by date← Aug 22, 2006·Aug 22, 2006 →

EFTA01700895

Dataset 10

August 22, 2006100 pages19,489 words

https://www.justice.gov/epstein/files/DataSet%2010/EFTA01700895.pdf

Extracted Text

EFTA01700895 Colonial BancGroup. August 22, 2006 Via Federal Express West Palm Beach, Florida 33401-6235 Re: Subpoena Issued to Colonial Bank Dear Ms. and Agent Kuyrkendall: I enclose herewith Colonial Bank's Response to the Subpoena Duces Tecum issued to its Research Department in Birmin am, Alabama, on or about August 2, 2006, regarding VISA Account Number , Jeffrey Epstein, a Janusz Banasiak, and Alfredo Rodriguez. Also enclosed is a statement representing fees incurred by Colonial incident to its photocopying of the documents responsive to the subpoena. Thank you for allowing Colonial Bank an extension of time within which to respond to the subpoena. DBBjr/pac Enclosures EFTA01700896 COLONIAL BANK MEMO STATEMENT PO BOX ACCOUNT NUMBER MADISON V.h S37O14111 O51DOS STATEMENT DATE TOTAL ACTIVITY 158'7.44 ce MEMO STATEMENT WILY " 00 NOT REMIT PAYMENT JANUSZ DANASLAR . ENOS NES LLC 457 MADISON AVE FL 4 NEW YORK N 100224643 _CARDHOLDER SUMMARY PuithISS8 Core Tool ANNIS= And Other CMS,' • Advances - Olean r Acdrity Cimmed./ Tam SIBT44 10.00 t0 0C 11$7 41 CARDHOLDER ACTIVITY Post Tran Nth Dila Reference Number TTINIssalor. Doscrlollon STOWE NOTICE Undo MPS Lan] BELOW saxeceisrwIngsea•I'mcwomara 05-24 06-23 US9213141roll0o.S0010032S ASIA GRILL 211-7SSSIBE NY M32 BS 05-2S GS-24 24141C4AW.cO196.5OOO2.92 MED TERRANEO NEW YORK NY MtS20 Orr2S 0646 24O13113146OO1585S32119 CIII FUN NEW YORK NY M39.27 0540 03.25 24116O4614BOO14917716O9 MEINTERRANEO NEWYORK NY M26.20 05-29 05-27 24323O3O144122436O.1OSt9 PATSY'S AT SAM STREET NEW YORK NY Me3.82 TOTAL AMOUNT OP MEMO ITEMISI: AIWIA4 Account NUMMI FOR CUSTOMER SUWICE OR AMOUNT SUMMARY IDST/STOUN CARDS GALL TOLL FREE 146O421-W6 STATEMENT DATE PURCHASE& & INTERNAT/ONAL 1.6064A0.7700 01/16/06 Oita CHARGES 5167.44 CREDIT LIMIT CASH A0VANCES_ Rf1.— SEND DitglIIRES To: 12,000.00 ADV.INE Fa. cc CREDIT CARD PROCESSING CENTER DISPUTE RESOLUTION DISPUTED AMMO' AMERME- .00 poscrAim MADISON WI S57014111 30.00 TOTAL ACTIVITY 15167.44 Pavel al 1 EFTA01700897 AUG-16-2006 15:28 P.04 COLONIAL BANK MEMO STATEMENT PO BOX 1111 ACCOLINTNUMBER MADISON Yin 53701-111i 05-18-08 STATEMENT DATE TOTAL ACTIVITY 542.04 e int MEMO STATEMENT ONLY " DO NOT REMIT PAYMONT Inbind..... JANUSZ BANASIAR MMO NES LUC 457 MADISON AVE FL 4 NEW YORK NY IDOZB-6843 t CARDHOLDER SUMMARY Koenste Cash Total And Otter Debra • ~inca - Giedts Acdirke Catdholder Total SOM $0 00 14.00 $42.04 CARDHOLDER ACTIVITY Post Tran Date pitte Riiirmanos Numbor TransactIon Destriplign Amount NOTICE MEMO 1214 USTED BELOW ran" 05-06 05-04 24299578125208694100823 LEGENDS #11 WEST PALM BEA FL M42.04 TOTAL ~GUNT OF MEMO ITEMS): $42.04 ACCOUNT NUMBER FOR CUSTOMER SERVICE OR ACCOUNT SUMARY WST/OTDLE11 CARDS CALS 7O1.1 FREE 1.800-2214920 STATEMENT DATE PURCHASES & INTERNATIONAL 1.808240-7700 85118/06 OTRER CHARGES $42.04 catorr LIMIT CASH ADVANCES .Q0 SEND INQUIRIES TO; n ir" °n "%WC La A rtt /A birg C ree res EFTA01700898 scovub 1St 29 P . 05 V i N01,••••0 Neor••••• I in • •••• • .anapill Vie CREDIT CARD PROCESSING CENTER DOESIMIIIN DISPUTED AMOUNT COEDITS At_ I M - 11 10.00 TOTAL ACTIVITY 54204 Page 1 of 1 EFTA01700899 AUG-16-2006 15:28 -4- P.06 COLONIAL BANK MEMO STATEMENT PO BOX 1111 ACCOUNT NUMBER MADISON W158701-1111 I STATEMIDIT DATE 04-17-08 I TOTAL ACTIVITY 6472.19 MEMO STATEMENT ONLY DO NOT REIMT PAYMENT JANUSZ BANASIAR NES LLC 457 MADISON AVE FL 4 NEW YORK NY 18DZZ-6843 SARDHQLPER SUMMARY 11.111. Puttheses Cash Total And Other Debits + Ateratme - Crone = Activly 4472,19 60.00 SAN $472.19 CARDHOLDER ACTIVITY Don iron DS Dale Re mane Number TritheaelIon Daseriolien Amount MEMO WILTED BELOW atngte:Cflin' 03-17 03-17 24293516076207795400020 NOTICE GRECS BODYAND PAINT 5618335626 FL M213.00 03-97 03-2e 24275306086766763254564 BUDGET RENT-A-CAR WEST PALM BEA FL M198.07 76935455 04-11 04-10 24755426101641011093145 LEILA WEST PALM BCH FL M81.12 TOTALMIDUNT DESEMO ITEMM6 4472..19 ACCOUNT NUMBER FOR CUSTOMER SERVICE OR ACCOUNT SUMMARY LOST/STOLEN CARDS CALL TOLL FREE 1.800.2214620 STATEMENT DATE PURCHASES & INTERNATIONAL 1-60B-2404700 DUlT/06 OTfiER CHARG€S 5472.16__ CREDIT LIMIT CASH ADVANCES .00 SEND INQUIRIES TO: ill MI% NI ritela AMfalilt-C reCc net EFTA01700900 AIMI- 16-2006 16:28 P . 07 • fltie tNel.. • ti rY •Vy CREDIT CARD PROCESSING CENTER .00 DISPUTE RESOLUTIoN DISPUTED AMOUNT CREDITS Po BOX MADISON WI 53701-1111 $0.00 TOTAL ACTIVITY 562.18 Pape 1 or I EFTA01700901 AUG-16-2006 15:28 P.08 COLONIAL DANK • MEMO STATEMENT PO BOX 1111 ACCOUNT NUMBER MADISON WI 53701-1111 03-16-05 STATEMENT DATE TOTAL ACTIVITY 8243.83 x" MEMO STATEMENT ONLY PP DO NOT REMIT PAYMENT 1111111111111/ aaaaa JANUSZ BANASIAR M00144 NES LLC 457 MADISON AVE FL 4 • NEW YORK NY 10022-6843 CARDHOLDER SUMMARY Purchases CINA Thai And otror 0ebto 4 Advances - Credal r• Amity Deronomerr 5243.88 8000 SO 00 $24123 CARDHOLDER ACTIVITY Post Tan _DOI DM* Reference Number Transaolfon Description Amount NOTICE MEMO ntims.ustro BELOW zuzanceessaw"cwneone• 02-10 09-10 24798488071050874651769 ROGER DEAN CHEVROLET INC WEST PALM BOG FL M243.82 TOTAL AMOUNT OF MEMO 'TEAMS): _5243.83 ACCOUNT NUMBER FOR CUSTOMER SERVICE OR ACCOUNT SUMMARY LOST/STOLEN CARDS CALL YOU. FREE 1-800-221-5920 STATEMENT DATE PURCHASES & INTERNATIONAL 1.608.2s0T700 03/15105 OTHER CHARGES $243.83 CREDIT LIMIT CASH ADVANCES .00 SEND INQUIRIES TO: ractl co 111111 till ATMia •IrC =CC EFTA01700902 nut,- le- 2006 15:28 P.09 „ CREDIT CARD PROCESSING CENTER DISPUTE RESOLUTION Disponi) Amount $REP1V AO PO BOX 1111 MADISON WI 53701-1111 so.00 TOTAL ACTIVITY $243,03 Pegs 1 of 1 c L EFTA01700903 ADO- 16- 2006 15:28 P . 10 - COLONIAL DANK MEMO STATEMENT PO BOX 1111 ACCOUNT NUMBER MADISON WI 53701-'1111 02-16-06 STATEMENT DATE TOTAL ACTIVITY $637.37 MEMO STATEMENT ONLY DO NOT REMIT PAYMENT imaginalttttt loin'in UrinalLehi' JANUSZ BANASIAR oges2a NES 457 LLC MADISON AVE FL 4 NEW VORK NY 10022-6843 IMPORTANT INFORMATION Your total finance thMte Dald 1W 2005 was 0.00. CARDHOLDER SUMMARY ~iiii al m Purr:hawse Cash Total MS offier Debt -1. /Mama - gees a Actiwty ConihoIcteeTtaal ía97.97 5000 5000 $1537.37 CARDHOLDER ACTIVITY Post Tran Date Reference binreker Transaction DescrktiOn Arnowit ,amontok NOTICE LIE1140 ITEMS LISTED BELOW 01-17 01-17 24928886017206144300558 GULF STREAM MOTORS 40765143453 FL M208.63 02-14 02-14. 24445006048377641803610 WO OF PALM BEACH W PALM BEACH FL M354.74 0245 02-14 24184078045974253950466 RACETRAC562 00005029 W PALM BCH FL M14.00 sentratuttocanuournatet TOTS AMOUNT DE MEMO REINS>: 5637.37 ACCOUNT NUMBER FOR CUSTOMER SERVICE OR ACCOUNT SUMMARY LOST/STOLEN CARDS CALL. TOLL FREE 1-600-221-5920 STATEMENT DATE PURCHASES & INTERNATIONAL 1.605240.7700 02/141/06 OTHER CHARGES 5827.37 CREDIT LIMIT CASH ADVANCES .00 SEND INQUIRIES TO: to mn nralnurt CCCe EFTA01700904 Auu-15-2006 15:29 P . 11 i m.deayik...... [........ u.......ems.rowertfl,...-.L.Lohat.. r CREDIT CARD PROCESSING CENTER DISPUTE RESOLUTION DISPUTED AMOUNT CREDITS PO SOX 1111 MADISON WI 53701-1111 30.00 TOTAL ACTMTY 5637.37 I Page 1 of I a F I EFTA01700905 AUG-16-2006 15:28 P.12 COLONIAL BANK MEMO STATEMENT PO LICM 1111 ACCOUNT NUMBER MADISON WI 53701.1111 01.16 STATEMENT DATE TOTAL ACTIVITY 52.849-42 m MEMO STATEMENT ONLY m . DO NOT REMIT PAYMENT ,,,,, .JANUSZ BANASIAR NES LLC 1 457 MADISON AVE FL 4 NEW YORK NY IDOZZ-6843 IMPORTANT INFORMATION Your total finance sham Odd far 2005 was 313» cARDHOLDERSUNIMARY Purchase* Cash Tool And Dthar Debits Adulate Credit; hcavay cmoiromTeral nadu3.42 MOO ;MO F2.84a,4? CARDHOLDER ACTIVITY Post Tran Date oase Raferrance Number TraMALOOan DE:Shattiah Amount tart NOTICE MEMO ITEMS LISTED BELOW mum. 12-19 12-19 24328885353209144100242 GULF STREAM MOTORS 4076888363 FL M311-62 12-22 12-22 24108395356644476.4853 DOLLAR RENT-A-CAR PBIODO WEST PALM BEA FL M898.38 HH1154845 01-02 01-02 2416838600264245453476 DOLLAR RENT-A-CAR P81000 WEST PALM BEA FL M693.71 NMteam 01.03 01-02 24402698003900600300673 BELLA BLU NEW YORK NY M180.15 01-03 01-t3 24892166003000223228*11 HAMMACHER SCHLEMMER 800-233-4600014 M384.14 01-06 01-06 24403686008850600901457 MEDITERRANEO NEW YORK NY Me6.00 01-09 01-07 24926260_08207499700355 FOCACCIA FIORENTINA NY NY M/18.52 01-09 01-08 2 7 45593080~002791650 LABSTHE RESTAURANT NEW YORK NY M231_99 01-16 01-15 24692166018000839988850 SHELLOIL 20030305419 FORT LAUDERDA FL M74,93 -weg TOTALAMOUNT OF LIMO MUM 12.B49.4 ACCOUNT NUMBER FOR CUSTOMER SERVICE OH ACCOUNT SUMMARY LOTT/STOLEN CARDS CALL. TOLL FREE 1.800.2215920 STATEMENT DATE PURCHASES IL INTERNATIONAL 1-808-240-7700 01/18/06 OTHER CHARGES SU/49.42 CREDIT UMIT CASH ADVANCES .00 SEND INQUIRIES TO: nnn en r AC1.4 A TM hirg CCC4 fin EFTA01700906 AUG- 16-2006 15:29 P. 13 vihdpoW.w -a...-. • •-•••••rnylaaotc-___— "dw CREDIT CARD PROCESSING CENTER DISPUTE RESOLUTION DISPUTED AMOUNT CREDITS .00 PO BOX 1111 MADISON WI 58701-1111 MOO TOTAL ACTIVITY 52.84.942 Page 1 el 1 I EFTA01700907 AUG- 16-2006 15:29 P.14 COLONIAL BANK MEMO STATEMENT PO BOX 1111 ACCOUNT NUMBER MADISON WI 53701-1111 12-18-05 STATEMENT DATE TOTAL ACTIVITY $1,682.16 00 MEMO STATEMENT ONLY m< DO NOT REMIT PAYMENT ititticidiniiiiirlyábalitillimiezieli • JANUSZ 8ANASIAR NES LLC 457 MADISON AVE FL 4 NEW YORK NY 10022-6843 CARDHOUgR SUMMARY Purchaser Cash Total AndMar Dab Aorentee - ormits AeWly ConfhoIderTotat I $1.862.16 jQQQ sato $1.862.16 CARDHOLDER ACTIVITY POD Tran Date Date ReAlran04 Number Transaction DaicriPlIon Amount 101130=c0dgentritteflinaNOTICE MEMO ITEMS Limb BELOW 11-17 11.16 24184055321837000006240 EXXONMOBIL87 07894391 WEST PAL FL M85.01 11.21 1141 24268575326206698100689 LEGENDS #11 WEST PALM BEA FL M28.39 11-23 11-22 24254775927452919200500 CITY CELLAR WINE BAR & WEST PALM BCH FL M80.70 11-25 11-24 24470975331900012100168 CAFE I! EUROPE PALM BEACH FL 141213339 11-28 11-27 24106385881642439403073 DOLLAR RENT-A-CAR PBI000 WEST PALM BEA FL M968,15 HH1 03420 12-02 12-01 24610435336010160828802 THE12 HOME DEPOT 6306 PINECREST FL M500.00 12-1.4 12-14 24288575342205899100700 LEGENDS #11 WEST PALM BEA FL M27.92 TOTAL AMOUNT OF MEMO ITEMMI: $1.863,18 AccouNT NUMBER FOR CUSTOMER SERVICE OR ACCOUNT SUMMARY LOST/STOLEN CARDS CALL TOLL FREE 1-800-2214920. STATEMENT DATE PURCHASES & INTERNATIONAL 1-608-240-7700 12/18/05 OTHER CHARGES s1á62.16 CREDIT OMIT CASH ADVAµCEo4 SEND INQUIRIES TO: rnau arno414/-C cccc EFTA01700908 AUG- 16-2006 15:29 P . 16 4,40.WMA••••• I I I ruoEFII.Echi2—'011---- CREDIT CARD PROCESSING CENTER DISPUTE RESOLUTION DISPUTED AMOUNT J CREDITS 00 PO BOX 1111 MADISON WI 53701-1111 50.00 TOTAL ACTIVITY $1.682.16 Page I• of I I EFTA01700909 AUG-16-2006 15:29 P.16 COLONIAL BANK MEMO STATEMENT PO BOX 1111 ACCOUNT NUMBER MADISON WI 53701-1111 11-164)5 STATEMENT DATE TOTAL ACTIVITY si,eactss 'q' MEMO STATEMENT ONLY "3, DO NOT REMIT PAYMENT aaaaa JANUSZ BANASIAR N3Nac NES LIC 457 MADISON AVE FL 4 NEW YORK NY lon2-6843 3 • CARDHOLDER SUMMARY Purchases Gash Total MO Offies Debb 4 Advance - Creels Actny iniiiiM ~Total f1,62856 $0.03 WO S1,628.55 CARDHOLDER ACTIVITY Post Wen Date Dale Befeteince Number Transaction Description /flaunt NOTIce MEMO ITEMS USIED BELOW • 10-15 10-17 24208575291205690100591 LEGENDS #11 WEST PALM BEA FL M22.89 10-21 10-20 24208575254206699100929 LEGENDS 1 WEST PALM BEA PL M21.07 10-24 10.24 24246515297200399100011 ALLSTATE AIR CARGO INC FORKED RIVER NJ M292.13 10-31 10.29 2410938530242431832363 DOLLAR RENT-AcAR Faioo0 WEST PALM BEA FL M577.24 HH7029044 10-81 10-29 2420$675.903205£99100442 LEGENDS 11 WEST PALM BEA FL M1&62 11-01 11-01 24266575305205688100609 LEGENDS 1 WEST PAW BEA PL M35.40 11-03 11-02 240C4765307315035690104 °REECHO E STEAK HOUSE WEST PAW BCH FL 11434 11-03 24184075308426052002573 CHILI'S 44111000001107 WEST PALM BEA FL M22oh Wass. 11-04 11-04. 2.17828.7.53032864.93000414 CHINA FUN NY NY M27.11 11439 11-08 24156135313101912140045 SILVER STAR 212-2494250 NY M18.10 11-0911-08 24403695313900631301259 MEDITERRANEO NEW YORK NY M73.16 11-1411-12 24410002016318240932309 CAFFE MED NEW YORK NY M14A0 11-14.11-13 247170553177331743591361 EAT HERE NOW NEW YORK NY M10/5 11-14 11-12 2423035311122241010857 PATSY'S AT 69TH STREET NEW YORK NY M28.87 11-14 11-12 24071055317907127074405 TATANY 72 NEW YORK NY MS7.60 11-16 11-15 EXXONMOBIL87 07894991 WEST PAL FL MOSL21 JOIXISOSOCO• COMMIS mg, Ammo- OF MEMO ITEMS); 11.9:26.66 ACCOUNT NUMBER FOR CUSTOMER SERVICE OR ACCOUNT SUMMARY ton/swum CARDS CALL. TOLL FREE 1400-221-5920 STATEMENT DATE PURCHASES & INTERNATIONAL 1.608-240-7700 11/16/05 OTHER CHARGES suaess CREDIT LIMIT CASH ADVANCES .00 SEND INQUIRIES. TO: tannneln t - AC•1 Arntantre evrEca M EFTA01700910 AUG-16-2006 15:29 P.17 •asa. 4 ff\•••• • _put • IIII / 1 CREDIT CARD PROCESSING CENTER DISPUTE RESOLUTION DISPUTED AMOUNT CREDITS 02_- PO BOX 1111 MADISON WI 53/01-1111 S0.00 TOTAL ACTIVITY rymius Plige 1 O( I EFTA01700911 AUG- 16-2006 15:29 P . 18 COLONIAL DANK MEMO STATEMENT PO BOX 1111 ACCOUNT NUMBER MADISON WI 53701.1111 10-1T-05 STATEMENT DATE TOTAL ACTIVITY $14.80 " MEMO STATEMENT ONLY "I 1 ---- DO NOT NEWT PAYMENT , kkkk MIMI ! _11.11.11.11_61 0_11_11_1 JANUSZ DANAsIAR NES LLC 457 MADISON AVE FL 4 NEN YORK NY 1002Z-6643 CARDHOLDER SUMMARY Putehamo Cash TOW dillilliMI And OPE Debits • Adtarom - CresIts •• AaMty Cardineter Tow 12.196.02 _IA.00 S2 161 12 £14.80 CARDHOLDER ACTIVITY Pon Trap Date Rite RSteenCe Number Tranuclien Description Ammo " ace mmtn"xen MOM , NOTICE MEMO ITEMS LISTED BELOW 09-20 09-20 24610435253072000003211 ABC CARPET & HOME DELRAY BEACH FL M2,101.12 CO-21 09-21 74610436264072000002712 ABC CARPET & HOME DELRAY BEACH FL 61.12 CR 09-29 08-28 2S2301=15S aiatiat 0O ionalLD0AQ09 W PALM BEACH FL ZZA TOTALAMOUNT OF MEMO IMAM M2i 14.90 14.99 FOR CUSTOMER SERVICE OR LOST/STOLEN CARDS CALL TOLL FREE PURCHASES & OTHER CHARGES CASH ADVAIESD____ SEND INQUIRIES TO: rne..i AM/M.O. 0 CCM EFTA01700912 Am- 16-2006 46:29 P.19 •••••••• •.