EFTA00186544

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 $ 10,000.
- Limit Decrease to $
- Change Corporate Account Limit to $
- Reverse Finance Change 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

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### Financial Institution Name:
PBNB

### Authorized Signature:
Anne Lafft

### Print Name:
For Metavane Use Only

Completed by
Verification

233-999-MISSC (7201)

Fax R9 requests to Collections, others to Account Processing,