LITECOIN PAYMENT RECEIPT: PRIVATE WORKING SHEET Version 2026-10-11-v1. Ordinary transparent Litecoin only. Print or edit locally. Send selected fields only through verified support. Do not enter recovery words, private keys, passwords, 2FA codes, backup files, wallet descriptors or extended public keys. This is not a wallet recovery form. PUBLIC-CHAIN FIELDS (still private when linked to your identity) Asset and actual network: Actual transaction ID (UNKNOWN if not provided): Relevant output index: Relevant full destination (not an assumed change/refund address): Recipient output LTC, maximum 8 decimal places: Input total LTC, only if complete: Output total LTC, only if complete: Calculated network fee LTC, only if complete: Confirmations as observed: Block hash/height if needed: Observation source URL: Observation time with timezone: PRIVATE ACCOUNT / INVOICE CONTEXT (do not post publicly) Sending service/app and version: Sending request status as displayed: Private request reference (only if needed): Invoice/deposit reference (only if needed): Saved receiving instructions: source, time, asset and network: Does relevant full output destination match instructions? YES / NO / UNKNOWN Required invoice LTC: Gross withdrawal request LTC: Displayed service charge, unit and deduction rule: Receiving confirmation/minimum policy, source and check time: Receiver status as displayed and check time: Specific unresolved question: Verified support channel and case reference: ATTACHMENT CHECK [ ] Only the fields required for this case are selected. [ ] No wallet/recovery material, passwords or authentication codes. [ ] No unrelated balances, account identity, notifications or QR codes. [ ] Any image was exported as a new flattened copy and that file inspected. [ ] Cropping and metadata handling were not assumed to guarantee redaction. [ ] Later observations are dated separately; unknown facts remain UNKNOWN. An explorer is an observer, not proof of address ownership or account credit. An API outage or not-found lookup does not establish failure. No recovery promise.