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• _{Last Updated: 24 June 2025}
• _{Effective Date: 24 June 2025}

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I understand and agree that MassPay's licensed money transmitter and financial institution partners will rely on the accuracy of the information disclosed in this form. By returning this application, the undersigned, on behalf of the applicant, certifies the authority of the undersigned to binding the applicant, and the accuracy and completeness of all statements contained in the application and any supporting documents, and the authority to conduct foreign currency transactions on behalf of the applicant.

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