• CREDIT CARO PROCESSING CENTER DISPUTE RESOLUTION DISPUTED AMOUNT LCREDITS 2.91172- 1 PO BOX 1111 MADISON WI 53701-1111 $0.00 ITOTALACTIVITY S14.80 i Fa00 1 of 1 I I EFTA01700913 p0-16-2006 15:29 P.20 COLONIAL BANK MEMO STATEMENT r r Po BOX 1111 ACCOUNT NUMBER MADISON WI 53701-1111 09-16-05 STATEMENT DATE TOTAL. ACTIVITY $789.46 414 MEMO STATEMENT ONLY >a DO NOT REMIT PAYMENT I._ II I 11_11- I I11 II I I I JANUSZ BANASIAR ter14.1 NES LLC 457 MADISON AVE FL 4 NEW YORK NY 10022- 6843 CARDHOLDER SUMMARY PUichucos Cush Total Ammer Debbi Addenda* Officals Acta* CudholierToral SMSAll S0,00 50.00 $78948 CARDHOLDER ACTIVITY Past Wart Date Dale Relere0Fe Number Transeetion Description Amount NOTICE MEMO ITEMS USTED BEUSW 40s 442044 seem 09-05 09-03 24403049447800524800285 IMPROV CITY PLACE 581.8331812 Ft. Wage 06-12 09-10 24246515253934705900023 GRECS BODY AND PAINT WEST PALM BEA FL Mee 1.60 "4""2" 141 TOTAL AMOUNT OF MEMO ITEMISE 5789.411 t ACCOUNT NUMBER FOR CUSTOMER SERVICE DR ACCOUNT SUMMARY LOST/STOLEN CARDS CALL TOLL FREE 1400-221-5920 STATEMENT DATE PURCHASES & INTERNATIONAL 1408.240-7700 09/16/05 OTHER CHARGES $789.48 CREDIT LIMIT CASH ADVANCES .00 SEND INQUIRIES TO: r-ncw Anyntara ctcq nn EFTA01700914 nvumlb-huub 15:29 P . 21 " a w • CREDIT CARD PROCESSING CENTER DISPUTE RESOLUTION DISPUTED AMOUNT I CREDITS PO BOX 1111 MADISON WI 53701-1111 SUDO TOTAL Acorn,* Page 1 of 1 EFTA01700915 AUG-16-2006 15:29 - -1-- P . 22 COLONIAL BANK MEMO STATEMENT PO 60%1111 ACCOUNT NUMBER IMOMI MADISON WI 53701-1111 STATEMENT DATE 03-16-03 TOTAL ACTIVITY 172,207.97 a STATEMENT ONLY a DO N MEMOoT REMIT PAYMENT ..... JANUSZ BANASIAR MOO= NES LLC 457 MADISON AVE FL 4 NEW YORK NV I0OZZ—6843 CARDHOLDER SUMMARY • Fueling.» Cash 1 Tom! 1i~ And Oder Debits .+ Advances - Creas = Aabiq CarctekkecTotel 32,29727 9000 50.00 82287.97 CARDHOLDER ACTIVITY Rost T) Dale Data Reference Number 'transaction Description AMMO liaaMlied~SPIOVIat NOTICE MEMO rags LISTED /m o w vleamecceeec~mormanzamc 07-21 07-21 243281185202043144200497GULF STREAM MOTORS WEST PALM BCH FL M622.92 Mel 08-04 08-0e came 08-08 24782825217288489800813 CHINA FUN 24246515219207309700088 NY NY INDIAN TANDOOR-OVEN RSTR NEW YORK NY ne 08-07 0808-088 06-08 24403885220900522000434 MEDITERRANE0 24810445221010151784855 THE DEPOTNEW HOME 0390YORK NY WEST PALM BCH FL M55.70• M1 ,563.78 TOTAL AMOUNT OF MEMO fTEMISS 92297.27 FOR cusTomER SERVICE OR ACCOUNT MUNIDER ACCOUNT SUMMARY LOST/STOLEN CARDS CALL TOLL FREE 1-600-221-5920 STATEMENT DATE PURCHASES to. INTERNATIONAL 1-608-240-7700 ovieros OTHER CHARGES 52.297.97 SEND INQUIRIES TO: CREDIT LIMIT CASH ADVANCES .00 ton/am PAC" AM/MI.1K CgCC nn EFTA01700916 marie-2006 15:29 P.23 li+1•••••r I "LI ••• ; CREDITCARDPROCESSINGCENTER DMPUTERESOUMON DISPUTED AMOUNT CREDITS POBOX1111 MADISONW153701-1111 S0M0 TOTAL ACTIVITY $2.a97.97 Page 1 of 1 EFTA01700917 AUG- 16- 2006 15:30 P . 24 COLONIAL BANK MEMO STATEMENT PO BOX 1111 ACCOUNT NUMBER MADISON WI 637014111 STATEMENT DATE 07.18-05 TOTAL ACTNITY 6249.99 04 MEMO STATEMENT ONLY 101 DO NOT REMIT PAYMENT JANUSZ BANASIAR N100. NES LLC 457 MADISON AVE FL 4 NEW YORK NV 10022-6843 CARDHOLDER SUMMARY Total And Other gbh * Arrantes - MOM = Actriy cartokunTotal 624949 $0.00 $0.00 524999 CARDHOLDER ACTIVITY Doti Wan Dale Date Referona Number Transaction omtriDUon Arnow& NOTICE MEMO ITEMS LISTED BELOW inicaannswarml"" a"""t 09-27 t6-26 2017055178551750123371 044499 CINCINNATI OH M249.99 DEPARTURE DATE 09-27-09 Ell TOTAL AMOUNT OF NEMO ITEMISt MOSS ACCOUNT NUMBER FOR CUSTOMER SERVICE OR ACCOUNT SQVIMARY LOST/STOLEN CARDS CALL TOLL FREE 1.600.2215920 STATEMENT. DATE PURCHASES & INTERNATIONAL 1-4508-240-7700 CinientS OTHER CHARGES $249.99 CREDIT LIMIT CASH ADVANCES .00 SAID INQUIRIES TO: tliannnn rein., a nyourr curt% rin EFTA01700918 AUG-16-2006 15:30 P.25 OW...4 6W •••••••• • • e•Ltio•-a •••••4 CREDIT CARD PROCESSING CENTER DISPUTE RESOLUTION DISPUTED AMOUNT CREDITS .00 PO BOX 1111 MADISON WI 53701-1111 so.da TOTAL ACTIVITY S249.39 Page 1 of 1 EFTA01700919 AUG-16-2006 15:30 P.26 COLONIAL BANK MEMO STATEMENT PO BOX 1111 ACCOUNT NUMBER MADISON WI 53701-1111 STATEMENT DATE 06-18-05 TOTAL ACTMTY 51.712.513 a MEMO STATEMENT ONLY ,0 DO NOT REMIT PAYMENT IUIIIIIIIIIIIIeItlllllllllllidltII1I11IUIle1IJ1h11I11I1Il JANUSZ BANASIAR Wilma NES LLC 457 MADISON AVE FL 4 NEW YORK NY 10022-6843 , _CARDHOLDEMIMMARY •" Purchase° Cash Taal iiinfilM And Other Debits -- Ackances - Crad3a 4 Aovvrty Cardholder Tom) 51.71259 90.00 4080 $t712_59 CARDHOLDER ACTIVITY Peat Tan DAM DMA Rekoncie ~her Trail:40_2n DescriRgen Billog NOTICE MEMO STED BELOW Juaccompuoccan'aw."1.asna 0°49 MI-06 24210735159318000010098PALM BEACH (CYCLESWEST PALM BEA FL M619.31 01313 0831 24390005189142026883187 WALGREEN 00045930 WEST PALM BEA Fl. M101.59 03-15 06.11 24390005163142028840810 WALGREEN 00045930 WEST PALM BEA FL Me101.92 06-13 06-11 243woosissidanesoa061 WALGREEN 00046930 WEST PALM BEA PL M622.77 "am""12mc's".."00••••asi TWO_ AMOUNT OF MEMO ITEMS): SI 712.50 ACCOUNT NUMBER FOR CUSTOMER SERVICE OR LOGT/STOLEN CARDS CALL ACCO_Vm- SUMMARY TOLL FREE 1-800-2214920 STATEMENT DATE PURCHASES Ec INTERNATIONAL 1.608-240-7700 06/16/05 OTHER CHARGES _51.71259 CREDIT UNIT cASAA0VANCES ,00 SEND INQUIRIES TO: nnn N1 ~la anvaNrc- =cos nn EFTA01700920 nyu-lo-tuu5 15:30 P.27 ...et,. • •••••••••• l•-•••••e•- . CREDIT CARD PROCESSING CENTER DISPUTE RESOUJTIOti DISPUTED AMOUNT CREQIES_ pp Box tun MADISON WI 53101-1111 $0.00 TOTAL ACTIVITY 51,71259 1 Page 1 of EFTA01700921 AUG-16-2006 15:30 P.28 COLONIAL BANK MEMO STATEMENT PO BOX 1111 ACCOUNT NUMBER MADISON WI 53701-1111 STATEMENT DATE 05-16.0.5 TOTAL ACTNITY SI ,576.51 "" MEMO STATEMENT ONLY iOt DO NOT REMIT PAYMENT I...111611 JANUSZ BANASIAR Marla NES LLC 457 MADISON AVE FL 4 NEW YORK NY 10022-6843 CARDHOLDER aLIMMANY Purchases Cash Tow AM Oihat Doblts + At:trances - Cracks Pethrhy caulholgerTetal 51.67631 501/0 TODD 51,67631 CATIONoLPER ACTIVITY cast Tran Dais Date Ratanco Atwater TrarisactIon Description Amount NOTICE MEMO ITEMS USTED BELOW """einxitc"noatuanon 05-05 05-08 248104.16129004066606402 POLO 027 PALM BEACH FL M1,676_51 1"'""tcaneemaIta TOTAL AMOUNT OF MEMO ralgust n=L31 ACCOUNT NUMBER FOR CUSTOMER SERVICE OR ACCOUNT SUMMARY LOST/STOLEN CARDS CALL TOLL FREE 1-800-221.5520 STATEMENT DATE PURCHASES & INTERNATIONAL 1430B-240-770D 05/16/05 OTHER CHARGES 51.676.31 CREDIT LIMIT CASH ADVANCES .00 SEND INQUIRIES TO: ta MA IN •-ticu atirwararc =cc= Art EFTA01700922 Am- lb -2005 15:30 - • P.29 eyeve..... • CREDIT CARD PROCESSING CENTER DISPUTE RESO 1111 LUTION DISPUTED AMOUNT CREDITS PO BOX MADISON WI 53101-1111 80.00 TOTAL ACTIVITY 51,676.31 Page 1 of 1 EFTA01700923 UG-16-2006 16:30 P.30 Page 1 of 1 I I ==.110.44it lomeWI.SMCric rztrt.."72Zujaw= • IMC bean •PasaW -e `m iweio Allead101410 I - Ir° in an aml nrasuammsdad t 31.41:771,“. • ltps://checkimage.roibaak.conilinguir'y/serviet/inquiry 8/14O.006 EFTA01700924 ,Wettem 1%1cm Spealpay Version: v3.3.1 Page 1 of 14. •••••• PI ••• •••••y•l• • . - • • •• This preimerd was procatted on 6/21.2000 2:45:06 Phi This payrnenletes spored on 6/21(2006 315/8 PM P. Payment typo ACH Payment Info e Mulct TOW Anne $19,609.27 Assault C Payment Aim 1 19808.271 Payment Date.16~00t1 47) 9a6,á F. Cush:0er Information rypofPersonal Aocourd To Dena • • ust. Name ItES 4> I wane) Number Connonalbre 011475700 PAR Adelbea1467 MADISON AVE FL 4 Chocking Si si Bank Marne., Phone COLONIAL BANK. NA [(4,w) 44S-2205 Address lee W LAKE MARY BLVD VP, CItr, Skis 10022 NEW YORK city. Slate, DO ItAKE MARY IFI. 132740 Ptiorrell Anemias Phone I Doha Name Posting Details Payee Joint tame I : 1 of 7 entered. $19,606.27 total. 2Ip, City. State boon 'NEW YORK QNY tioar Info Bank *ASK CARD SERVICES Colaoor lEts IBZFCMCO 1 curr. Cat Steles CI Collet/ Group CSSUP E.-Maa Adeline St Cattectoc ID $1 Payment Entered On ~2008 3:2010 PM Payment Entered By Piel Site EXTRANET MEN Caller tD 11 I $ 3 S Rad Code ttps://nj61.speedpay.conilspentry.asp?Action=Edit.Form&FormName=Payatents&PAYMBNT 1D=1875200. 8/16/200E EFTA01700925 AUG-16-2006 15;30 P.32 Page 1 of 1 fi COLIMA...J 11:1. tow anolla Wre. oftwair.mwes km ..1• .!1 OMNI IN 'Cy OM, rhantlfcr ji/Irte it a =WI •• a. Ur *MVO al ms.a.sa—gssm...ssau.i..ssav gMa h r://0:1{1,1 MA1-MR Err LK alatt.-r-ast— ttiP-477tak.., uT 1.—am.a.usurnise, U." https://eheckimage.mibank.conalinqsarylgewleilinqatry 8/1412006 EFTA01700926 Western Union Speedpay Verston: v3.3.1 Page 1 of 1 ~ • -• This poon'«ina getemd on 5/5/2006 246-04 PM Ibis pa yment was erportad on å612000 0:22:07 PM Auoe PhYrea0 TYP. ACH Paymenl Info Total Amount $10,888.10 fst.:21 PaymeM And 10685.10 peymeet 0145/5/20(16 J 1 customer Informatice Typ« Persen Account To DebIt Gust. Niche IrEs i i Iu Routing %mint 1021000021 I E tel Confirtnahon 01100370 Cletll ~ast 1451 HADISeft AVE FL 4 I CheelsInti i Bank Nam, Ptione PMORGA eMASE BANK. NA lit212) 270 6 I Zip, Cly, 504,11002Z tiNEWY0 RK TINY ~n 1111POLARIS PARKW4Y Phorree AAWmele Phene nv, State, Zip jc.otten BUS, . ILII .... 24(2 j Debit Name IJEFFERY EPSTED1 i Posting Details . Payers , - Jein( Home Zip, Cly, Slete 110022 gNEW YØ IINY I : 1 of7 entenerl, $10,885.10 total. Ussr Info Bank rM RD SERVICES --- I $ Collier ID LIFFNFREDER : Cum Colt. Sialus S Z $ Colterrier Greep CSSUP Payrned Enbriad On 5/312005 11:01:50 AM E-Ms5Addrass S eallecrer ID 5L Psyrnent Entend at PM» S EXTRANET aM rgil CallerlD Si i $ S I Reu* Corte / 5 / ro C.) ev ups://nj61.speedpay.com/spentry.asp7Acdon=EditForrn&FormName-,Payments&PAYMENT ID=1803795 8/16/2006 EFTA01700927 AUG-16-2006 15:30 - P.34 Pagb 1 of 1 , rant=3.•••Th =Ant Meta moat Visa OUR ~Vs Gum r16..i1.8.0.11••••••....Uni.. iItokr lingrae .4.14 .?::: rem, %art./WM Pti•altilif2 avelsri+4 •."•• WammirmemmismallasAG. *MEI •••-•.‘ —••• att•-•=1:44. ' s f. • 1 7 £ • htrps://checkimage.mibank.com/inquiry/servlet/imuiry 8/15/2006 EFTA01700928 ' AUG:161-3006 15:31 P . 35 Page 1 of 1 0.4PlinIA moan/ nwY kl Inn* •••••• ma IM Orr M 0IIIIII M Ogi MdfaST Mr Mamma Nam luipa WIC IPII.P4 MINN* 2 .2 awe area MaPpl.OMAR, vow ttlati". 1 0220 3 •Is Int • i S 0I: t. . ••••••1)••••••.1.••• • I 11 Ike , ,o 0/ littpsd/obeeleinvagemibazdr-comfinquiry/sowletruaquiry 8/15/2006 EFTA01700929 Western Union Specdpay Version: v3.3.1 Page 1 of 1 Dela Unchanged a: 714s payment was processed on 12t12/2005 2:45:08 PIA This payment was e-Yporlad on 12/12/2005 3:18:03 PM Aceourigilli m Payment Type ACH Payment Info Total Amount 53000130 Account Payment Amt 1 a0000.006 PriMelli D 12/12)2011 1 Sa/M1 Customer Information yype1Parzertal Account To DWI itrougng timber Contermalon 61' .6_1377 Cul. Hama INES I I C thectrY 1181 Debit Mesta 1457 MADISON AVE FL 4 IMO Name, PhoneIcoLONIAL RANIt, NA 1(407) 444-2165 Zip, City, INY Address pus wuvi wow BLVD City, Me, 2tp ham MARY JIB 132748 FTonee Posting Details Payee INE71 Debi Marne Mn Nome Zip, Qty, Stale 10022 MEW YORK : 1ol 7intend. $30.000.00 User Into But SANK cm° SERVICES $ Collector ID Car. Cog Steers Sffn $ Collector Group Payment Entered Cm 12/12/2006 11:47:09 AM &Mall Addrees SI Collector D sf Payrnen1Enticed B7 EXTFtANET CARY ID S MEW It NW Me • S S Resell Code ,b< 110-16-2006 ttprfinj61.speedpay.conilspentry,asp?Action=EditFoml&FortnNrne—Payments&PAYMENT Ine1564377 EFTA01700930 AUGa16-2006 15:31 -r-- 08/15/2086 13; 45 4143573825 M I L0CKROX PAGE P.37 63/03 Page 1 of 1 I i= 11 C0 p fan PAWS; DUEDATE 12.11145 423PINIZISTATI.4111 DUE Militia loam reiamnif raw* alga C0 4 saw rit INTIAL cage PR0CESSING CENTER PO OX 305_ a MOM Eaci.vato ---. GILM0RE& VI 532AI- S0SR $ _ - • WES LEG me —nun T eC TO VANI:Cno nivinous itgrat Im0p_ VEIL 4 NEW YORK JP/A 1MM-684S 4POrvprovempoes • - - V Nyco Inerneuthatzed automatemyna PSYratatte received et other *en Ito the hairnet =mat that you have remit to internam on the face of this 4. authorized new balance or miniature stenintent may he eubtotil to In Parma) etil debited tin Widnes) drys metal tip to 6 dap after Urn dab meArtepeynarnttaimeate. of eas WOO999 CM lfl mS eeesavio MVO rwmencervaviltlIZIOITOCCowiltsc. PI Posting Date 2005 Dec 07 Box No. 200 Batch 2000005 Seq No. 293 Amovat 511,743.66 Account No- httped/claeckimage.mibank.couginquity/pegehtemprintjsp7BEANNAME=AmbiveltenaLls... 8/15/2006 EFTA01700931 AUG-16-2006 15:31 P.39 69/15/2006 13:45 4143573025 N I LOCKBOX PAGE 02/03 Pap 1 of I 7970 141:90i. epatit . Lae ita ninadlimolpf.Sabi SI PigaIs VI et ILIEWZMI t i: it ye BeistilScr•tos i $ 0114741/4 I *".""8"."4".."...... .....nnatu 1 thnliecandiareltadnithexennorti66Aarss.."..." a It CsdkOrsatcatelniCadit ItIllstakc S30/4A.71 C f A. Si t •• Sr Posting Date 2005 Dcc 07 Box No. 200 Batch 2000005 Seq No. 294 Amount $11,743.66 Account No. httpslichetkimage.mibankeomilnquirylpegohtemprintjsp7BE4NNAME.-AschiveltemLis... 8/15/2006 EFTA01700932 RUG-16-2006 15:31 P . 39 foannoo8 oB:33 FAX GOB 223 2830 M a I DIRECT rib 002 ; Paso 1of1 rjj COWN1AL RANK I ant Illnilifil PltOMIT bUEwn tested nro4Weroet-sivi reei 1Y01/XT WILCO =REIT MAXIM Wad COLONIAL _RAW CA:1 rmaressmoa COME tOtriesifi IlitAUUSEN NE 53201-scist mEs woo mummilimmemftxmnual to laalleala ataow cOlintRATE &Mr a O AVE Fc YORK NY leeZZ- LIM Plow intre.eeitemilemoomdek [ dyne hare suibeased redrendapronembh Payments received at ogler then the the payment amount that you hints iambi to &Orem en the lace of gill autbotind (new bWanva of munimmun statement btie etrojetaSray In mommit) will be debited two Mime •Vla away owe 5 deo eer the dela Sew payment due date. rincarpL vascreaws allIEROEMNEMILO PinAll OCTKEVINIMOIIIEMBIOTIMIXIDIVILCIPIL Noting Due 2005 Nov 02 Box No. 200 Beta 2000036 Seg 211 Amount $8,360.93 Account No. EFTA01700933 AUG-16-2006. 15:31 1 P.40 08/18/2008 08:83 FAX 808 223 2830 H & I DIRECT woo Page 1 of 1 • 71304 AP94,4 0060 last IICOPWKS2•••••S*04 asOnAitti 109269/0/1 yep sorwellarloa I S "MOM V elrfistiodatekeshotha n dgmernabin••••••••••••••••••••••••••••••..............•••••••••nm g Cdunidlini OoftCedPounaras ram NM WS II2101•1032 ! alio • "41 .• • 111.