EFTA00186542

A/P Tracking Number:

## Collections

- Restrict Account – R9
- Close Account – V9
- Delete Cardholder
- 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 Status 1-30 # times
- 31-60 # times 61-90 # times
- 91-120 # times
- 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 Premium Fee $
- Reverse Returned Check Fee $

## Free Text Messages/Miscellaneous Instructions

---

Financial Institution Name: PBUB
Authorized Signature: Bana Jait
Print: Aona Lufft
Name: Telephone #
For Metavante Use Only:

Completed by Date
Verification Date

23-09-99 MID8x(1201)

Fax R9 requests to Collections, others to Account Processing.

$$
\frac {d \Delta F}{d t} = 0
$$