Credit card collections form for a private cardholder via Colonial Bank

EFTA00186553¶

Metavante Corporation¶

Credit Card Services¶

CREDIT CARD COLLECTIONS AND MONETARY CHANGES¶

Account Number: Name: Annette Mitrovich Street Address: 157 Million Ave FLY City: New York, NY State: ZIP 10092 Business Name: N.A.¶

Collections¶

• Restrict Account - R9
• Close Account - V9
• Delete Cardholder
• Zero Cards to Resume
• 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
• Erase All
• Remove R9 Restrictions

Monetary Changes¶

• Limit Increase to $ 7,000.
• 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 Convention Fee $
• Reverse NSF Fee $
• Reverse Insurance Premium Fee $
• Reverse Returned Check Fee $

Free Text Messages/Miscellaneous Instructions¶

Financial Institution Name: Colonial Bank Authorized Signature: Jeffrey Demond Print Name: Jeffrey Demond Telephone: 91-120 For Metavante Use Only:¶

Completed by Verification¶

Date: 12/19/63 Agent #: Ext.¶

Fax R9 requests to Collections, others to Account Processing.¶

EFTA00186554¶

EXCEPTION¶

CARD	TYPE CARD				ACCOUNT NUMBER				DATE
	PRERIE TISSUE				TOTAL DUE				PAST DUE
	NAME AND ADDRESS
ADAM PERRY\LANG
NES LLC									$ 00	$ 00		000
457 MADISON AVE FL 4									DUE	00
NEW YORK NY 10022-6843									AUDIANT	00
									BY	00
									RANGE	00
									OAK	00
									DAYS	00
AUTHORIZED USERS: NO CARDS ISSUED>1 ENTRIES>04/04
									AREA	CITY OF OFFICE TYPE	VAR
CURRENT BALANCE	CREDIT LANE	SUBSTANTY BALANCE	DISPUTE						SUV MONTHS ROOMARY HISTORY
$	00	50,000	49,255					PURCHASES	FAILURE	CREDITS
CREDIT VALUE	OVERNIGHT	LAST NIGHT	MILEAGE					MILEAGE	NO AMOUNT	NO AMOUNT	AMOUNT
$	50,000	00	00	10,000	X
Telecharge	PREVIOUS YEAR	CURRENT YEAR	01
Money	[ ] [ ] [ ] $$\therefore$$¶