Metavante credit card account record change form for an LLC

EFTA00186520¶

2082-1 LsanQoD pw¶

Metavante Corporation¶

Credit Card Services¶

ACCT # Name: Emily Taylor Business Name: Nes, LLC.¶

Account Record Changes¶

• Close Account
  • Cards Returned
  • Cards Not Renewed
  • Re-open Account
    • Remove Reissue Block
  • Add Soc. Sec.: #
  • Add Telephone #
    • Home
  • Business
  • From:
    • To:
      • Address Change to City, State, ZIP
      • Add Cardholder Order Card Delete Card Add Authorized User Order Card Delete Authorized User Delete Credit Rating Add Type Code Delete Type Code Add Automatic Payment Deduction TR# Checking Acc# Minimum payment Previous balance Delete Automatic Payment Deduction Add Email Address Add Mother’s CH SS# Add Secondary CH DOB Add Secondary CH Daytime Phone Add Fax Number Add Cell Phone# Add Pager Number Privacy Option

Insurance¶

• Add Insurance
• Delete Insurance
• If adding insurance, attach a signed copy of the insurance application

Free Text Message/Miscellaneous Instructions¶

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For Marital Property States Only¶

• ☐ Married
• ☐ Not Married
• ☐ Legally Separated
• Spouse’s Name
• Street Address
• City, State, ZIP

Card Insurance¶

• ☐ Order New Card for
  • Must mark below to indicate the type of card ordered
  • Send Card:
    • Normal Delivery – 7 to 10 days
    • Express Delivery – 2 days ($10.00 charge)
    • Saturday Delivery ($10.00)
    • Fastcard – 1 day ($20.00 charge)
    • Saturday Delivery ($10.00)
  • Charge: ☐ Cardholder ☐ Financial Institution
  • Address to Mail Card:
    • Name
    • Street Address
    • City, ST, ZIP
    • Charge Cardholder Replacement Card Fee of $___

PIN Insurance¶

• ☐ Order PIN Reminder
  • PIN Federal Expres – 3 days ($10.00 charge)
  • Charge: ☐ Cardholder ☐ Financial Institution
  • Send PIN to Alternate Address Below
    • Name
    • Street Address
    • City, State, ZIP

Balance / Payment Transfers¶

• Transfer balance of $
  • From account #
  • To account #
  • Transfer payment of $
  • From account #
  • To account #

Convenience Checks¶

• ☐ Send Convenience Checks – # of books
  • Name
  • Street Address
  • City, State, ZIP

Financial Institution Name: PB0B Authorized Signature: Ann Curtis Print Name: Ann Curtis 3-Day notice (2018) Fax to Account Processing,¶

$$\frac{PBNB}{Gan SL4} \times LUAPG+$$¶