• 5, A; , , • • Posting Date 2005 Nov 02 Box No. 200 Datoh 2000036 S'xl No. 212 Amount 58,360.93 Ar.couttt No. EFTA01700934 AUG-16-2006 15:31 P.41 09/19/2008 09:33 FAX 909 223 2934 H 8 I DIRECT i 004 Page 1 of 1 ØMIALBR/dit Ramoeitoursiit =I till ye: Unit itt twig« Odit onn ASCU« DUE =Am« MaidiE Rkg7ritii ilifiRtICESSINO CENTER rilL/21(11 WI 55231-3452 Aron iitibisci li nu Mc( ',MAW ActogNk WhAritu nub= :1Z logz=-40.1 If ya:haws aitiorticO aumrmAepfpmafee Payments received al other than tho the payment imnolmt Mot you have melt to *Moles on Om hum of lNe a:4 mi (now balanse or minimum zdstomant ow be «Oct te ti Way In la to ~tad menat days criind up to 5 Grp Wtor We dote afteeiutillyirlduie of na:.mDr limns~flux ~tip .nail ear:0i~ ciiiiii~act Donn • Posting Dam 2005 Oct 07 Box No. 200 Bata 2000033 Seq No. 249 Amount 317,175.54 Accottnat. EFTA01700935 6. EFTA01700936 tel C i 1 auosspvie ac n go van. sus I 04 eliN di:lt• WS WIC 11•/In. .I.W.14.1stlar JO I • M 1 I DIRECT c 808 223 2830 Posting Date 2005 Oct 07 08/10/2008 08:34 FAX , . ;, .7. a. • 7.: r. I• 2.i rt 1 AUG-16-2006 15:31 - r--- 00/16/2008 08:30 FAX 806 223 2820 M 6 I DIRECT a008 P.43 k • Page I of 1 COLONIAL BANK stem du em SIMS FAME= DIM can MOOS 30110111257001-1111 CA aataueroug NOM • GOMM( IllakaND1 ilileeXte cpLOOIAL DANK_ KNA CENTS f: E;Iii " *WSW InIOISIO MILWAUKEE MX 88261-8032 8 NES Lt saw PLIMI MARIOdra yklayll COXYDRA TO asaacana CGMae TEDrigrk I. 057 bilm C s NEWYORK AY lam28-4043 Primp ts0 w+aaortlIrs•emeal% ay= haYsalahOdZathadanSIIID parards, POMONA Wand of 01116T than the the payment amount that you have net to address on the Taos of This adthorlad (raw bellies or minimum taattunr may he eubled to s delay In pewee* wdl ha dataie we buineas days credlling d op to 8 days are? dla dna atilt Matta Ode OS. OP vatalpt ma mate Os NE REsereCre asaiatourdsa SIIIK OrrnierooTTOCZnevagst Posting Date 2005 Aug 31 Box No. 200 Basch 2000010 Scq No. 253 Amount S15,893.99 AccountNo. EFTA01700937 AUG-16-2006 15:31 P.44 01/16/2006 oi!!34 FOC 849 223 2030 N & I DIRECT (R) 007 Pap 1 of 1 4 4 bQ 4D. • : 2 • . .• Posting Date 2005 ALT 31 Box No. 200 Batch 2000010 Sag No. 254 Amount 515,693.99 Account No. EFTA01700938 stvu— lb — ZUlli, 15:31 P . 45 58/15/2005 08:24 FAX ROO 223 2830 tl lt I DIRECT Page 1 of 1 COLONIAL BANK weetertetritede PAVIale7Me an ~2a 5101,4111 allitell7 MJX440 mitt,tm.....vonakeiduinummurnadt ~Off RUMOR 120.514.7; cs PO ROX 'Lc 2 acasslim CENTER • •••.•'ad/. bILWOU 5O243-8152 esour amain MRS t ma Purim =MI ban PAIMILE CORPgliRE account TilliAllliCtilD1111111«11 457 i 5ON JAW. P LEM YORK mr aat.aa.seas pgamne~ =mime linewillaioN 41. .•.••• If you boo ante/Azad ~pay!~ Payments read at other then the the payment »mum! Diet you have Mina m aidtast on the tete of Wile ember- 1ml inn balance el minimum ~mull may he ~feet le a delft tit pnynntO *0 be dabble two Winnow dun ~Mel tio bc 5 /Was mar lb& data arum~era earl& et natl. TM~ASS CalM Peat A«mina~A finswitsr0/114.LINITTAKIWIFLOPP. Posting Dato 2005 Aug 03 Box No. 200 Basch 2000025 Seq No, 341 Amount 320,12439 AtemmtNo. EFTA01700939 AUG-16-2006 15:32 P.47 09:34 TAM Bog 223 2830 N & I DIRECT (11014 Pass 1 of 1 411•••• • COLONIAL BANK =our moan PO I Arnow Con OW 07-3143 oatONt« lifitinS ~WI« OM Mai:O I egiveallaUliva akr ilI L IAIRO CENTER Po IA/ 301 511 CES"" near wises INTIAlouNEE Mt 53201-305e SW Mat isaa Vita pansy COaICRI CiTE ACCOUNT To loS• «wag MADISON AVE Fs 4 NEW YORK WI' 1.0942- 589S itS."11.1~ ••••••••••11~~ [ ll ytu isms auentaid wank% pagnivila, Puma» ~erred III orlon' than MI the pay111ent amtutg that you nee Walt re seerela on ire fad of this acrinorlad (new Dales. or minimum Ørn« may be subject m ■ dMay in parnirc WO En doblar tiiia hyenas clays Ora= tor Up to 5 dap &Mr Ila age rt«ITIQ Paymereldeo delis MIONISIItbr 'MI~Mt PMOellan SWUM bITI4E•liCOICIfillellSe0Stat PostingDato 20051n112 Box No. 200 Batch 2000008 Selo. 163 Amount 511,25946 Account»). EFTA01700940 A10-16-2006 16:32 P.48 o2/18/2002 o0:3,1 FMC SOB 222 2830 M & I DIRECT Page 1 oil 1 •• 1; 6 E $ • Posting Date 2005 Jul 12 Box No. 200 Batch 200000& Sec No. 164 Amount $11,259.46 Account No. EFTA01700941 AUG-16-2006 15:32 .! P.49 Page 1 of 1 771 COLONIAL BANK ACCDUKY NUMBER MEM PO BOX 1111 PAYMENT VIM DATE otfooS MADISON '1151701-1111 2712.00 AMOUNTPUE LlinAh.LUI =SWEAT VALANCE $14.370.V2 COLONIAL DANK CREDIT CARD pRoCESSINO CENTER PO BOK 3052 AIMIONTOMMMO MILWAUKEE WI 51201-5052 •. •••••••••• $ NES LLC au Rail Mal! CrECIC IMIA011 CORPORATE ACCOUNT TO WOOLCANO VIJOOLTS 457 MADISON AVE Fl 4 NEW YORK NV 10022-6143 If you Note MIMOSA teltOtneio BANTAM Payments received et other than th■ Ma payment amount that you have remit to address on the face of Mk authorized (new balance or minimum idetement may be eubieol to a delay In payment) veil be debited two burets dew crettehtA of up to 5 days attar to data alter the payment clue date. d tempt the Kai= OW TM IMBUESCE SW" APPIIM 1/411511\SMOOWOFT414BEITYCIIMint Posting Date 2005 Jun 13 Box No. 200 Batch 2000046 Seci No. 225 Amount $14,370.92 Account No. t hups://checkimage.rnibank.com/Mquity/pageinemprint.jsp7BEANNAME=ArchivalternLis... 8/16/2006 EFTA01700942 AUG-16-2006 15:32 P.50 Page 1 of 1 Esna. 7513 into tOrte ••••••••11. Ik= al•tatICI 1 Slaisa IX V1 caw ge MialltdSovias I $ m14.37031 FiglamallisdaniThalciaasktakneyatinAW Viument../.....••••••••••••••• ••••••••••••Sik e a le 7 •1 Caboliask Cratikomillnain Con MIRA 3032 IfloOks. WI 02014001 am• F5> 4.1 . a F •: iM h. Is Posting Date 2005 km 13 Box No. 200 Batch 2000046 Seq No. 226 Amount $14,370.92 Account No. brips://clacckimage.niibank.cordinquiry/page/itentprint.jap/BBANNAME=ArchiveItemtis... 8/16/2006 EFTA01700943 AUG-16-2006 15:32 P.51 Page 1 of 1 COLONIAL SANK Atteouwr muting PO ERA .ITIT Rata DUE DATE ofriD•05 kilkoiDON 53101-1111 snare AmIDIJNY DUE bhholl.AJH IhJhUmishhohhhholIJJI CAIMISIT IRAUINCt 1116,$73.21 COLONIAL BANK CREDIT CARG PROCESSING CENTER PO pox 3052 AMODOTOMmATED MILWAUKEE VI 53201-3052 $ mat LIAM SAOMgt PAYAIALL CORPORATE ACCOUNT TO DAMr.can BERME; 457 MADISON AVE FL 4 NEW YORK NY 10022-604s ti yoll have ILISMOITDDO alitorrea paymetat Payments received at other man the the payment amount that you have remit to addreas on the face 0 this authorised (new balance or minimum statement may be subject to a delay Si paynwitt) wU its debited two blainele days cream of up to 3 days atter the Cal. ear the payment due data. of reeeipt. MI6 .Dow.. lit PEVESISE ®DE SOLO AWOM vitnewiltoovicamiesernaksonsava •• • Posting Date 2005 May 06 Box No. 200 Batch 200002$ Seq No. 79 Amount $15,573.36 Accotmt No. https;//cbeckimage.mibank.com/inquiry/pagetjtemprint.Jsp?BEANNAME=ArchiveItcatLis... 8/16/2006 EFTA01700944 EFTA01700945 TOTAL P.52 to 4-4 a) ck 0141COUL /MAC O X "Re is 8 14414444.24111,14 4•414.1.1044,8• I Colonial Bank 2000 Palm Beach lakes Blvd West Palm Beach, R 33409 Tel: 561-616-4065 Fax: 561-616-4092 To: Metavante Fac From: olonial Bank Date: 1/12/2005 Re: Limit Increase 2 cc: ❑ Utgent CI ForReview ' ❑ Bente Comment ❑ PeaseReply ❑ Please Recycle ATTENTION: Please contact me if you have any questions. Thank you. Merchant Services Colonial Bank • EFTA01700946 Tracki Number:. M&I Data Services COMMERCIA COMO PRODUCTS 1 cc, EFD Card Services COMPANY Skrrill i FOR ETD USE ONLY ' Account Code Name Line 1 Date Keyed by verified by PSC DOC 0 • Please indicate Commercial Card Product Type: O Ntra O MasterCard a --1.nsioess Corporate O Purchasing SECTION I - COMPANY PROFILE Company Name: Company Number: ATTN: Company Address: 9 6 l-ast 21 51— y City get° yogic State: A) ZIP Code: 1O0 a I O Bulk Ship (1:1 Reissue Daily Ship and/or O Daily Bulk Ship) Telephone: (i2ja..) -7,50 - & Organized as: 0 Corporation 0 Partnership ❑ Sole Proprietorship ErOther: Company Name to Emboss on Cards: A/es 1,6, Maximum of 24 Characters SECTION - ACCOUNT SET-UP INFORMATION Corporate Credit Limit: Aa --; Doe). ......- Pementage of Limit allowed for Cash Advance: O Annual Report ?reduction: Iff Calendar Year O Fiscal Year (Month Pi cal Year Ends) Statement Cycle Date (Business Card/ Corporate Card): 0 6 0 10 rrai 16 0 20 O 25 O 245 n ..-. 27 Suuement Cycle Date (Purchasing Cud Only): O 4 O 6 O 10 O 16 0 20 0 22 O 24 O 26 O 27 If Custom File Bank Indicate Cycle: Statement Options at O _JetsiTheal Billing 8 -- Corgaorat ililline "led Corporate Statement O Summarized Cotporate'Suncencut O No Individual Memo Statement *Changing this option requires a new set-up, Including new ends, which are issued at the expense of the bank. Membership Feet An annual membership fee of S will be assessed for the first to cord(s) issued, S per card it to cards are issued, S per card if to cards are issued, and S per card if cards are Issued. Month to Bill Annual Membership fee: 0 'Default to Currant Month O Other Waive Membership Fee: aniermanently O First Year O Six Months Exaltation; Month for Card Expiration: 0 Default to Current Month O Other Minimum Card Age: Year for Card Expiration: (if other than default) Miscellaneous Processing Instructions: $ECTION 111- CONTROL ACCOUNTS (opEonal) Control Accounts cavort select purchase categories to separate accounts that will receive their oval billing statement. Five system-defined and five client- defined accounts are avaiable. If the maximum number and dollars are not specified, the default value is 99,990 System-Dillna ' Category NCI MCC Range Credit Line Max IS Daily Auths Mn S Spent Daily Account N (Card Services Use) 0 Annual Fees N/A ID Airline NIA O Car Rental O Lodging N/A O Restaurant N/A Client-Defined Category Name MCC Range Credit Line . Max 0 Daily Auths Max S Spent Daily Account N (Card Services Use) Financial Institution Name: Agent N: Bank N: /.._57.57 Branch N: Authorized Signer: Date: 233-102 MIDSbc (05,00) S/2 'd H3 S33IAa3S add3ANIde Wd8P:2T 60, IT Sib EFTA01700947 :ode: Date: Ke edb A/P Trackin Number: A&I Data Services curl) intooticIS -s EFD Card Services COMPAN I2lt. I ONG ANDIHIER:Altt 1ompany Name: kec Company Number: ;ECTIONI- COMPANY REPORTING 1pecify the desired reporting options: 3 No reports requested (send monthly statements only). Standard reporting at company level. Frequency and detail level as indicated. rant® Report Manifest (cycle, summary) TAR 410 Account Spending analysis (month end, detail, standard reporting categories) TBR 200 Unit Cycle Statisda (month end, detail) TBR 700 Annual Accotuit analysis (annual, detail) MR 210 Accotiat Listing (cycle, detail) TBR7t0 Annual Spending Analysis (annual. detail. standard pricing categritia) Account Cycle (cycle, deoil) tandard Annual reporting at company level. Frequency and detail level as indicated. TBR /00 Maul Account timbals (annul, detail) TBR710 Annual Spending Analysis (annual, detail. standard pricing categories) Specialized reporting (please complete Section It ••• Company Reporting and the Report Optionsform) SECTION II - COMPANY REPORTING HIERARCHY (OPTIONAL) ;even levels of reporting am available. Each level can house up to 99.999 units. All identification numbers are 5 digits and right Justified. ?lease provide an organizational chart if necessary. Any unit not reporting to another unit will report to the company level. 2ompany Name: Company ID tt (Depth Reporting Level 0) Division Name: Unit ID it (Depth Reporting Level 1) Department Name: Unit ID It: (Depth Reponing Level 2) Department Name: Unit ID N: Department Name: Unit ID tr: Department Name: Unit ID N: Additional Reporting Unit (Depth Reporting Level 3): Unit Name: Unit ID #: (To define additional Depth Levels 4 - &please attach additional organizational chart) Division Name: Unit ID er: (Depth Repotting Level 1) Department Name: Unit ID th (Depth Reporting Level 2) ' Department Name: Unit ID a: Department Name: Unit ID N: Department Name: Unit ID N: Additional Reporting Unit (Depth Repardng Level 3): Unit Name: Unit ID N: . • • g -{l.. (To define additional Depth Levels 4 — 6, phase attach additional organizational chart) Division Name: Unit ID N: (Depth Reporting Level 1) Department Name: Unit ID ri: (Depth Reporting Level 2) Department Name: Unit ID #: Department Name: Unit ID a: Department Name: Unit ID N: Additional Reporting Unit (Depth Reporting Level 3): Unit Name: Unit ID th (To define additleanl Depth Levels 4 —6, please attach addiaotial otganizadonal atilt) Financial Institution Name: Agent it: 1111111: Bank It: /5 5 - 1 Authorized Signature: F -3/•v/ 233-106 MIDSbc (04100) S/E 'd HD SB0IALOS CW0MMUS Wecla7:2T 00, II sae 222£ 608 809 EFTA01700948 ?lease indicate Commercial Card Product type: 0 VI u ',intercom Business 0 Corporate 0 Purchasing Company Name: • C.. C. Company Number: Corporate Account: Agent It - 0 tf I ••••• 4 ,rti 71 1 ft oar Cash Advance Capability t _.„.., Reporting Unit (Optional) n:r-i.l 1—Yedrgsber II 1/ 'Gre— Ty ab.le axm M EA. yIN Credit Line "D" or .0 ofLimit Pin Y€2 Div. ID Div. Name'. Dept. ID Dept. Name /0, O0O • \C. i Mothers Maiden Name (Optional) Social Security Nurber (Optional) Home telephone Ii (Optional) . Acdopt.it Number (RenAcard Use) Cardholder billing address (Optional — ifnot complete %rill default to Corporate billing ddress): City State ZIP Code Special Handling Instructions: O Federal Express O Bulk Shipment Plastic address If different from Cardholder billing address: City State ZIP Code ( Cash Advance Capability t Reporting Unit (Optional) General Ledger # Taxable MEA Name Credit Line "D" or % ofLimit Pin Y Id Div. ID Div. Name Dept. ID Dept. Name Assigned • YIN* YIN' 10,006 . 0 Mothers Maiden Name (Optional) Social Security Number (Optional) Home telephone N (Optional) tasccuinS:NUmber .(B.ankegrd OA ( ) flcilliNVI:fs • - A ..;:. — .: Cardholder billing address (Optional — ifnot complete will default to Corporate billing ddress): City State ZIP Code Special Handling Instructions: O Federal Express O Bulk Shipment Plastic address if different from Cardholder billing address: City , State ZIP Code Cash Advance Capability t Reporting Unit (Optional) ' General Ledger 0 Taxable MEA Credit Line "D" o % of Limit Pin Y Div. ID Div. Name Dept. ID Dept. Name Assigned • Y/N• Y/N' Mothers ll 6 7.000 • i aiden Name (Optional) Social Security Number (Optional) Home to phone li (Optional) :;(0,- t.11Uinber (80,ifkeeriliffige),.. ; ( )1 Cc alder billing address (Optional - ifnot complete will default to Corporate billing ddrem): City State ZIP Code Special Handling instructions: O Federal Express O Bulk Shipment Plastic address if different from Cardholdei billing address: City State ZIP Code • Pita Purchasing Cord Options 11.