EFTA00186516

Metavante Corporation
Credit Card Services

CREDIT CARD COLLECTIONS
AND MONETARY CHANGES

Account Number:
Name: Jonith Mackenzie
Street Address:
City: State ZIP
Business Name: Ales, LLC

Monetary Changes

☐ Restrict Account – R9
☐ Zero Cards to Reissue
☐ List on Exception File
☐ Restrict on ATM Access
☐ Stop Interest
☐ Stop Late Charge
☐ Stop Statements
☐ Stop Overlimit / Past Due Notices
☐ Minimum Payment Due This Cycle $

☐ Fix Payment $

☐ Re-Age account

☐ Erase Past Due Stamps 1-30 # times
☐ 31-60 # times
☐ 61-90 # times
☐ 91-120 # times
☐ Remove R9 Restrictions

☐ Limit Increase to $

☐ Limit Decrease to $ 3,000.00

☐ Change Corporate Account Limit to $

☐ Reverse Finance Charge of $

☐ Reverse Late Charge fee of $

☐ Reverse Over Limit fee of $

☐ Reverse Insurance Fee of $

☐ Reverse Current Membership Fee

☐ Waive Membership Fee permanently

☐ Reverse Replacement Card Fee $

☐ Reverse Convenience Fee $

☐ Reverse NSF Fee $

☐ Reverse Insurance Premium Fee $

☐ Reverse Returned Check Fee $

Free Text Messages/Miscellaneous Instructions

Financial Institution Name: PBUB
Date: 3/19/02
Authorized Signature:
Print Name: An Curtt
Bank #: Agent #
Telephone #: Ext.

For Metavante Use Only

Completed by
Verification

Date
Date

Fax R9 requests to Collections, others to Account Processing,