EFTA00186531

A/P Tracking Number:

# Metavante Corporation
## Credit Card Services

**Account Number:**
Name: Valdson Cotinio
Street Address:
City: Nes LLC
Business Name: Nes LLC
State: ZIP

## Collections

- **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 Stats
    - 31-60 # times
    - 61-90 # times
    - 91-120 # times
    - Erase All
  - Remove R9 Restrictions

## Monetary Changes

- **Limit Increase to $5,000**
  - 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
  - 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:
Authorized Signature: [Signature]
Print Name: [Print Name]

For Metavante Use Only:

Completed by Verification: [Date]

213-909-MISBSe (1700)

**Fax R9 requests to Collections, others to Account Processing,**

[Formatted with placeholders for actual data]