•Yes. NuNet, DsDefoult to CompanySeimp yes, indica a%oflimit availablefor car Financial Institution Name: Authorized Signature: lit) B Dale: -0/ Bank It /IS? 233-i07 MIDSbe (5/99) AJ Hamber.t, ;.:?: EFTA01700949 BankCard Services ureait Led' u fl t,eaeeug re _ (Please Pun First Request O Follow-u to Verbal Ft" u punt: FOR BANKCARD USE ONLY ACO3Ull 8 Larite Name Line 1 Business Name 4) 65:5 U - Code Keyed by ' WNW by FOR MARITAL PROPERTY STATES ONLY PSC COC O Married O Not Married O Legally Separated Name and Address of Spouse MONETARY CHANGES O Umit Increase to $ (whole dodar only O Umit Decrease to $ (whole dean only O Change Corporate Account Umit to S frtiois dollar only O Reverse Finance Charge of $ O Reverse Late Charge Fee of $ ACCOUNT RECORD CHANGES O Reverse Over Umit Fee of $ • • O Close Acct O Add Soc. Sec. No. O Reverse Insurance Fee of $ O Reverse Current Membership Fee O Cards Returned O Cards Nat Returned O Reopen Account O Waive Membership Fee Permanently O Remove Reissue Block O Add Telephone Number Max Code Phone Number CARD/PIN ISSUANCE O Name Change From: O Order New Card for To: O Charge Cardholder Replacement Card Fee of S Address Change cout4A riga r Send Card O Normal Delivery • 7 - la days (Check One): • O Express Delivery - 2 days $10 q5.1 4t) enLi -e--- O Saturday Delivery Add it 0 Perk/YOrg. MV /OOa e- CI Charge Cardholder ijirdd Cardholder O Order Card O Do Not Order Card CI Charge Financial Institution O Fastcard S20 O Delete Cardholder O Add Authorized User Address to Mail Card O Order Card O Do Not Order Card O Delete Authorized User O Add Credit Rating O Delete Credit Rating O Add Type Code • O Delete Type Code O Order PIN Reminder O Add Insurance' O Delete Insurance O PIN Federal Express O Delete Automatic Parnent Deduction O Send PIN to Alternate Address O Send Balance Transfer Checks ati Please Provide Address Below . To: Cardholder Address if adding insurance. attach a signed copy of insurance application. FREETEXT MESSAGES / MISCELLANEOUSINSTRUCTIOt • RISK MANAGEMENT/COLLECTIONS O Restrict Account • R9 O Erase Past-Due Status i O Restrict ATM Access P times 1 - 30 O List on Exception File 31 - 60 O Zero Cards to Reissue 61 • 90 O Stop Interest 91 •120 O Stop Late Charge Erase All r Fix Payment;_ on O Re-Age Account °Minimum Payment $ LI m ove R-9 Restrictions Cl Date 1,OLiase,L)L Appcoved'By File Number Agent No. not Name of Authorized Signer 911 At? aiO 41647% Poutba: Vorge • Moosup/NEI-LOW • Financial Outlook., EFTA01700950 PALMBEACH NATIONAL BANK & TRUST COMPANY 3931 RCA Blvd, Suite 3102 Palm Beach Gardens, Fl 33410 Fax Transmission cover Sheet Date: 11/15/01 To: Credit Services 608-240-7496 (Applications and Business card maintenance) Sender: Re: NES LLC You should receive 3pages(s), including this cover sheet. If you do not receive all the pages, please call The information contained in this message is privileged and confidential information intended for the use of the individual or entity to whom it is addressed. If the reader of this message Is not the intended recipient, the agent or employee responsible to deliver it to the Intended recipient; you are hereby notified that any dissemination, distribution or copying of this communication Is strictly prohibited. If you have received this communication in error, please notify us by telephone. Please return the uncepied message to us by U.S. Mail. Thank you. EFTA01700951 (Please Print) 3 First Req .toil unt FOR BANKCAR0 USE ONLY Account • tile Nam Lin I Business Name Code Dale • Virifild by FOR MARITAL PROPERTY STATES ONLY O Married O Not Married O Legally Separated Name and Address of Spouse MONETARY CHANGES O Limit Increase to S (whole dowry) Limit Decrease to S %eNIDa ebsat only) ❑ Change Corporate Account Limit to S Mote ea& pay) O Reverse Finance Charge of • O Reverse Late Charge Fee of S ACCOUNT RECORD CHANGES O Reverse Over Limit Fee of S O Reverse Insurance Fee of S O Close Acct O Add Soc. Sec. No. - ❑ Reverse Current Membership Fee O Cards Returned O Cards Not Returned O Waive Membership Fee Permanently O Reopen Account O Remove Reissue Block O Add Telephone Number - Asia Coda Phone Nunn( CARD/PIN ISSUANCE O Name Change From: O Order New Card for To: O Charge Cardholder Replacement Card Fee of 3 O Address Change Send Card O Normal Delivery • 7 - 10 days (Check One): O Express Delivery - 2 days $10 O Saturday Delivery Add $10 0 Charge Cardholder hillAdd Cardholder O Charge Financial Institution O Order Card O Do Not Order Card O Fastcatd $20 ❑ Delete Cardholder O Add Authorized User Address to Mail Card O Order Card ❑ Do Not Order Card O Celete Authorized User O Add Credit Rating ❑ Delete Credit Rating O Add Type Code 0 Delete Type Code O Order PIN Reminder O Add Insurance' O Delete Insurance O PIN Federal Express O Delete Automatic Payment Deduction O Send PIN to Alternate Address O Send Balance Transfer Checks $ Please Provide Address Below To: Cardholder Address •It adding insurance. attach a signed copy of insurance application. FREETEXT MESSAGES !MISCELLANEOUS INSTRUCTIONS RISK MANAGEMENT/COLLECTIONS O Restrict Account • R9 O Erase Past-Due Status O Restrict ATM Access * times 1.30 O List on Exception File 31 - 60 O Zero Cards to Reissue 61 - 90 O Stop Interest 91 • 120 O Stop Late Charge Erase All Fix Payment $ O Re-Age Account °Minimum Payments fiumove R•9 Restrictions O Stop S Date a 11) Approved By Financial Institution File Number Agent No. nt Name of Authorized Signer 911 ACT 41.0 wtallh Foddro: *mut • PionI scar ELLOW Fulani& nonAlon EFTA01700952 Coil c: Dale: Nevnt by: A/P Trackin: Number: M8di Data Services EFD Card Services COMMERCIAL CARD PRODUCTS - INDIVIDUAL ACCOUNT INFORMATION Please indicate Commercial Card Prodoet type: ❑ vi ❑ MaslerCard usiness ❑ Cor oralt ❑ Purchasin SECTION I — AUTHORIZED USERS Navne Credit Cash Advance Capability tO Reporting Unit (Optional) General Lcdger // Taxable MEA Line "D" or % i Linul Pin Y Div. ID Div. Name Dept. ID Dem. Name Assigned • Y/N• YIN• S i oöb i- Mcilhers Melden Name(Oprionol) Social Security Number Home telephone II (Optional) Account Number (EFD Lise) (Optional) ( ) Caidboldcr billing addrcss City State -1 ZIP Code \ initial Ihndling hutra/bom: Q Fixlmal Express Pta lic address if different from Cardliolder billing sikh-ess: City State I..IP Code Name Ciedil Cub Advance Capability t Reporting Unit (Optional) General Ledget N Taxable MEA Lint "D" or %of Limit Vin Y/N Div. ID Div. Name Dept. ID Dept. Name Assigned • Y/N • Y/N• Modiers Maidcn Name (Optiunal) Social Sec rity Number Home telephone N (Option/) I /tumult Number (EFD Use) (Optional) ( ) Caniliolder billing address City l State 1 ZIP Code Special Handling in tructions: D Federal Express Plastic address if different from Cardholder billing address: City State ill' Code Name Credit Cash Advance Capability t Reporting Unit (Optional) General Ledget tl Taxable MEA ) Line "D" or % of Limit PM Y/N Div. II) Div. Name Dept. ID Dept. Num Assigned • VIN' YIN• Mollsers Manien Name (Optional) Social Securily Number Home telephone P (Optional) Account Number (EFD Use) (Optional) ( ) Cardholdet billing addrcss City State ZIP Code Special Handling Instructions: Q Federal Express Plastic address if different front Cardholdcr billing address: City ZIP Cosle State • Visa Purchasing Card Options .. t D=Defaull to Company Set-up (ifyes, yes. sn l al le af linrit avattablefor Financial Institution Name: Agent # Bank # Sri Authorized Signaturs: Date: -6 I 233-107 MIDSbc (04700) EFTA01700953 - INES-SAGE CONFI RNA T 12/06/01 12:20 ID=PALN BEACH NATIONAL BANK (PleariePah0 j First Roque .Ie?ilun; ; FOR DANKCARO USE ONLY Account L LC Hirt* Uni Business Name Goa Otte FOR MARITAL PROPERTY STATES ONLY Kane ty PSC CCC g Married Q Not Married O Legally Separated Name and Address of Spouse MONETARY CHANGES Limit masses to $ won (rat my: • Limit Decrease to $ l'eorecnservi O Change Corporate Account Urrrn to $ cense dab. ar4 O Reverie Finance Charge of $ O Ravers° Late Charge Fee of $ ACCOUNT RECORD CHANGES O Reverie Over Limit Fee of $ ❑ Rivers* Insurance Fes of $ O Close Acct O Add Soc. Sec. No. • O Reverse Current Membership Feta O Cards Returned O Curds Nor Returned O Waive Membership Fe, Permanently O Reopen Account O Remove Reissue Block a Add Telephone Number Ina COdll Phte4 NUMMI CARD/PIN ISSUANCE O Name Change From: O Order New Cud for To: O Charge Cardholder Reptacerminl Cud Fe of $ Ci Address Change Sand Card O Nomial Delhi!), • 7 • days (Check One): O Express Delivery • 2 days $10 O Saturday Delivery Add $10 O Charge Cardholder ▪ add Cardholder Charge Financial Institution WO Order Card 0 Do Not Order Cud O Festraud $20 O Delete Cerdhoider O Add Authorized user AriCresa to Mall Cud O OWE Card O Do Not Order Card • OtiOle Authorized User O Add Credit Rating O Delete Cry% Rating O Add Type Code 0 Delete Type Code O Order PIN Reminder O Add Insurance' Q Gen Insurance O PIN Federal Express O Delete Automatic Payment Deduction O Lard PIN to Aiternate Address O Send Balance Transfer Chocks I Patio Provide hams; Belau TA EFTA01700954 TCSI 001 CODE IGB ACCT CYCLE 16 AGENT TBR BALANCE 23966.57 LIMIT $25000 AVAILABLE $979 PAYMENT DUE 699.00 0 PAST DUE # 1 0 0 0 0 0 0 PAST DUE $0 0 101601 00 PAST DUE $ 0 0 0 0 0 0 0 VISAPHONE N OPENED 9999 082101 HIGH BALANCE $23966 120401 STATEMENTS 3 0 111601 TYPE B CREDIT RATING 000000 OVERLIMIT 0 $0 PAYMENT DUE DATE 121101 LIMIT HISTORY $25000 0 $0 0000 0000 MAINT 000000 PRIOR MAIN? 000000 ISSUE 1559 BRANCH 0000 DOB 000000 INS N 00 0 CIT N 000000 COLLECTION Z F 101601 0 DISPUTE N 000000 .00 0000 0 P/D CHANGES-M: N 0000 A: TRANSFER RCL N CRS N CR BUR 000000 N N N CREDIT DATA 0801 0000 0000 9008 FIRST USE R 090701 CARDS 0 0 1249 N VISA CARD REQUEST 000000 ENCODE Y PIN REQUEST N 000000 UM1 > N UM2 > N OD COV N ANN FEE N 0000 .00 AUTO DEDUCTION UDATA > > > > > > 67108000000000 CHECKING SAVINGS OAN TRANSIT/ROUTING 000000000 OTHER CARDHOLDER PAYMENT 111401 6483.89 CREDIT 120401 PURCHASE 120401 CASH ADVANCE 000000 N1 NES LLC **CORPORATE BILL - CORPORATE ACCOUNT N2 CORPORATE ACCOUNT Al 457 MADISON AVE FL 4 A2 CS NEW YORK NY 10022-IIIII **OLD H 0000000000 P. HOLD N 000 **ACCOUNT IS CURRENT EFTA01700955 (Please Print) Driest Segue . "rOR BANKCARD USE ONLY Account O Name Une I Business Name Code bale Keyed by • Verified by FOR MARITAL PROPERTY STATES ONLY PSC 0OC O Married 0 Not Married O Legally Separated Name and Address of Spouse MONETARY CHANGES OO a Limit Increase to $ Perth dozer oety O limit Decrease to $ _brads 'Setif cab O Change Corporate Account Limit to S (*de doh/ Gay O Reverse Finance Charge of $ O Reverse Late Charge Fee of $ ACCOUNT RECORD CHANGES O Reverse Over UMit Fee of ' ' •• O Close Acct O Add Soc. Sec. No. O Reverse Insurance Fee of 3 - O Reverse Current Membership Fee O Cards Returned O Cards Not Returned O Waive Membership Fee Permanently O Reopen Account O Remove Reissue 13Iock O Add Telephone Number . • Area Code Phone Number CARD/PIN ISSUANCE O Name Change From: O Order New Card for To: O Charge Cardholder Replacement Card Fea of $ O Address Change Send Card O Normal Delivery • 7 • IC days (Check One): O Express Delivery - 2 days $10 0 Saturday Delivery Add $10 O Charge Cardholder * Odd Cardholder O Order Card O Do Not Order Card 0 Charge Financial Institution O Fastcard $20 O Delete Cardholder O Add Authorized User Address to Mad Card O Order Card O Co Not Order Card O Celete Authorized User O Add Credit Rating O Delete Credit Rating O Add Type Code O Delete Type Code O Order PIN Reminder • O Add Insurance' O Delete Insurance O PIN Federal Express O Delete Automatic Payment Deduction O Send PIN to Alternate Address O Send Balance Transfer Checks # Please Provide Address Below To: Cardholder Address 'If adding insurance, attach a signed copy of insurance application. FREETEKT MESSAGES I MISCELLANEOUS INSTRUCTIOI RISK MANAGEMENT/COLLECTIONS O Restrict Account - R9 O Erase Past-Due Status I O Restrict ATM Access ft times 1 • 30 O List on Exception File 31 • 80 O Zero Cards to Reissue 61 - so O Stop Interest 91 • 120 O Stop Late Charge Erase All r Fix Payment on O Re-Age Account °Minimum Payment S L.) Fir:move R-9 Restrictions O Stop Statements (pala t al I O1 Approved Er *al Institution ch i li File Number Agent No. Print Name of Authorized Signer um ' mar, Rouble: WHITS • Piece stedYELLOW • Fnancial Institution EFTA01700956 (Please Print) D First Reque BANKCARD USE ONLY ACCOUrit 0 Name Chet Business Name • Code Date %arid by • Voritlii0 try FOR MARITAL PROPERTY STATES ONLY PSC DOC I 0 Married O Not Married O Legally Separated Name and Address of Spouse MONETARY CHANGES O Umit Increase to S *Ss matt om )(limit Decrease lo S. (Ade 634, 06) O Change Corporate Account Umh to $ Myer &tar en. O Reverse Finance Charge of $ O Reverse Late Charge Fee of $ ACCOUNT RECORD CHANGES O Reverse Over Umit Fee of $ • •• O Close Acct O Add Soc. Sec. No. O Reverse Insurance Fee of $ O Reverse Current Membership Fee O Cards Returned 0 Cards Not Returned O Reopen Account O Waive Membership Fee Permanently O Remove Reissue Block O Add Telephone Number ksi Cole Phone Numb• er CARD/PIN ISSUANCE O Name Change From: O Order New Card for To: O. Charge Cardholder Replacement Card Fee of $ 1O Address Change Send Card O Normal Oethery • 7 - tt, days (Check One): O Express Delivery - 2 days • $10 O Saturday Delivery Add $10 O Charge Cardholder Oa\ dd Cardholder O Charge Financial Institution O Order Card O Do•Not Order Card O Fastcard $20 O Delete Cardholder O Add Authorized User Address to Mail Card O Order Card O Do Not Order Card O Celete Authorized User O Add Credit Rating O Delete Credit Rating O Add Type Code 0 Delete Type Code O Order PIN Reminder O Add Insurance' O Delete Insurance O PIN Federal Express O Delete Automatic Payment Deduction O Send PIN to Alternate Address O Send Balance Transfer Checks I Please Provide Address Below To: • Cardholder Address 'It adding ;Astir:Ince. attach a signed copy of insurance application. FREETEXT MESSAGES MISCELLANEOUSINSTRUC11O RISK MANAGEMENVCOLLECTIONS O Restrict Account • R9 O Erase Past-0ue Status . O Restrict ATM ACCOS3 a times .1 - 30 O Usi on Exception Fde 31 • 60 0 Zero Cards to Reissue at • 90 O Stop Interest 91 • 120 O Stop Late Charge Erase All r Fix.Payment S on 0 Re-Age Account °minimum Payment 3 .