Crypto ATM & Kiosks Receipt

This represents the receipt you will receive at the cryptokiosk regardless of the state involved.

Trade Confirmation Receipt Standard
Required Information Field	Description/Information Displayed
Required Data Information
Name of Customer (Sender and Receiver)	Name provided at Kiosk
Address of Customer (Sender and Receiver)	Address obtained during KYC verification
Phone Number of Customer (Sender and Receiver)	Phone number obtained during KYC verification
Email of Customer (Sender and Receiver)	Email obtained during KYC verification
Name of Kiosk Operator	[Kiosk Operator Name] powered by Zero Hash
Order Number	Unique order identifier
Trading Pair	i.e., USD/BTC
Order Type	Buy
Size/Quantity	Number of purchased assets
Zero Hash Liquidity Services (Market) Price*	The price in USD per single digital asset as listed by ZH at the time of purchase (not including the spread) Provide the following note in the receipt:  *Source: Zero Hash
Price*	The price in USD per single digital asset as listed by ZH at the time of purchase (including the spread) Provide the following note in the receipt:  *Source: Zero Hash
Transaction Value*	Total paid in USD for all assets purchased Provide the following note in the receipt:  *Source: Zero Hash
Fees	Any added fee values included in the total transaction value. If there are no fees, then this needs to be expressly stated (e.g. “$0”, “$0 fees”, or “No Fees”). Note that Zero Hash may require some fees being charged or passed through to the Customer to be displayed separately from other fees, such as issuer fees (if any).
Spread*	Any spread on asset price in addition to the Zero Hash Liquidity Services price Provide the following note in the receipt:  *Source: Zero Hash
Taxes Paid*	Any taxes paid on transaction (or $0)  *Source Zero Hash
Total	Transaction value minus any change
Name of the Digital Asset Exchange used to calculate the referenced spread	If there is a spread above, where that spread comes from. (ie if [Kiosk Operator Name] adds a spread, what exchange they received that spread from)
Vermont Only: The difference in the quoted price and the market price (if any).	The amount of any difference between the price paid by the Customer for any virtual currency and the prevailing market price of such virtual currency, if any.
Date/Time	Date and time stamp of the transaction execution
Account ID	Zero Hash’s unique account ID for the customer (aka the “participant code” within Zero Hash).
Transaction Hash	Transaction Hash created for transaction (provided by Zero Hash
Customer Wallet Address	Zero Hash created wallet address for customer (provided by Zero Hash)
Required Contact Information
Platform Contact Email	[Platform Email]
Platform Phone	[Platform Phone Number]
Platform Address	[Platform Address]
Zero Hash Contact Information	Zero Hash LLC (NMLS ID 1699379) 327 N Aberdeen St Chicago, IL 60607 855-744-7333 [platform]@zerohash.com www.zerohash.com [State License Number-varies by state:  https://docs.zerohash.com/page/us-licenses-and-disclosures]
Required Disclosures
Return/Cancellation Policy	RETURN/CANCELLATION POLICY: All transactions are final. You are responsible for reviewing this receipt for accuracy and for notifying Zero Hash LLC of any suspected errors via email at [platform]@zerohash.com within 24 hours of the transaction.
Refund Policy	REFUND POLICY: [Reflects refund policy for the customer’s state, if applicable].
Liability for Non-Delivery or Delayed Delivery	LIABILITY FOR NON-DELIVERY OR DELAYED DELIVERY: Zero Hash LLC’s or Zero Hash Liquidity Services LLC’s aggregate liability, including for non-delivery or delayed delivery, is limited to losses resulting solely from the gross negligence, intentional misconduct or fraud of Zero Hash or Zero Hash Liquidity Services, their affiliates or any of their officers, directors, managers, partners, employees or independent agents or contractors, as determined by a court of competent jurisdiction or arbitration panel in accordance with the terms of the Zero Hash and Zero Hash Liquidity Services User Agreement.
Fraud	BEWARE OF FRAUD: Cryptocurrencies and money transfer services are commonly targeted by hackers and criminals who commit fraud. For more information on how to protect against fraud, visit the Consumer Financial Protection Bureau’s website at https://www.consumerfinance.gov/consumer-tools/fraud/.
Price Risk	The value of any cryptocurrency, including any digital assets pegged to fiat currency, commodities, or any other asset, is not guaranteed and may go to zero at any time and without warning.
Alaska	For Alaska Residents Only:   If your issue is unresolved by Zero Hash LLC ([phone]; NMLS ID 1699379), please submit formal complaints with the State of Alaska, Division of Banking & Securities.  Please download the form here: https://www.commerce.alaska.gov/web/portals/3/pub/DBSGeneralComplaintFormupdated.pdf.    Submit a formal complaint form with supporting documents to: Division of Banking & Securities, PO Box 110807, Juneau, AK 99811-0807.  If you are an Alaska resident with questions regarding formal complaints, please email us at [e-mail] or call [phone].
Illinois	Illinois Customers: In the event of an unresolved complaint, please contact the Illinois Department of Financial and Professional Regulation - Division of Financial Institutions at 1-888-473-4858 or submit an online complaint at https://idfpr.illinois.gov/admin/dfi/dficomplaint.html.
Maine	Maine Customers: In the event of a dispute, please contact the Bureau of Consumer Credit Protection at 1-800-332-8529 or at www.credit.maine.gov.
Minnesota	Minnesota Customers: If you believe you are a victim of fraud, please contact the Minnesota Commerce Department Consumer Services Center at 1-800-657-3602 or [e-mail]. For more information about how to protect against fraud and submit a complaint, visit https://mn.gov/commerce/money/fraud/. For more information on cryptocurrency, please visit https://mn.gov/commerce/money/investments/cryptocurrency/.
Texas	Texas Customers: If you have a complaint, first contact the consumer assistance division of Zero Hash LLC (NMLS ID 1699379) at 1 [phone], if you still have an unresolved complaint regarding the company's money transmission activity, please direct your complaint to: Texas Department of Banking, 2601 North Lamar Boulevard, Austin, Texas 78705, 1-877-276-5554 (toll free), www.dob.texas.gov.
[State] - applies specifically to AR, CT, IA, NE, ND, TX (for law enforcement agency for fraud)	If you have a complaint or wish to report fraudulent activity involving your account or transactions, please contact [State/local law enforcement or government agency Name] at [phone number].