EFTA00186527

A/P Tracking Number:

# Metavante Corporation
## Credit Card Services

Account Number: ___
Name: ___
Street Address: ___
City ___ State ___ ZIP__
Business Name: ___ No, No, No

## Collections

- **Restrict Account - R9**
  - Limit Increase to $35,000.
  - Limit Decrease to $
  - 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
  - Walve Membership Fee Permanently
  - Reverse Replacement Card Fee $
  - Reverse Convenience Fee $
  - Reverse NSF Fee $
  - Reverse Insurance Premium Fee $
  - Reverse Returned Check Fee $

- **Zero Cards to Resume**
  - Limit Increase to $
  - Limit Decrease to $
  - 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
  - Walve Membership Fee Permanently
  - Reverse Replacement Card Fee $
  - Reverse Convenience Fee $
  - Reverse NSF Fee $
  - Reverse Insurance Premium Fee $
  - Reverse Returned Check Fee $

- **List on Exception File**
  - Limit Increase to $
  - Limit Decrease to $
  - 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
  - Walve Membership Fee Permanently
  - Reverse Replacement Card Fee $
  - Reverse Convenience Fee $
  - Reverse NSF Fee $
  - Reverse Insurance Premium Fee $
  - Reverse Returned Check Fee $

- **Stop Interest**
  - Limit Increase to $
  - Limit Decrease to $
  - 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
  - Walve Membership Fee Permanently
  - Reverse Replacement Card Fee $
  - Reverse Convenience Fee $
  - Reverse NSF Fee $
  - Reverse Insurance Premium Fee $
  - Reverse Returned Check Fee $

- **Stop Late Charge**
  - Limit Increase to $
  - Limit Decrease to $
  - 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
  - Walve Membership Fee Permanently
  - Reverse Replacement Card Fee $
  - Reverse Convenience Fee $
  - Reverse NSF Fee $
  - Reverse Insurance Premium Fee $
  - Reverse Returned Check Fee $

- **Stop Statements**
  - Limit Increase to $
  - Limit Decrease to $
  - 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
  - Walve Membership Fee Permanently
  - Reverse Replacement Card Fee $
  - Reverse Convenience Fee $
  - Reverse NSF Fee $
  - Reverse Insurance Premium Fee $
  - Reverse Returned Check Fee $

- **Stop Overlimit/Past Due Notices**
  - Limit Increase to $
  - Limit Decrease to $
  - 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
  - Walve Membership Fee Permanently
  - Reverse Replacement Card Fee $
  - Reverse Convenience Fee $
  - Reverse NSF Fee $
  - Reverse Insurance Premium Fee $
  - Reverse Returned Check Fee $

- **Minimum Payment Due This Cycle**
  - Fix Payment $
  - Re-Age account
  - Erase Past Due Status
    - 1-30 #times
    - 31-60 #times
    - 61-90 #times
    - 91-120 #times
    - Erase All
  - Remove R9 Restrictions

## Free Text Messages/Miscellaneous Instructions

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### Financial Institution Name:
Authorized Signature: [Signature]
Print Name: [Print Name]
Telephone #: [Telephone #]

Completed by
Verification:

[Date]

[Date]