-.3 ro:move R.9 Restriction; Date nCial Institution Fite Number Agent ame of Authorized Signer .41 Lime nMl. ROUllecj: WHITE • PieceisowYELLOW • Awed Inidiutton EFTA01700957 AIP Track' Number: 'IAL CARD PROM. CTS - INDIVIDUAL ACCOUNT (NFOR\IATIO\ BT/ET y VISA ❑ MasterCard g PE:9T /Business ❑ Corporate 0 Cure • m Company Number: Corporate Account: CO teraPability t ...... Reporting Unit (Oprimuit) General Ledger N "taxable MEA 3 mit Pin Ye...../ Div. ID Div. Name Dept. ID Dept. Marne Assigned • Y/N• WWI CI) Nome telephone it (Optional) Account Number (EFD Use) a ( ) 0 City State ZIP Code r 2 City Siam ZIP Code . .............. _ .. — ....- ....---......-- 2 . 3D ce Capability I I [wit] :i1,1.:tOp.. / Gant Leta To MFA C knit Pin TM I Div. ID D. v. Name Dept. ID Om: ',.L .- Assigned • TM' Y/N• -0 Sm 0 1 Home Mkplane N (Optional) Account %Umber (CPU Use) m In ( ) City State ZIP Code C City State /JP Code •-• C ex Capability1 Reporting Unit (Optieroar) General Ledger 0 Taubk MEA irgi t Pin yrN Div. ID Div. Name Dept.ID Dept Name Assigned • TM* TM* Home telephom N (Optional) Amount Number (EFO Use) ( ) City State ZIP Code City State I ZIP Code O=Deftailt Io Complay Set-up Ofyes. Mileage 96°11in:A availablefor cash) Paaa Agedt ti Bank # / S3 7' Date: Z —/ — (:) EFTA01700958 Code: Date: Keyed by: A/P Trackin Number: M&I Data Services EFD Card Services COMMERCIAL CARD PRODUCTS - INDIVIDUAL ACCOUNT INFORMATION Please indicate Commercial Card Product type: ❑ VISA ❑ MasterCard 0--•-•017;iness ❑ Corporate ❑ Purchasin Company Name: _itie5 Company Number: Corlroratc Account: SECTION I — AUTHORIZED USERS Name 'I/aid, OIL' - Credit Cash Advance Capability t _„„r, Repotting Unit (Optional) General Ledger H Taxable MEA Line "D" or % of Limit Pin Y Div. II) Div. 'tine Dept. ID Dept. Name Assigned • YIN* YIN• ej2#7- in ,5f6 61) Mothers Maiden Nance (Optional) 05 L Social Security Number Home lekplione /4 (Optional) Account Number (EFD Use) (Optional) ( ) r) :ardholder billing address City State ZIP Code Special Handling Instructions: Q Federal lixpress Plastic address if different from Cardholde billing address: City State ZIP Code Name Credit Cash Advance Capability t Reporting Unit (Optional) General Ledger H Taxable MFA Line "D" or %of Limit l'in Y/N Div. ID Div. Name Dept. ID Dept. Name Assigned • Y/N• Yffi• I Mothers Maiden Name (Optional) Social Security Number Home telephone If (Optional) • 1 Account Number (EEO Use) (Optional) Cardholder billing address ( ) 1 City 1 State 1 ZIP Code Special handling Instructions: a Federal Exprtss Plastic address if different front Cardholder billing address: City State , ZIP Code Name Credit Cash Advance Capability t Reporting Unit (Optional) General Ledger II Taxable MEA ) Unc "D" or % of limit Pin Y/N Div. ID Div. Hanle Dept. ID Dept. Name Assigned • Y/N• Y/N• Mothers Maiden Name (Optional) Social Security Number Home telephone If (Optional) Account Number (EFD Use) (Optional) ( ) Cardholder billing address City State ZIP Code _ Special Handling Instructions: a Federal Express Plastic address If different from Cardholder billing address: City State ZIP Code • Viso Purchasing Card Options t Y Yat Pli•No. =De y I to Company t-up yes. an Ica e o inn vo Financial Institution Name: ■ Agent ft Dank # /53'7 P.5/ (215 a 7 • Authorized Signature: Date: —O/ 233-107 MIDSbc ( EFTA01700959 TRANSMISSION VERIFICATION REPORT 3/6,/o-a- "- I • TImE ....erialJai!)9 02:37 NAME : FAX : TEL DATE,TIME FAX NO./NAME DJRATION PAGE(S) 04 RESULT OK MODE STANDARD EFTA01700960 %L bi2A PALMBEACH NATIONAL BANK & TRusr COMPANY 3931 RCA Blvd, Suite 3102 Palm Beach Gardens, Fl 33410 Fax Transmission cover Sheet Date: 03/14/02 To: Credit Services 608-240-7496 (Applications and Business card maintenance). Sender: Re: Nes,LLC You should receive 4 pages(s), includin this cover sheet. If you do not receive all the pages, please call The Information contained in this message is privileged and confidential information intended for the use of the individual or entity to whom it is addressed. If the reader of this message is not the intended recipient, the agent or employee responsible to deliver it to the intended recipient, you are • hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us by telephone. Please return the uncopied message to us by U.S. Mail. Thank you. EFTA01700961 A/P Tracking Nombre: Metavante Corporation CREDIT CARD COLLECTIONS Credit Card Services AND MONETARY CHANGES Collections Monetary Changes O Restrict Account — R9 D Limit Increase to S O Zero Cards to Reissue (Z Limit Decrease to s Sooo. aD O List on Exception File ❑ Change Corporate Account Limit to S O Restrict on ATM Access O Reverse Finance Charge of $ ❑ Stop Interest O Reverse Late Charge Fee of O Stop Late Charge O Reverse Over Limit fee of ❑ Stop Statements O Reverse Insurance Fee of $ O Stop Overlimit / Past Due Notices O Reverse Ortrent Membership Fee El Minimum Payment Due This Cycle ❑ Waive Membership Fee Permanently ❑ Fix Payment $ ❑ Reverse Replacement Card Fee $ ❑ Re-Age account ❑ Reverse Convenience Fee $ ❑ Erase Past Due Status D 1-30 # times O Reverse NSF Fee ❑ 31_60 # times O 61-90 # times ❑ Reverse Insurance Premium Fee S O 91-120 # times O Erase All O Reverse Returned Check Fee ❑ Remove R9 Restrictions Free Text Messages/Miscellaneous Instructions Financial Institution Name; Date: 3 -/y-b Authorized Signature* Bank # 75n Agent # Print Name: Telephone # Ext. For Metavante Use Only Completed by Date Verification Date 233-099b MIDSbc (12/01) Fax 129 requests to Collections, 608-240-7601; others to Account Processing, 608-240-7605 EFTA01700962 MP Tracking Numinti Metavante Corporation CREDIT CARD COLLECTIONS Credit Card Services AND MONETARY CHANGES Collections Monetary Changes ❑ Restrict Account — R9 ❑ Limit Increase to $ ❑ Zero Cards to Reissue 2 Limit Decrease to 5 qO 0O.0 D ❑ List on Exception File ❑ Change Corporate Account Limit to $ ❑ Restrict on ATM Access ❑ Reverse Finance Charge of ❑ Stop Interest ❑ Reverse Late Charge Fee of ❑ Stop Late Charge ❑ Reverse Over Limit fee of $ ❑ Stop Statements ❑ Reverse Insurance Fee of $ ❑ Stop Overlimit / Past Due Notices ❑ Reverse Current Membership Fee ❑ Minimum Payment Due This Cycle S ❑ Waive Membership Fee Permanently ❑ Fix Payment $ ❑ Reverse Replacement Card Fee $ ❑ Re-Age account ❑ Reverse Convenience Fee S ❑ Erase Past Due Status ❑ 1-30 # times ❑ Reverse NSF Fee ❑ 31-60 # times ❑ 61.90 # times ❑ Reverse Insurance Premium Fee S ❑ 91-120 # times ❑ Erase All ❑ Reverse Returned Check Fee S ❑ Remove R9 Restrictions Free Text Messages/Miscellaneous Instructions Financial Institution Name: Authorized Signature: Agent # Print Name: Telephone # Ext. For Metavante Use Only Completed by Date Verification Date 233-099b M1DSbc (12/01) Fax 1t9 requests to Collections, 608-240-7601; others to Account Processing; 608-240-7605 EFTA01700963 A/P Tracking Number:- Metavante Corporation CREDIT CARD COLLECTIONS Credit Card Services AND MONETARY CHANGES Account N - Name: Street Address City State ZIP Business Name: bes., LLC Collections Monetary Changes O Restrict Account — R9 5:Limit Increase to El Zero Cards to Reissue O Limit Decrease to O List on Exception File O Change Corporate Account Limit to O Restrict on ATM Access O Reverse Finance Charge of $ O Stop Interest O Reverse Late Charge Fee of O Stop Late Charge O Reverse Over Limit fce of .O Stop Statements ❑ Reverse Insurance Fee of $ O Stop Overlimit / Past Due Notices O Reverse Current Membership Fee O Minimum Payment Due This Cycle S El Waive Membership Fee Permanently O Fix Payment $ O Reverse Replacement Card Fee $ O Re-Age account O Reverse Convenience Fee O Erase Past Due Status ID 1-30 # times O Reverse NSF Fee O 31-60 # times ❑ 61-90 # times ❑ Reverse Insurance Premium Fee S ❑ 91-120 # times O Erase All O Reverse Returned Check Fee $ O Remove R9 Restrictions Free Text Messages/Miscellaneous Instructions Financial Institution Name: Date: — /a/ if) -2. Authorized Signature: Agent # Print Name: Telephone # Ext. For Metavante Use Only Completed by Date Verification Date 233-099b MIDSbc (I2/01) Fax R9 requests to Collections, 608-240-7601; others to Account Processing, 608-240-7605 EFTA01700964 MESSAGE CONFIRMAT I ON 01/24/02 16:11 ID=PALM BEACH NATIONAL BARK MODE BOX GROUP 511 TX DATE/TIME TIME DISTANT STATION ID PAGES RPqIT ERROR PASS S.CODE 01/24 16:11 00'29" M8,1 APPLICATIONS 001/001 OK 0200 TracWu; Number Metavante Corporation CREDIT CARD ACCOUNT MAINTENANCE Credit Card Services Account Record, Card,PIN Acct # For Marltal.Property States Only Name ❑ Married ❑ Not Married ❑ Legally Separated Business Name CS (..L. Spouse's Name Account Record Changes Street Address X Close Account ❑ Cards Returned Cards Not Returned City, State, ZIP Card Issuance ❑ Re•Open Account ❑ Remove Reissue Block ❑ OrderNew Card for ❑ Acid Soc. Sec. #: Must mark below to indicate the type 0.1'4=1ordered ❑ Add Telephone # ❑ Home Send Card: ❑ Business ❑ Normal Delivery — 7 to 10 days 0 Name Change From: ❑ Express Delivery — 2 days (S10.00 charge) To: ❑ Saturday Delivery (Add $10.00) ❑ Address Change to ❑ Eastcard —1 day ($20.00 charge) City, State, ZIP ❑ Saturday Delivery (Add $10.00) ❑ Add Cardholder Charge: ❑ Cardholder ❑ Financial Institution ❑ Order Card ❑ Do Not Order Card Address to Mail Card: ❑ Delete Cardholder Name ❑ Add Authorized User Street Address ❑ Order Card ❑ Do Nor Order Card City, ST, ZIP ❑ Delete Authorized User Charge Cardholder Replacement Card Fee of$ ❑ Add Credit Rating ❑ Delete Credit Rating ❑ Add Type Code ❑ Delete Type Code - PIN Issuance ❑ Add Automatic Payment Deduction ❑ Order PIN Reminder T/R# Checking Accra ❑ PIN Federal Express — 3 days ($10.00 charge) ❑ Minimum payment ❑ Previous balance Charge: ❑ Cardholder ❑ Financial Institution ❑ Delete Automatic Payment Deduction ❑ Send PIN to Alternate Address Below ❑ Add E-mail Address Name ❑ Add Mother's Maiden Name Street Address ❑ Add Secondary CH SS# City, State, ZIP ❑ Add Secondary CH DOB ❑ Add Secondary CH Daytime Phone Balance / Payment Transfers EFTA01700965 pa Qj ecry?.S A/P Tracking Number' Metavante Corporation CREDIT CARD ACCOUNT MAINTENANCE Credit Card Services Account Record, Card, PIN Acct # ■ For Marital Property States Only Name 0 Married O Not Married O Legally Separated Easiness Name /1/e-S, LL c • Spouse's Name Account Record Changes Street Address 54 O Close Account Cards Returned Cards Not Returned City, State, ZIP Card Issuance O Re-Open Account ❑ Remove Reissue Block ❑ Order New Card for O Add Soc. Sec. #: Must mark below to indicate the type of card ordered O Add Telephone # O Home Send Card: O Business O Normal Delivery — 7 to 10 days O Name Change From: El Express Delivery —.2 days (S10.00 charge) To: O Saturday Delivery (Add 510.00) D Address Change to ❑ Fastcard — 1 day (520.00 charge) City, State, ZIP O Saturday Delivery (Add 510.00) O Add Cardholder Charge: O Cardholder O Financial Institution O Order Card ❑ Do Not Order Card Address to Mail Card: ❑ Delete Cardholder Name D Add Authorized User Street Address o Order Card 0 Do Not Order Card Ciry,. ST, ZIP O Delete Authorized User ❑ Charge Cardholder Replacement Card Fee of S O Add Credit Rating O Delete Credit Rating O Add Type Code O Delete Type Code PIN Issuance O Add Automatic Payment Deduction ID Order PIN Reminder T/R# Checking Acct# O PIN Federal Express — 3 days (510.00 charge) El Minimum payment El Previous balance Charge: O Cardholder O Financial Institution O Delete Automatic Payment Deduction El Send PIN to Alternate Address Below O Add E-mail Address Name O Add Mother's Maiden Name Street Address O Add Secondary CH SS# City, State, ZIP ❑ Add Secondary CH DOB O Add Secondary CH Daytime Phone Balance / Payment Transfers O Add Fax Number Transfer balance of $ ID Add Cell Phone# From account # El Add Pager Number To account # O Privacy Option Transfer payment of From account # Insurance To account # O Add Insurance ci Delete Insurance • Ifadding insurance, attach a signed copy of the insurance application Convenience Checks Free Text Messages/Miscellaneous Instructions O Send Convenience Checks — # of books Name Street Address City, State, ZIP Financial Institution N Date: Authorized Signature: Bank # A cot # Print Name: Telephone: Ext. 233.0991MIDSbe (1 Fax to Account Processing, 608-240-7605 EFTA01700966 A/P Tracking Number:" Metavante Corporation CREDIT CARD ACCOUNT MAINTENANCE Credit Card Services Account Record, Card, PIN For Marital Property States Only El Married 0 Not Married 0 Legally Separated Spouse's Name Account Record Changes Street Address 0 Close Account City, State, ZIP 0 Cards Returned 0 Cards Not Returned Card Issuance 0 Re-Open Account 0 Remove Reissue Block 0 Order New Card for 0 Add Soc. Sec. #: Must mark below to indicate the type ofcard ordered El Add Telephone # 0 Home Send Card: 0 Business 0 Normal Delivery — 7 to 10 days El Name Change From: 0 Express Delivery — 2 days ($10.00 charge) To: El Saturday Delivery (Add $10.00) 0 Address Change to 0 Fastcard — I day ($20.00 charge) City, State, ZIP 0 Saturday Delivery (Add $10.00) 0 Add Cardholder Charge: 0 Cardholder 0 Financial Institution El Order Card 0 Do Not Order Card Address to Mail Card: 0 Delete Cardholder Name 0 Add Authorized User Street Address 0 Order Card 0 Do Not Order Card City, ST, ZIP 0 Delete Authorized User 0 Charge Cardholder Replacement Card Fee of $ 0 Add Credit Rating 0 Delete Credit Rating 0 Add Type Code 0 Delete Type Code PIN Issuance 0 Add Automatic Payment Deduction 0 Order PIN Reminder T/R# Checking Acctit 0 PIN Federal Express — 3 days ($10.00 charge) ❑ Minimum payment El Previous balance Charge: 0 Cardholder 0 Financial Institution 0 Delete Automatic Payment Deduction 0 Send PIN to Alternate Address Below 0 Add E-mail Address Name 0 Add Mother's Maiden Name Street Address 0 Add Secondary CH SS# City, State, ZIP 0 Add Secondary CH DOB 0 Add Secondary CH Daytime Phone Balance / Payment Transfers 0 Add Fax Number Transfer balance of $ 0 Add Cell Phone# From account 