EFTA00186510

# FOR BANKCARD USE ONLY

## ACCOUNT #

| Name Line | Date |
| :--- | :--- |
| Code | Verified by |
| PSC DOC | |

## MONETARY CHANGES

- Limit Increase to $27,500.00
- Limit Decrease to $27,500.00
- Change Cardholder Account Limit to $100.00
- Change Corporate Charge of $100.00
- Reverse Lale Change Fee of $100.00
- Reverse Oval Limit Fee of $100.00
- Reverse Insurance Fee of $100.00
- Reverse Current Membership Fee
- Wake Membership Fee Permarily

## CARDPIN ISSUANCE

- Order New Card for
- Change Cardholder Replacement Card Fee of $100.00
- Normal Delivery - 1-day $10
- Express Delivery - 2-day $10
- Reverse Lale Delivery Add $10
- Change Cardholder
- Change Financial Institution
- Fastcard $20

## ADD CARDholder

- Order Card
- Do Not Order Card
- Delete Cardholder
- Add Authorized User
- Order Card
- Do Not Order Card
- Delete Authenticated User
- Add Credit Rating
- Add Type Code
- Delete Type Code
- Add Insurance
- Delete Automatic Payment Deedation
- Send Balance Transfer Check #
- To:
- Cardholder Address

## FREETEXT MESSAGES/MISCELLANEOUS INSTRUCTIONS

If adding insurance, attach a signed copy of insurance application.

## RISK MANAGEMENT/COLLECTIONS

- Restrict Account: FR
- Restrict ATM Access
- Restrict Cash Deposit
- Zaro Card to Reissue
- Stop Interest
- Stop Late Charge
- On
- Re-Age Account
- Remove R9 Preinstructions
- Stop Statements

Date 16101 Approved By Financial institution
File No. Agent No. Print Name of Authorized Signer

EFTA00186511

<font color="red">(Please Print)</font>

# First Request

## Business Name
ABS LLC

## FOR MARTIAL PROPERTY STATES ONLY

- Married
- Not Married
- Legally Separated
- Name and Address of Spouse

## ACCOUNT RECORD CHANGES

- Clear Acct: □ Add Soc. Sec. No.: ___
- Cards Returned: □ Cards Not Returned
- Reopen Account: □ Remove Release Block
- Add Telephone Number: □ Code
- Name Change From: ___ To: ___
- Address Change: ___

Add Cardholder
- Order Card
- Do Not Order Card
Delete Cardholder
Add Authorized User
Order Card
Do Not Order Card
Delete Authorized User
Add Credit Rating
Add Type Code
Add Insurance
Delete Automatic Payment Deduction
Send Balanced Transfer Check #
To: Cardholder Address

If adding insurance, attach a signed copy of insurance application.

## RISK MANAGEMENT COLLECTIONS

- Restrict Account - RG
- Restrict ATM Access
- Cash Exception
- Zinc Card Relapse
- Stop Interest
- Stop Late Charge
- Fix Payment on (Minimum Amount $)
- Insurance R3 Restrictions

Date Approved By
File Number
Agent No

## MONETARY CHANGES

- Limit Increase to $___
- Limit Decrease to $___
- Change Corporate Account Limit to $___
- Reverse Finance Charge of $___
- Reverse Late Charge Fee of $___
- Reverse Limit Fee of $___
- Reverse Insurance Fee of $___
- Reverse Current Membership Fee
- Walve Membership Fee Permanently

## CARD/PIN ISSUANCE

- Order New Card for
  - Charge Cardholder Replacement Card Fee of 10 days
  - Normal Delivery - 7-10 days
  - Sand Card: ₩10
  - Express Delivery - 2 days ₩10
  - Charge Cardholder
  - Change Cardholder
  - Fastcard $20

- Order Pin Reminder
- PIN Federal Express
- Send PIN to Alternate Address
- Please Provide Address Below

## FREETEXT MESSAGES / MISCELLANEOUS INSTRUCTIK

Financial Institution

EFTA00186512

MESSAGE CONFIRMATION

<table border="1"><tr><td>NO.</td><td>MODE</td><td>BOX</td><td>GROUP</td></tr><tr><td>060</td><td>TX</td><td></td><td></td></tr></table>