EFTA00186543

A/P Tracking Number:

Metavante Corporation
Credit Card Services

CREDIT CARD COLLECTIONS
AND MONETARY CHANGES

Account Number:
Name: Edwina Simmons
Street Address:
City: Nes, LLC
State: ZIP
Business Name:

Collections

- Restrict Account – R9
- Close Account – V9
- Delete Cardholder
- Zero Cards to Reside
- 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
- 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 $
- Change Finance Charge of $
- Reverse Late Charge Fee of $
- Reverse Over Limit fee of $
- Reverse Insurance Fee of $
- 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: PBWB
Authorized Signature: Annelie Batt
Print Name: Annelie Batt
Telephone #: Ext.

For Metavante Use Only

Completed by Date
Verification Date

Fax R9 requests to Collections, others to Account Processing,