0 Add Pager Number To account # 0 Privacy Option Transfer payment of $ From account # Insurance To account # 0 Add Insurance 0 Delete Insurance •If adding insurance, attach a signed copy ofthe insurance application Convenience Checks Free Te Messages/Miscellaneous Instructions 0 Send Convenience Checks — # of books Pre/ — St7 A dcl- Name D i4v7te.4, °79 Street Address 0.F ; 71 ;1 —. p City, State, ZIP Financial InstiturionName: Date: — r -O Authorized Signa Bank # /6-6 - 9 Agent # Print Name: Telephone: 233-099a MIDSte Fax to Account Processing, 608-240-7605 EFTA01700967 TCSI 001 CODE IGB ACCT CYCLE 16 AGENT 1534 T1 BALANCE 10258.26 LIMP._ $25000 AVAILABLE $1317 _;PAYMENT DUE 424.00 PAST DUE # 1 0 0 0 0 0 0 PAST DUE $0 0 101601 00 PAST DUE $ 0 0 0 0 0 0 0 VISAPHONE I OPENED 9999 082101 HIGH BALANCE $23966 120401 STATEMENTS 5 0 011602 TYPE B CREDIT RATING 000000 OVERLIMIT 0 $0 PAYMENT DUE DATE 021002 LIMIT HISTORY $25000 2 (2500) 7371 1201 M MAINT 121001 PRIOR MAINT 1206( ISSUE 1559 BRANCH 0000 DOB 000000 INS N 00 0 CIT N 000000 COLLECTION Z Z Z 101'601 0 DISPUTE N 000000 .00 0000 P/D CHANGES-M: N 0000 A: TRANSFER RCL N CAB N CR BUR 000000 N N'N CREDIT DATA 0801 0000 0000 9008 FIRST USE R 09070] CARDS 0 0 1249 N VISA CARD REQUEST 000000 ENCODE Y PIN REQUEST N 000000 UM1 > N UM2 > N • OD COV N ANN FEE N 0000 .00 AUTO DEDUCTION UDATA > > > > > > 67108000000000 ,CHECKING SAVINGS INSTALLMENT LOAN TRANSIT/ROUTING 000000000 OTHER CARDHOLDER PAYMENT 011602 1676.46 CREDIT 011502 PURCHASE 012302 CASH ADVANCE 000000 1;11 NES LLC **CORPORATE BILL - CORPORATE ACCOUNT N2 CORPORATE ACCOUNT Al 457 MADISON AVE FL 4 A2 CS NEW YORK NY 10022 **OLD H 0000000000 B HOLD N 00 **ACCOUNT IS CURRENT cc C7 U C.: EFTA01700968 TCSI 002 CODE TAL ACCT NES LLC -BUSINESS- 4470115340005213 NEj-1LC 457 MADISON AVE FL 4 000-00-000 1534 TBR CORPORATE ACCOUNT NEW YORK NY 10022-6843 000-00-000 1534 TBR NES LLC NEW YORK NY 10021-4102 000-00-000 1534 TBR NES LLC NEW 10021-4102 4470115340005247 - 000-00-000 1534 TBR NES LLC NEW YORK NY 10021-4102 000-00-000 1534 TBR NES LLC NEW YORK NY 10022-6843 000-00-000 1534 TBR NES LLC NEW YORK NY 10022-6843 4470110000002634 NEST BUILDERS INC 1001 10TH CT 000-00-000 2534 TBR CORPORATE ACCOUNT JUPITER FL 33477-9030 000-00-000 '2534 TBR NEST BUILDERS INC KISSIMMEE FL 34746-3651 4470115340005643 NEW YORK BAR AND GRILL 12189 US HIGHWAY 1 000-00-000 • 3534 TBR CORPORATE ACCOUNT NORTH PALM BEACH FL 33408-2684 000-00-000 3534 V4 TBR NEW YORK BAR AND GRILL NORTH PALM BEACH FL 33408-2684 PF7/PA1=PAGE BACK PF8/ENTER=PAGE FORWARD EFTA01700969 CUSTOMER PROFILE - BALANCE SUMMARY NEXT - PAGE 1 03/29/02 08:48:47 BANK 534 COST. # 00000002550 COST NAME JEFFREY E EPSTEIN REMARKS 457 MADISON AVE 4TH FL HISTORICAL INFO NEW YORK NY 10020 STATUS OPEN TAX ID DATE OPENED 03-08-1991 HOME PHONE DATE CLOSED BUS PHONE BRANCH PALM BEACH OFFICE PRIM OFFICER DOROTHY WILSON COST CENTER 0000200 • SEC OFFICER DOROTHY WILSON • BIRTH BNK APPL S OPEN P RELATION CDTYP BALANCE SRA 534 CC O 11-98 P AUTH SIGN 492 - 534 DP O 03-91 P SOLE OWNE N 015 4,797 N * 534 DP O 03-91 P SOLE OWNE N 015 44,333 N * 534 DP O 01-94 P SOLE OWNE M 014. 618,204 N * 534 DP O 10-97 P SOLE OWNE N 015 4,814 N * 534 DP O 01-01 S AUTH SIGN D 075 26,741 N * - 534 DP O 08-99 P SOLE OWNS C 028 113,910 N * 534 HH O 09-00 P HH RELATE CIC3209 - P GE OR USE OPERATOR LOGICAL PAGING COMMANDS EFTA01700970 AR Tracking NuinFii:: Metavante Corporation CREDIT CARD ACCOUNT MAINTENANCE Credit Card Services Account Record, Card, PIN Acct # For Marital Property States Only Name 1'4 G O Married O Not Married O Legally Separated Business Name Spouse's Name Account Record Changes Street Address ❑ Close Account City, State, ZIP ❑ Cards Returned El Cards Not Returned Card Issuance O Re-Open Account ❑ Remove Reissue Block ❑ Order New Card for O Add Soc. Sec. #: Must mark below to indicate she type ofcard ordered O Add Telephone # O Home Send Card: ❑ Business ❑ Normal Delivery — 7 to 10 days O Name Change From: O Express Delivery — 2 days ($10.00 charge) To: ❑ Saturday Delivery (Add 510.00) O Address Change to ❑ Fastcard —1 day ($20.00 charge) City, State, ZIP ❑ Saturday Delivery (Add 410.00) O Add Cardholder Charge: O Cardholder ❑ Financial Institution O Order Card ❑ Do Not Order Card Address to Mail Card: O Delete Cardholder Name O Add Authorized User Street Address O Order Card O Do Not Order Card City, ST, ZIP O Delete Authorized User ❑ Charge Cardholder Replacement Card Fee of S El Add Credit Rating O Delete Credit Rating ❑ Add Type Code El Delete Type Code PIN Issuance ❑ Add Automatic Payment Deduction O Order PIN Reminder 17R# Checking Acedi O PIN Federal Express — 3 days (410.00 charge) El Minimum payment ID Previous balance Charge: • O Cardholder O Financial Institution O Delete Automatic Payment Deduction ❑ Send PIN to Alternate Address Below O Add E-mail Address Name O Add Mother's Maiden Name Street Address O Add Secondary CH SS# City, State, ZIP El Add Secondary CH DOB O Add Secondary CH Daytime Phone Balance Payment Transfers O Add Fax Number Transfer balance of S O Add Cell Phone# From account # O Add Pager Number To account # O Privacy Option Transfer payment of S From account # Insurance To account # O Add Insurance O Delete Insurance •If adding insurance, attach a signed copy of the insurance application Convenience Checks Free Text Meisages/Miscellaneous Instructions El Send Convenience Checks — # of books 5 1,42-1- Name 4%-•?-/1 4 a_t; Street Address City, State, ZIP Financial Institution Name: Date: a-11~02— Authorized Signature: Bank # Aeent # Print Name: Telephone: Ext. 213-0992 MIDSbc Fax to Account Processing, 608-240-7605 EFTA01700971 A/P Tracking Numb/it-E. Metavante Corporation ARD ACCOUNT MAINTENANCE Credit Card Services Account Record, Card, PIN Acct # For Marital Property States Only Name O Married O Not Married O Legally Separated Business Name Spouse's Name Account Record Changes Street Address O Close Account City, State, ZIP O Cards hemmed O Cards Not Returned Card Issuance O Re-Open Account O Remove Reissue Block O Order New Card for 0 Add Soc. Sec. #: Must mark below to indicate the type ofeard ordered O Add Telephone # O Home Send Card: O Business O Normal Delivery — 7 a; 10 days O Name Change From: O Express Delivery— 2 days ($10.00 charge) To: O Saturday Delivery (Add $10.00) 'Address Change to AIS Pl y Had ISnAi f-Ve. ❑ Fastcard — 1 day ($20.00 charge) City, State, ZIP -e /2/ ()Lk A) Y / O 0 O Saturday Delivery (Add $10.00) ID Add Cardholder Charge: O Cardholder O Financial Institution O Order Card O Do Not Order Card Address to Mail Card: O Delete Cardholder Name O Add Authorized User Street Address El Order Card O Do Not Order Card City, ST, ZIP O Delete Authorized User O Charge Cardholder Replacement Card Fee of S O Add Credit Rating Delete Credit Rating O Add Type Code O Delete Type Code PIN Issuance O Add Automatic Payment Deduction O Order PIN Reminder T/R# Checking Acct# O PIN Federal Express — 3 days ($10.00 charge) O Minimum payment O Previous balance Charge: D Cardholder O Financial Institution O Delete Automatic Payment Deduction O Send PIN to Alternate Address Below O Add E-mail Address Name O Add Mother's Maiden Name Street Address O Add Secondary CH SS# City, State, ZIP O Add Secondary CH DOB O Add Secondary CH Daytime Phone Balance / Payment Transfers O Add.Fax Number Transfer balance of $ O Add Cell Phone# From account # O Add Pager Number To account # O Privacy Option Transfer payment of $ From account # Insurance To account # O Add Insurance O Delete Insurance • If adding insurance, attach a signed copy ofthe insurance application Convenience Checks re£~ext Messages/Miscellaneous Instructions O Send Convenience Checks — # of books Name Street Address City, State, ZIP Financial Instinnion Na Date: / - Authorized Signa Bank # Print Name: Telephone. Ext. 233-0993 Mlinee (12,0 Fax to Account Processing, 608-240-7605 EFTA01700972 AR Tracking Number: [ Metavante Corporation. Credit Card Services Account Number: CREDIT CARD COLLECTIONS AND MONETARY CHANGES Name: Street Address City State ZIP Business Name: Peg, Collections Moneta Chan es O Restrict Account —129 it Limit Increase to ' Don • O Zero Cards to Reissue O Limit Decrease to S O List on Exception File O Change Corporate Account Limit to O Restrict on ATM Access O Reverse Finance Charge of O Stop Interest O Reverse Late Charge Fee of S D Stop Late Charge O Reverse Over Limit fee of ❑ Stop Statements O Reverse Insurance Fee of O Stop Overlimit / Past Due Notices O Reverse Current Membership Fee ❑ Minimum Payment Due This Cycle S O Waive Membership Fee Permanently ❑ Fix Payment S D Reverse Replacement Card Fee O Re-Age account ❑ Reverse Convenience Fee S O Erase Past Due Status D 1-30 # times ❑ Reverse NSF Fee O 31-60 # times O 61-90 # times ❑ Reverse Insurance Premium Fee S O 91-120 # times i O Erase All D Reverse Returned Check Fee O Remove R.9 Restrictions Free Text Messages/Miscellaneous Instructions Financial Institution N Date: .5-02. 9 - Oa-, Authorized Signature: Agent i Print Name: Telephone Ext For Metavante Use Only Completed by Date Verification Date 233-099b MlDSbc (1MI) Fax R9 requests to Collections, 608-240-7601; others to Account Processing, 608-240-7605 EFTA01700973 MP Tracking Number: Metavante Corporation CREDIT CARD ACCOUNT MAINTENANCE Credit Card Services Account Record, Card, PIN For Marital Property States Only ❑ Married ❑ Not Married ❑ Legally Separated Spouse's Name Account Record Changes Street Address ❑ Close Account City, State, ZIP ❑ Cards Returned ❑ Cards Not Returned Card Issuance ❑ Re-Open Account ❑ Remove Reissue.Block ❑ Order New Card for ❑ Add Soc. Sec. #: Must mark below to indicate the type ofcard ordered ❑ Add Telephone # ❑ Home Send Card: ❑ Business ❑ Normal Delivery — 7 to 10 days ❑ Name Change Front 0 Express Delivery— 2 days (S10.00 charge) To: ❑ Saturday Delivery (Add S10.00) ❑ Address Change to ❑ Fastcard —1 day ($20.00 charge) City, State, ZIP ❑ Saturday Delivery (Add $10.00) ❑ Add Cardholder Charge: ❑ Cardholder ❑ Financial Institution ❑ Order Card ❑ Do Not Order Card Address to Mail Card: ❑ Delete Cardholder Name ❑ Add Authorized User Street Address ❑ Order Ctird ❑ Do Not Order Card City, ST, ZIP ❑ Delete Authorized User ❑ Charge Cardholder Replacement Card Fee of S ❑ Add Credit Rating Delete Credit Rating ❑ Add Type Code ❑ Delete Type Code - PIN Issuance ❑ Add Automatic Payment Deduction ❑ Order PIN Reminder T/R# Checking Acct# ❑ PIN Federal Express — 3 days (S10.00 charge) ❑ Minimum payment ❑ Previous balance Charge: ❑ Cardholder ❑ Financial Institution ❑ Delete Automatic Payment Deduction ❑ Send PIN to Alternate Address Below ❑ Add E-mail Address Name ❑ Add Mother's Maiden Name Street Address ❑ Add Secondary CH SS# City, State, ZIP ❑ Add Secondary CH DOB ❑ Add Secondary CH Daytime Phone Balance,/ Payment Transfers ❑ Add Fax Number Transfer balance of S ❑ Add Cell Phone# From account # ❑ Add Pager Number To account # ❑ Privacy Option Transfer payment of S From account # Insurance To account # ❑ Add Insurance ❑ Delete Insurance •If adding insurance, attach a signed copy of the insurance application Convenience Checks Free Text essages/Miscellane Instructions ❑ Send Convenience Checks — # of books Name Street Address City, State, ZIP Financial Institution Name: Authorized Sig Bank # Print Name: Telephone 213-099a MIDSbc (i Fax to Account Processing, 608-240-7605 EFTA01700974 A.P •Mehl Nuamboes hintamrsarstet Corporation Credit Card Sermeinnat "neaten hi rrsens• Serves Address Gine Sane Dustneas Name: A/es 011ection5 Moneta Chian ea Rescrict Account R9 Inaretne to S T 0 0 -0 = Pare Caren to Reterus CI Limit neonate to ]Sat en Ran:papa File Change Corporate Ac Count Limit to S Restrict on ATM Access CI Reverse Finance Orange of = Stop Interest Reverse Late Charge Pee of i=1 Stop Late Charge Reverse Over Limit fee of Stop Statements Reverse Insurance Fee er 3 CI Stop Overlimit f Pass Cue Haricot = Reverse Current Membership Tao MinannumThyrneac Due This Cycle In Waive Memberstdp Pee Permanently C Fix Payment 3 CI Reverse Replacement Card Pee 5 Re -Age account Reverse Convenience Pee Erase Past Cue Stems , 0 S Times Reverse NSF Fee CI 31-60 0 Once rn a i_00 M fa— O Reverse Insure Me Premium Poe S 91-120 0 nines (-n All Reverse Renamed Cheats Pee S (=Remove 110 ittaterictione fl ee Text 9/SessateM/TvliscallnocOuS inSternetIcsizs Pineataial Xametinadon Hemel Date Authorized Sips. --.. Agent e Print Hinnen Per Metevarite Viso OnlV Completed by Cate Wrifiean on Cain Int Fax X2.9 requests to Collections. 608-240-7601; others to Account Processing, 608-240-7605 *** DO tow xi 1113SS3OOCIS *** loo min 3113 MO ZOO S37Vd 1113S IlYSE: 11 01-00 3111 0/13 FUSE: II 01-adY 3111 MIS ZOO S39Yd 10310000 01 NYSE; LI 01-8dY • 31Y0 100 03071011 311i 11`111 HAIM 131 tiV9E;11 ZC0Z-01—ed't ; 3,111 iaoci3211NOISSIINSt4veu. A2101,43104 EFTA01700975 Code: Date: Keyed by: A/P Trackin Number: M &I Data Services COMMERCIAL CARD PRODUCTS - INDIVIDUAL ACCOUNT. INFORMATION EFD Card Services Please indicate Couunncial Curd Product type: 0 VISA CI MasterCard usfness ■ Cor orate 0 Pureliaan. Corn an Name: Corn an Number: Co •rate Account: • SECTION I— AUTHORIZED USERS Name Cmilit Cash Advance Capability 1 Reporting Unit (Optional) General Ledger It Taxable MEA Line "IP" or %of Limit Pin Y/N Div. II) Div. Name Dept. ID Dept. Name Assigned • Y/N • Y/N• S i nbt)i lot ere al en arm pr ona • Social Security Number Nome telephone II (Optional) Account Number (EFD Use) '(Optional) ( ) Cardholder billing address j City State ZIP ('ode Special dandling Intinutions• 0 Finked INuess Plastic address if differs:6i from cardholder billing address: City Mate Zll' Code .. -.... .......... --.......--..... --.—.