EFTA00186556
| Metavante Corporation Credit Services | ||||
| Company Name | NES LLC | |||
| Change Request For: | ||||
| Corporate Account # | ||||
| Individual Account # | ||||
| Control Account # | ||||
| Address Change | Company | |||
| Name Change | Individual | |||
| From: | ||||
| To: | ||||
| Add/Change Phone Number | ||||
| Corporate Limit Increase to $ | Corporate Limit Decrease to $ | |||
| Control Account Limit Increase to $ | Control Account Limit Decrease to $ | |||
| Individual Limit Increase to $ | Individual Limit Decrease to $ | |||
| Reverse Finance Charge of $ | Reverse Over Limit Fee of $ | |||
| Reverse Last Charge Fee of $ | ||||
| Reverse Current Membership Fee | ||||
| Add Home Banking | ||||
| Add Credit Rating | Delete Home Banking | |||
| Add Automatic Payment Deduction | Minimum Payment | |||
| T/R# | Checking Acc# | |||
| Order PIN | Change ATM Access Cash Advance Only | |||
| Waive Membership Fee One Year | Waive Membership Fee Permanently | |||
| Charge Cardholder Replacement Card Fee of $ | ||||
| Order New Card for | ||||
| Send Card | Normal Delivery - 7-10 days | |||
| Fastest $20 (exact day) - if received at Metavante by 12:00 p.m. CST) | ||||
| Express Delivery - 2 days $10 | ||||
| Saturday Delivery Add$10 | ||||
| Charge Cardholder | ||||
| Charge Financial Institution | ||||
| Remove R9 Rating | ||||
| Add Account R9 Rating | ||||
| List Creation File | ||||
| Zoak Credit Release | ||||
| Stop Interest | Fix Payment - Date to Start Fix Payment | |||
| Re Age Account | ||||
| Enase Past Due Status | # Times 1-30 □ 31-60 □ 61-90 □ 91-120 □ Erase All | |||
| MRO Reissue | ||||
| Re Open Account | ||||
| Close Account | ||||
| Free Text/Miscellaneous Instruction: | ||||
| Please attach additional documentation for the following options: | ||||
| Add MCC Add MEA Add Level Resign Cardholder to another level/group Change Report Options Add or Delete Cash/Purchase Table | ||||
| Financial Institution Name: Colonial Bank Date: 4/30/91 | ||||
| FOR METAVANTE USE ONLY | ||||
| Account Code | ||||
| Name Line 1 Keyed by Verified by CSC DOC # | ||||