing out of the old Money Transfer Form (MTF), which will be retired on September 30, 2017. The MTF was introduced over fifteen years ago and is due for an update. The new Western Union Blank Form will allow customers to save time by completing the entire process online, including paying for the transaction.
In the list, there's some good information regarding the western union blank form. Before you fill in the form, it's worth reading through a little more about it.
Question | Answer |
---|---|
Form Name | Western Union Blank Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | western union money transfer receipt pdf, western union receipt online, western union receipt, western union receipt generator |
Western Union Financial Services, Inc.
PO Box 7030
Englewood, Colorado
MONEY ORDER AFFIDAVIT
STATE: __________________________________)
COUNTY: ________________________________)
I, ___________________________________________________ , at__________________________________ and
(Full Legal Name )(Daytime Phone Number)
of __________________________________________________________________________________________,
|
Street |
City |
State |
Zip Code |
||
duly sworn, do depose and say: |
|
|
|
|||
A) I am the |
|
PAYEE / |
|
PURCHASER (mark one) of the money order issued by Western Union |
||
|
|
Financial Services, Inc., or Integrated Payment Systems Inc. (“Money Order”), described below:
Money Order Number:
(11 Digits)
Face Amount of Money Order:
“Purchaser” Name:
(Who purchased the Money Order)*
“Payee” Name
(Who the Money Order is payable to)*
I am requesting this refund on behalf of a
Company. (Yes or No)*
Date and time of Money Order Purchase:
Name and Address of Western Union Agent
Location Where The Money Order was
Purchased
* if the party requesting a refund is a company (e.g. a corporation, LLC, etc.) please also complete page 2.
B)Upon information and belief, the Money Order was _____________________________________________; and
(Lost, destroyed, stolen, etc.)
C)Neither the Purchaser, nor the Payee, has cashed, negotiated, deposited, transferred, received payment or received a benefit of any kind, directly or indirectly, from the Money Order.
THEREFORE: To induce Western Union Financial Services, Inc and/or Integrated Payment Systems Inc. (collectively, “Western Union”) to refund the face amount of the Money Order and in consideration of such payment, I authorize Western Union to issue a stop payment order on the Money Order, and I agree to pay Western Union a $15.00
_________________________________________________________
SignatureDate
Subscribed and sworn to before me this ____________________day of _____________________20_________
My commission expires: ____________________________________ |
|
__________________________________________________________ |
|
NOTARY PUBLIC |
(Notary Stamp, if applicable) |
Page 1
Western Union Financial Services, Inc.
PO Box 7030
Englewood, Colorado
MONEY ORDER
STATE: __________________________________)
COUNTY: ________________________________)
I, ___________________________________________________, am the __________________________________
(Full Legal Name )(Formal Business Title or Position)
of _______________________________________________________(the “Company”) ,
(Legal Name of Entity)
a ______________________ organized, incorporated or existing under the laws of the state of ________________,
(State Entity Type, e.g. Corp., LLC, etc, ) |
(State of Incorporation or Organization) |
and with its principal place of business located at:
______________________________________________________________________________________,
Street |
City |
State |
Zip Code |
being duly sworn, do depose and say:
A)I am requesting a refund of the face value of the Money Order, and executing this Affidavit on behalf of the Company; and
B)I have the power and authority to act on Company’s behalf, including the power to request this refund and execute this Affidavit on Company’s behalf; and
C)Neither the Company, nor any person acting on Company’s behalf, has cashed, negotiated, deposited, transferred, received payment or received a benefit of any kind, directly or indirectly, from the Money Order;
________________________________________________________
SignatureDate
Subscribed and sworn to before me this ______________day of ____________________20_________.
My commission expires: ____________________________________.
__________________________________________________________ |
|
NOTARY PUBLIC |
(Notary Stamp, if applicable) |
Page 2