— Name Credit Cash Advance Capability t Reporting Unit (Optional) General Ledgers Taxable MLA Line "D" or % &limit Pin Y/N Div. If) Div. Name Dept. If) Dept. Name Assigned • Y/N• Y/N• Mothers Maiden Name (Optional) Social Security Number I tome telephone It (Optional) Account Number (EFD Use) (Optional) ( ) Cardholder billing address City State ZIP Code Special Dandling Instructions: 0 bcdcral lixiiiess Plaids address if differeal from Cardholder billing address: City Stale Zll' Code Name Credit Cash Advance Capability t Reporting Unit (Optional) General Ledger a Taxable MEA Line "D" or % of l.imit Pin Y/N Div. If) Div. Name Dept. ID Dept. Name Assigned • Y/N• Y/N• Mothers Maiden Name (Optioned) Social Security Number Nome telephone a (Optional) Account Number (EFD Use) (Optional) ( ) Cardholder billing address I City Stale ZIP Code Special Handling lostrudions. 0 Federal Express Plastic address if different from Cardholder billing address: City Stale ZIP Code • Visa Purchasing Card Options t V- Yet asDefaidt to Company Scrimp (styes, indicate % oflimit availablefor cash) Financial Institution Name: Agent It Dank I/ /57-9 Authorized Signature: Date: 233-107 MIDShe (04/00 EFTA01700976 AR Tracking Nuiii—be r: Metavante Corporation CREDIT CARD COLLECTIONS Credit Card Services AND MONETARY CHANGES Collections Monetary Changes ❑ Restrict Account — R9 unit Increase to S 07'00t) 0 Zero Cards to Reissue ❑ Limit Decrease to S 0 List on Exception File El Change Corporate Account Limit to ❑ Restrict on ATM Access 0 Reverse Finance Charge of D Stop Interest ❑ Reverse Late Charge Fee of $ O Stop Late Charge D Reverse Over Limit fee of D Stop Statements CI Reverse Insurance Fee of ❑ Stop Overlimit / Past Due Notices O Reverse Current Membership Fee El Minimum Payment Due This Cycle S ❑ Waive Membership Fee Permanently El Fix Payment S D Reverse Replacement Card Fee ❑ Re-Age account 0 Reverse Convenience Fee 0 Erase Past Due Status El I-30 # times 0 Reverse NSF Fee 0 31-60 # times El 61-90 # times 0 Reverse Insurance Premium Fee ❑ 91-120 # times 0 'Erase All El Reverse Returned Check Fee 0 Remove R9 Restrictions Free Text Messages/Miscellaneous Instructions Financial Institution Name: Date: Authorized Sigiatur /SS c Agent # Print Name: Ext. For Metavante Use Only Completed by Date Verification Date 233-099b MIDSbc (12101) Fax R9 requests to Collections, 608-240-7601; others. to Account Processing, 608-240-7605 EFTA01700977 A/P Tracking Number: Metavante Corporation CREDIT CARD ACCOUNT MAINTENANCE Credit ervices Account Record, Card, PIN For Marital Property States Only O Married O Not Married O Legally Separated Spouse's Name Account Record Changes Street Address Close Account City, State, ZIP ❑ Cards Returned Cards Not Returned Card Issuance CI Re-Open Account O R mo e Reissue Block O Order New Card for ❑ Add Soc. Sec. #: Mustmark below to indicate the type ofcard ordered ❑ Add Telephone # O Home Send Card: O Business ❑ Normal Delivery — 7 to 10 days ❑ Name Change From: O Express Delivery-2 days ($10.00 charge) To: ❑ Saturday Delivery (Add $10.00) 1:1Address Change to O Fastcard — 1 day ($20.00 charge) City, State, ZIP O Saturday Delivery (Add $10.00) ❑ Add Cardholder Charge: O Cardholder O Financial Institution ❑ Order Card O Do Not Order Card Address to Mail Card: O Delete Cardholder Name O Add Authorized User Street Address O Order Card O Do Not Order Card City, ST, ZIP O Delete Authorized User O Charge Cardholder Replacement Card Fee of $ 1:1 Add Credit Rating O Delete Credit Rating O Add Type Code O Delete Type Code PIN Issuance CI Add Automatic Payment Deduction o Order PIN Reminder T/R# Cheeping Acct# O PIN Federal Express — 3 days (S10.00 charge) O Minimum payment 0 Previous balance Charge: O Cardholder O Financial Institution CI Delete Automatic Payment Deduction CI Send PIN to Alternate Address Below O Add E-mail Address Name CI Add Mother's Maiden Name Street Address O Add Secondary CH SS# City, State, ZIP O Add Secondary CH DOB CI Add Secondary CH Daytime Phone Balance / Payment Transfers El Add Fax Number Transfer balance of O Add Cell Phone# From account # O Add Pager Number To account CI Privacy Option Transfer payment of S From account # Insurance To account # O Add Insurance O Delete Insurance •If adding insurance, attach a signed copy ofthe insurance application Convenience Checks Free Text Messages/Miscellaneous Instructions O Send Convenience Checks — It of books Name. Street Address City.. State. ZIP Financial Institution Nam Date: Authorized Signa Bank # A ent # Print Name: Telephone: Ext. 233-0992 MIDSbc (12/01) Fax to Account Processing, 608-240-7605 (LS k EFTA01700978 Code: (late: Keyed by: A/P Trackin Number: MM Data Services EFD Card Services COMMERCIAL. CARD PRODUCTS - INDIVIDUAL ACCOUNT INFORMATION Please indicate Co!!!!!!crcial Card Product type: O MasterCard Business O Corporate O Purls _Company NallIC: pe $ / SECTION I — AUTHORliED USERS Company Hunker Corporate Account: Credit Cash Advance Capabilit Reporting Unit (Optional) Gencial Ledga N Taxable MCA Line "D" • % or Limit I'i Y Div. II) Div. Name Dept. ID Dept. Name Assigned • Vite• Y/N• tte M Social Security Number Home telephone n (Optional) Account Number (RFD Use) • '(optional) ( ) . .Wielder billing address City Slate Zll' Code Special Handling I nstriscui0000s: el IkNIti al FAN s. Plastic address if different from Cardholder billing address: City Slate ZIP Utak Ctedit Cash Advance Capabili t Reporting Unit (Optional) Cameral Ledger N Taxable MI:A tine "O" or % of Limit I' Div. ID : Div. Name Derd. ID Dept. Name Assigned • 'ON • VFW DO. /OD g(ta Social Security Number home telephone II (Optional) Account Number (EFD Use) (Optional) ( ) Cardholder billing address City State ZIP Code Special Handling Instructions: • ltdetal I:apte.,.< Plastic address if different from Cardholder billing address: City Slate ZIP Code etnnfre Credit Cash Advance Capability t Reporting Unit (Optional) General Ledger N Taxable MEA line "On or %of Limit Pin Y/N Div-ID Div. Name Dept. ID Dept. Name Assigned • Y/N • Yfft• Mothers Maiden Manic (Optional) Social Security Number Home telephone It (Optional) Account Number (EFD Use) (Optional) ( ) Cardholder billing address City State ZIP Code Special Handling Instructions: • Federal Express Plastic address if different Beat Cardholder billing address: City State ZIP Code • net Purchasing Card Options t =Yes. nelo. •• au Ito Caarpasty et-up yes, indicate orb ofIint asnlla Financial Institution Name: Agent A Bank fl Authorized Signature: Date: -ff - 233-107 MIDShc (04/00) EFTA01700979 A)? Tracking Number: Metavante Corporation CREDIT CARD COLLECTIONS Credit Card Services AND MONETARY CHANGES Account N Name: Street Address Dv/. loo r City AI i,„/ State ZIP 1 00? Business Name: IVL LLC Collections Monetary Changes ❑ Restrict Account - R9 O knit Increase to S O Close Account — V9 I Limit Decrease to O Delete Cardholder O Change Corporate Account Limit to S O Zero Cards to Reissue O Reverse Finance Charge of S O List on Exception File O Reverse Late Charge Fee of O Restrict on ATM Access O Reverse Over Limit fee of O Stop Interest O Reverse Insurance Fee of S O Stop Late Charge O Reverse Current Membership Fee O Stop Statements O Waive Membership Fee Permanently O Stop Overlirnit / Past Due Notices O Reverse Replacement Card Fee U Minimum Payment Due This Cycle O Reverse Convenience Fee O Fix Payment S O Reverse NSF Fee $ $ O Re-Age account O Reverse Insurance Premium Fee O Erase Past Due Status O 1-30 # times O Reverse Returned Check Fee S El 31-60 ear times O 61-90 tt times O 91-120 # limes O Erase All El Remove R9 Restrictions Free Text Messages/Miscellaneous Instructions Financial Institution Name: Authorized Signature: Print Name: For Metavante Use Only Completed by Date Verification Date 233.099b MIDSbc (12101) Fax R9 requests to Collections, 608-240-7601; others to Account Processing, 608-240-7605 EFTA01700980 Vat.. nc rte U : A/P Tracki Number: Metavante Corporation Credit Card Services COMMERCIAL CARD PRODUCTS - INDIVIDUAL ACCOUNT INFORMATION Please indicate Commercial Card Product type; • Cl/ VISA ❑ MasterCard a Rosiness ❑ Corporate O Purchasin Company Name: .5 VE Company Number: tee& C.- Corporate Account: SECTION I — AUTHORIZED' Credit Cash Advance Capability lil Reporting Unit (Optional) General ledger if Taxable MEA Line "D" or %of imit Pin Y/N Div. ID Div. Name Dept. ID Dept. Narne Assigned • Whit Y/N• o rs al en ame pt onat) N606. 0 o • Social Security Number Home telephone H (Optional) Account Nun her (llfelayante Use) (Optional) Cardholder billing address City Slate ZIP Code • Spt . liandling Instructions: O Federal Express Plastic address if different from Cardholder billing address: City Slate ZIP Code Credit Cash Advance Capability II Reporting Unit (Optional) General Ledger 0 Taxabk MEA Line "D" or % ofLimit yo 0 0 Social Security Number ft, Pin Y Div. ID Home telephone tt (Optional) Div. Name Dept. ID Dept. Name Assigned • Account Number (Metavante Use) Y/N• TiN• (Optional) i :ardholder billing address City State ZIP Code ;paint Handling Instructions. -O Federal Express 'task address if different from Cardholde billing address: City State ZIP Code lame Credit Cash Advance Capability ii Reporting Unit (Optional) General Ledger PI Taxable MEA ) Line "V' or % of Limit Pin YIN Div. ID Div. Name Dept. ID Dept. Name Assigned • Y/N• Y/N• /others Maiden Name (Optional) Social Security Number Home telephone H (Optional) Account Number (Herayante Use) (Optional) ) ardholder billing address City State ZIP Code 'eclat Handling Instructions: O Federal Express astic address if different from Cardholder billing address: City State ZIP Code Visa Purchasing Card Options .. . ., .. .. , Y=Yes: N=No. D=Dejautt to Conspany 3dt-up yes. n scat _. o _ sin a naneial Institution Name: C010 13 (-4 i( Agent Dank E ulhorizcd Signature: Date: .5116 (I ) 3 3.107 MIDSbe (I1100) EFTA01700981 Code: Dale: K edb A/P Trac:Inc, Number Metavante Corporation . _ Credit Card Services COMMERCIAL CARD.PRODUCTS INDIVIDUAL ACCOUNT INFORMATION' - Please indicate Commercial Cad Naiad type: Lit VISA ;.I.isic:exti isushiess ❑ Corporate ❑ Por :., 'n Company Name: /i) (E., 5 LA, c Company Number: Corporate Account: SECTION I — AUTHORIZED USERS Credit Lin Cash Advance Capability N Repotting Unit (Optional) Genet,' Ledger I Taxable MEA "D" Ol % of Limit Pin Y6I Div. II) Div. Name Dept. ID Dept. Name • Assigned° Whi• Y/N• 3,poo Social Security Number Home telephone II (Optional) Account Number (Metavante Use) (Optional ) Cardholder billing address City Slate ZIP Code Special Handling Instructions: 0 Pcdcrat Express Plastic address If different from Cardholder billing address: City State ZIP Code i Name I wthi Cash Advance Capability AV Reporting Unit (Optional) General Ledger ll Taxable MEA line "D" or % of Limit Pin WN Div. ID Div. Name Dept. ID Dcpl. Name Assigned • Y/N• Y/t4* Mothers Maiden Name (Optional) Social See rity Number Home telephone II (Optional) Account Number (Aletnante Use) (Optional) • ) Cardholder billing address City State ZIP Code Spedal Handling instructions: U Federal Express Plastic address if different from Cardholder billing address: I City Statc ZIP Code Name Credit Cash Advance Capability ft Reporting Unit (Optional) General Ledger a Taxable MEA Line "D" or % of Limit Pin Y/N Div. ID Div. Name . Dept. II) Dept. Name Assigned • 171i• ION* Mothers Maiden Name(Optional) Social Security Number Home telephone N (Optional) Account Number (Metavante Use) (Optional) ) Cardholder billing address City State ZIP Code Special Handling inflections' 0 Federal Express Plastic address if different from Cardholder billing address: City Slate ZIP Code • Visa Purchasing Card Options 0Y=Yes. N=No, D=Defauft to Company Set-up (ifyes. indicate % oflimit availablefor cash) Financial Institution Name: Agent N Hanky Authorized Signature: Dale: •••••• • ••• a•enco, r I IiOQ) EFTA01700982 Code: Date: K ed b AIP Trackin Number: Metavante Corporation Credit Card Services --COMMERCIAL CARD PRODUCTS INDIVIDUAL ACCOUNT INFORMATION Please indicate Commercial Card Product type: VISA O MasterCard Rusines O Corporate Purchasin Company Name: NI ES L Company Number: Corporate Account: SECTION I— AUTHORISED USERS . . Credit Cash Advance Capability II Reporting Unit (Optional) General Ledgers Taxable MEA Line "D" or %ofLimit Pin VIN Div. ID Div. Name Dept. ID Dept. Name Assigned • WTI' Vaq• 3OOO O CA 0 /4 Mothers Maiden Name (Optional) Social Security Number Home telephone fl (Optional) Account Number (lletavante Use) (Optional) ( ) rdholder billing address City State ZIP Code Special Handling Instruclions: 0 Federal Express Plastic address if different from Cardholder billing address: City State ZIP Code Name Credit Cash Advance Cape/Ably lii Reporting Unit (Optional) General Ledgers Taxable M EA Line "D" or % of Limit Pin YM Div. ID Div. Name Dept. ID Dept. Nanx Assigned • NIN• V/N• Mothers Maiden Name (Optional) Social Security Number Home telephone tr (Optional) Account Number (Metavante Use) (Optional) ) Cardholder billing address I City State I ZIP Code Special Handling Instructions: 0 Federal Express Plastic address if different from Cardholde billing address: City State ZIP Code . . ..._._ Name Credit Cash Advance Capability S Reporting Unit (Optional) General Ledgers 'Iambic MEA Line 'D" or %of Limit Pin VIN Div. ID Div. Name Dept. ID Dept. Name Assigned • YIN• Wei* Mothers Maiden Name (Optional) Social Security Number Home telephone II (Optional) Account Number (Metavante Use) (Optional) ) Cardholder billing address City State ZIP Code Special Handling Instructions: U Federal Express Plastic address if different from Cardholder billing address: City State ZIP Code • Visa Purchasing Card Options N-No, D-,Default to Company Set-up Wye& indicate % oflimit availablefor cash Financial Institution Name: Z.OLo IO 1AL. C A k- Agent « Bank tl Authorized Signature: Date: \*• \‘.1\ ky 233-107 MIDSbe (I 1/00) EFTA01700983 illetavante Corporation Credit Card Services ant4U le kw. 'lease indicate Commercial Card riOd1C VISA IYPc: O MasterCard Business O Corps/rate ❑ Pur :ompany Name: C Company Number: Corporate Account: SECTIONI- AUTHORIZEOUSERS Name Alfre do Credit Linn Cash Advance Capability if "D" w'/. ofLimit Pin YIN Div. II) Div. Name Repotting Unit (Opiional) Dept. ID Dept. Name Gcncial Ledger it Assigned • Taxable YIN' MEA lithl• ROartSkiel 2p So0 Mothers Maiden Name (Optional) Social S Home telephone If (Optional) Account Number (Mehtrante Use) (Optional ( ) Cardholder billing address City Stale ZIP Code Ii 5r 1 [Dad ) On /hie, Special Handling Instructions: U fede FEW» h f 10 Dr Mk) 1( 0 r )( Al Y: ) 6 O Dal l ral Express ' Plastic address If different from Cardholder billing address: Slate ZIP Code City Name Credit Cash Advance Capability /0 Reporting Unit (Optional) General Ledger ti Taxable MEA Line "D" or %of Limit Pin YIN LBv..11) Div. Name Dept. ID Dept. Name Assigned • Y/N• Y/N• 1r 00 0 Molders Maiden Name (Optional) Social Sec n Dome telephone II (Optional) Account Number (Metarante Use) (Optional) Cardholder billing address . i ) City State ZIP Code Special Handling instructions. 5 /49 0 .? O Federal Express S Plastic address if different from Cardholder billing address: City Slate ZIP Code Name Credit Cash Advance Capabilily k7 Reporting Unit (Optional) General Ledger H Taxable MEA itg-i - C1 0 Assigned • YIN* WM' Line "D" or of Limit Pin YIN Div. ID Div. Name Dem. ID Dcpl. Name Fonitnile, 1, 000 Mothers Maiden Name (Optional) Social Sec Home telephone P (Optional) Account Number (Metarante Use) (Optional) Cardholder billing address A ( ) City State ZIP Code Special Handling instructions: Er Federal Express Plastic address If different from Cardholder billing address: City State I ZIP Code • Visa Purchasing Card Options Y= es, o, D=Dejoulr10CompanySet-up , Financial Institution Name: (0 (1,- Agent #91 ID v Dank F 1_5-3 y Authorized Signature: Date O?? 233-107 MIDSbe (11/00) • EFTA01700984 Code: Date: to a Metavante Corporation Credit Card Services commriciAL CARD PRODUCTS — INDIVIDUAL • at. Pkasc indicate Cummercial Cant l'indtta type: VISA ❑ MasrnCard liminess O airmen( e o PureintsIn Company Name: Company Number: Corporate Account A/CS , C SECTION I— AUTHORIZED USERS Nave c lifi-e do Credit Cash Advance Capability a Reporting Unit (Opitorre0 j Gam A Line "D" or %of Lim!! Pin Y/N Div. ID Div. Name Dept. ID DWI. Heine RoanqUeZ 2,5 -00 Mothers Maiden Name (Optional) Social Security Number Home telephoned (Optional) Account Number 0 • (Optional) ( ) Cardholder billing adds . I State 21! (15 47 /licit 5 on 4 ve /DIA it Plots /lbw York At Y. Special Handling Instrualont O Faiend Express Vitale madras If different from Cardholder billing address.. City State il Name Credit • Cash Advance Capability fil Reporting Unit (Optioned/ C Lam IlY" of % of Limit Piu YeN Div. 1O Div. Name Dept. ID Dept. Name 0 )1000 Mothers Maiden Na Social Security Number Home telephone V (OpaonaO Account Number (Optional) to ) Slate Canilsoides billing address City - 5AM C Special. Handling Instructions: O Federal Express C Plane address If different from Cardholde billing addness City Sure ID L 1— Name Credit Cash Advince Capability 0 Reporting Unit (Onion') ' C 1.12Lic,r) 0 "D" a % or Limit Pin 'ON DIv.1O Div. Name Devi. ID 0H* Hanle Line * F0/11.C/IrlIC i 1 0O 0 Account Numbe Mothers Malden Maine (Orminfia0 Social Sec ' Home telephone fl (Optiona0 (Op/tonal) Cardholder billing address ( ) 15ty Stale ..S 4 M c Special Handl:or Windfalls: O Federal Express • Plank addren I( different from Cardholder billing address: Oty Stale .. ' Visa Purchasing Can't Options MY- Yu. NerNo, D=Defouft onwany I -Up ns. I trate o - ova: t . Areald Bar Financial ineliertion Hama: COI H1{4 Authorized Signature: Date: „); 233-107 MIDSbe (I IMO) •Ct I EFTA01700985 EXCEPTION TYPE CIS ACC() Pa DATE USE CARD IPRERE SUE 07-01-03 200 riER CORES S PAST DUE Far ow. &ME ustrins s .0 S .00 000 I I PAST • WIt:?.? .. 00 DUE IBM . 00 NEW YORK NY 10022-6843 AMOUNT lt:-.4b. •, BY RANGE iStii:* HOME TELEPHONE it 911ilitIll OF istif : s , 00N DAYS :-14)*•:..,` .0 %.:"AUTHORIZEOVSERE..... NO,GaRDStSSUE0Sf0 1 friiiker> 08/03 tsar 7.4itll;k 911 Ca 534" 11111 9 1 Man litall CREDIT LINE NIVIEST mum DISPUTE SIX MONTHS MONETARY HISTORY S 0s 7000 PURCHASES en. maim PAYMENTS CREWS MOM untallt OYEAUMIT /•41:00k ten WITS NO AMOUNT NO AMOUNT NO AMOUNT AMOUNT 5 700SH a 1x11 371 krii Stattowni MEI/IOUS YEAR cumerr YEAR 0a tIskiiii, xxx ovedim Ar XXXXXXIXIXIXta l:Mg; (X nfiltkililli4 1 32 02 nvr 51.10 ?? l Ii en gin./ = I ' PAST OUE HISTORY it -1)0 s-n n-se 41-94 '1-2x1121421 351. 11 + • nen, magraa ver: 7 SSW ATP) 0n FLO2 can .00 I tI t i°122".e> Mien° OP-082101 I SS-000000000 4 114 - - Itir e lita;fr , ,OW "-Kt • .4,, --xatia..-417 • a toy it: 0214112 ansagoverimmanootem • : Se * AantititrakingMang i OSP 0 %- .00%-PER ANN L BANpSi r DV t 0 .2811M8USEMEEM0NdaniM . 11 23002- WNONITOK ii,e0493; „ 25.wamotinereffenain n "osio 23015-WCONT TO N R 4.,SR05,117.01a .23015MIONITOR. li, 000701 23004 tHMONITOR . 4 VS0.00.70 Vt- 2.UO3:49EMONna e Is 007:01 23007 "VCR - C1.11, - SA b' Ksteat w Kra. u 0•907fors 230'04 H R iia 9.7 EttEnitINOIRMLIMagg it 1MA:510§ !.2 MAcOACMN.R.VANgEDAWARNZI WO • • • EFTA01700986 EXCEPTION TYPcCARD ACCO"fr NItl!EIFR DATE USERNUMBER umnu Ud 07-01-0 M c TOTALDUE PASTWE alIgaCiE s $ .0 4 .00 000 I I PAST NnYb .00 457 MADISON AVE FL 4 MX 4iwa* .00 NEW YORK NY 10022-6843 AMOUNT .,.,.4110' BY 44-Az407 ..... .00 RANGE .00 HOMETELEPRONE BUSINESSTELEPHONEs : ' OF DAYS I 1: •:' l i „0 osts)...„. .11 IPATITHOFOZEDOSERS:::-::: . .:7.:1-.'1 Iiinia) 08/0 ACCOUNTNUMBER ■ MINT I,QE attar I 19 MIMI MIME CREW UNE mast BAUM DISPUTE SIXMONTHSMONETARYHISTORY ' S E 30005_ __9* PURCHASES ass Anima PAYMENTS CREDITS • awn mania OVERLauT 1,1 1, tru NOM NO AMOUNT NO AMOUNT NO AMOUNT ANOINT $ - 910 3 G 83..0 7371 kt* . SISSIMet PREMOLSYEAR CURRENTYEAR 0 Lug istl I I A Nal)trulaz lizisNEN?ribiguin a X)(k XXXYXX VW& )0000a 'U Ovary 01, "Usr. la 3140 ". " "" nn war DUEHISTORY 040 I n sun I 41.40.11410Ill-ISOmu 11 ”.,..t.Itx .> 9 tntkagi1> 06)102 A r> .90 SU, 0(000 CP-062101 I SS-4001MM 1 itta 4.Wia 'alfant grafil %Am „ s, SUS -...Are... OM SOWS. i amly aF2rolgrigrierraterantatirem iis re.rinIggriggrAtanumat 1" '4 A W,BraMeoPagaatitiONANKS9 NM rga misznoximatiaormasmn , • 140•01 • 4230'04 •NMONITOR. wiimEgool NogssifitgaititimcKliummitsm 40601 423004 3011* DECLINE ils•M'a0411-Wq2301ZINDSEMEEKSAMMEMI: M 1L6101 4230t24MONITOR ii.,W.A3032/4n40.0FFOOR4314,74.4ng:: lain! • ii -- lgg4p1. 425004-*USE7SEEMrOK - gigcitlZrlSMAEaaeaCOIFWfdlgjettilktci t). 1,' - '02 01- 42301KONITOttr"' • Ii mr. m1 /4-,..^Ak amen" MIS EFTA01700987 AN Tracking Number: Metavante Corporation CREDIT CARD COLLECTIONS Credit Card Services AND MONETARY CHANGES Account Number: Name: Street Address City State ZIP Business Name: e.2 Collections Monetary Changes ❑ Restrict Account — R9 al Limit Increase to $ Lin OO • ❑ Close Account — V9 ❑ Limit Decrease to ❑ Delete Cardholder ❑ Change Corporate Account Limit to ❑ Zero Cards to Reissue ❑ Reverse Finance Charge of $ ❑ List on Exception File ❑ Reverse Late Charge Fee of ❑ Restrict on.ATM Access ❑ Reverse Over Limit fee of S ❑ Stop Interest ❑ Reverse Insurance Fee of S ❑ Stop Late Charge ❑ Reverse Current Membership Fee ❑ Stop Statements ❑ Waive Membership Fee Permanently ❑ Stop Overlimit / Past Due Notices ❑ Reverse Replacement Card Fee S. ❑ Minimum Payment Due This Cycle $ ❑ Reverse Convenience Fee $ .0 Fix Payment $ ❑ Reverse NSF Fee ❑ Re-Age account ❑ Reverse Insurance Premium Fee ❑ Erase Past Due Status ❑ 1-30 # times ❑ Reverse Returned Check Fee ❑ 31-60 # times ❑ 61-90 # times ❑ 91-120 # times ❑ Erase All ❑ Remove R9 Restrictions Free Text Messages/Miscellaneous Instructions Financial Institution Name: Authorized Signature: Date: Bank # 1,53- 9- 9-o Agent # 2 _- Print Telephone # Ext. Name: For Metavante Use Ooly Completed by Date Verification Date 233-0996 MIDSbc (12/00 Fax R9 requests to Collections, 608-240-7601; others to Account Processing, 608-240-7605 EFTA01700988 A/P Tracking Number: Metavante Corporation CREDIT CARD COLLECTIONS Credit Card Services AND MONETARY CHANGES Name: Street Address City Business Name: Collections Monetary Changes ❑ Restrict Account — R9 [Limit Increase to $ 67o00 • ❑ Close Account — V9 O Limit Decrease to ❑ Delete Cardholder .O Change Corporate Account Limit to $ O Zero Cards to Reissue O Reverse Finance Charge of ❑ List on Exception File O Reverse Late Charge Fee of ❑ Restrict on ATM Access ❑ Reverse Over Limit fee of S O Stop Interest ❑ Reverse Insurance Fee of O Stop Late Charge O Reverse Current Membership Fee O Stop Statements O Waive Membership Fee Permanently O Stop Overlirnit / Past Due Notices ❑ Reverse Replacement Card Fee S O Minimum Payment Due This Cycle $ O Reverse Convenience Fee S O Fix Payment $ O Reverse NSF Fee ❑ Re-Age account D Reverse Insurance Premium Fee $ ❑ Erase Past Due Status ❑ 1-30 # times ❑ Reverse Returned Check Fee $ O 31-50 # times O 61-90 # times O 91-120 # times O Erase All El Remove R9 Restrictions Free Text Messages/Miscellaneous Instructions Financial Institution Name: Date: e -9-0a- Authorized Sign Bank # /--g 9 Agent # Print Telephone # Ext. Name: For Metavante Use Only Completed by Date Verification Date 233.0996 MIOSbc (12/01) Fax R9 requests to Collections, 608-240-7601; others to Account Processing, 608-240-7605 EFTA01700989 AT Tracking Number: Metavante Corporation CREDIT CARD COLLECTIONS Credit Card Services AND MONETARY CHANGES Collections Monetary Changes O Restrict Account — R9 Limit Increase to $ ID, a oo • Close Account — V9 O Limit Decrease to O Delete Cardholder O Change Corporate Account Limit to O Zero Cards to Reissue O Reverse Finance Charge of O List on Exception File O Reverse Late Charge Fee of O Restrict on ATM Access O Reverse Over Limit fee of $ O Stop Interest O Reverse Insurance Fee of $ Stop Late Charge O Reverse Current Membership Fee O Stop Statements O Waive Membership Fee Permanently O Stop Overlimit / Past Due Notices O Reverse Replacement Card Fee -D Minimum Payment Due This Cycle ❑ Reverse Convenience Fee Fix Payment $ • Reverse NSF Fee O Re-Age account O Reverse Insurance Premium Fee $ O Erase Past Due Status O 1-30 # times ❑ Reverse Returned Check Fee $ ; o 31-60 # times 61-90 # times ❑ 91-120 # tirnes Erase All j g Remove R9 Restrictions Free Text Messages/Miscellaneous Instructions Financial Institution Name: . Authorized Signature: Print phone # N ame: For Metavante Use Only Completed by Date Verification Date be (12/01) Fax R9 requests to Collections, 608-240-7601; others to Account Processing, 608-240-7605 EFTA01700990 MI' Tracking Number: Metavante Corporation CREDIT CARD ACCOUNT MAINTENANCE Credit Card Services Account Record, Card, PIN For Marital Property States Only O Married Not Married El O Legally Separated Spouse's Name Account Record Changes Street Address Vie Account City, State, ZIP EF...e .....--r O Cards Returned ands Not Returned Card Issuance O Re-Open Account O Remove Reissue Block O Order New Card for O Add Soc. Sec. #: Must ;nark below to indicate the type ofcard ordered O Add Telephone # O Home Send Card: CI Business CI Normal Delivery — 7 to 10 days O Name Change Front O Express Delivery— 2 days ($10.00 charge) To: O Saturday Delivery (Add $10.00) .O Address Change to ❑ Fastcard — 1 day ($20.00 charge) City, State, ZIP • 0 Saturday Delivery (Add $10.00) ❑ Add Cardholder Charge: O Cardholder O Financial Institution O Order Card O Do Not Order Card Address to Mail Card: O Delete Cardholder Name O Add:Authorized User Street Address ID Order Card O Do Not Order Card City, ST, ZIP O Delete Authorized User O Charge Cardholder Replacement Card Fee of O Add Credit Rating O Delete Credit Rating O Add Type Code O Delete Type Code PIN Issuance O Add Automatic Payment Deduction O Order PIN Reminder T/R# Checking Acct# 0 PIN Federal Express — 3 days ($10.00 charge) 0 Minimum payment [Previous balance Charge: 0 Cardholder 0 Financial Institution O Delete Automatic Payment Deduction O Send PIN to Alternate Address Below O Add E-mail Address Name O Add Mother's Maiden Street Address Name O Add Secondary CH SS# City, State, ZIP O Add Secondary CH DOB O Add Secondary CH Daytime Phone Balance / Payment Transfers O Add Fax Number Transfer balance of $ ❑ Add Cell Phone# From account # O Add Pager Number To account # O Privacy Option Transfer payment of $ From account it ; Insurance To account # O Add Insurance O Delete Insurance • gadding insurance, attach a signed copy ofthe insurance application Convenience Checks Free Text Messages/Miscellaneous Instructions O Send Convenience Checks — # of books Name • Street Address City, Stare, ZIP Financial Institution Name: Date: — - Oa, • Authorized Signa Bank # /SS Agent # Print Telephone: xt. Name: 233-099a NUDSbe 024 EFTA01700991 MEMORY TRANSMISSION REPORT IRE : AUG-00-2002 03:35PM TEL NUMBER : NALE FILE NUMBER : 635 DATE AUG-09 03:34PM TO DOCUMENT PAGES 004 START TIME AUG-09 03:34PM END TIME AUG-09 03:35PM SENT PAGES 004 STATUS OK FILE NU ER : 635 *** SUCCESSFUL TX NOTICE *** AAP Treelese a teamees. PAttanellerttO Conacremtii.r. Cainert COLLECTIONS CARD Credit Card EfOrtiletiola AND wicerz-rdkark• atigastams Wexner Street CITY State EXP Ownosell Names AJ- Collections Moo. C• an 9 Rime= Account FEW cas Ltrolt Increase to .-57n 00 - Close ••• 001.11a • • VD CI Limit Decease. to Delete Cardholder In Chemin Corporate Account Limit to 5 Zero Cards to Reissue C Pavers. Plasma Mamma of Q List on Exception ni e I=I Raegna Late Charge Fee of Reverse Over Limit fee of S lteatrict on PCFNI.AsseSS C:l stop batmen Reverse lestusemon Pee of C3 Stop Lase Omega Rovers. CUL-rent lvrembership Fce Stop Stammers. CI Waive bdereberibly Fee Pannanently l= Stop Cmartirnit I Pest Due Notices C3 Itemise Etripleeentonc Card Fee S Minimum Payment One This Cycle 5 Iterara. Convenience rye CI Fix Payment Reverse NSF Fee Ete-Ace amount Rename Inamenco *mince Fee Erase Peat Due Stems 1-30 0 lieSCJI litemerso Eternised Check Fee S IL Q 31-.90 S dame Q dtaten S tee I=I 9te120 w dome Q Erase AR Remove RP leassnieriene Free Tett Mess ratiesataitheellamodus Instrusetoest ' Financial Instination Name: .42 Date: (1;--cr- j fit as ' Authorised Sitazutasse Hanle F Scent 0 Print *hipbone a Name: . For brarevarne Csa Col* Completed by Date Verification Data 2-33.-ason re masa ow Fax re.Sa requests to Collections, 6O8-24O-76O1i others to Account Processing, 608-240-7605 EFTA01700992 Al? Trechittg Number: Metavante Corporation CREDIT CARD ACCOUNT MAINTENANCE .Credit Card Services Account Record, Card, PIN Acct For Marital Property States Only Name ❑ Married 0 Not Married 0 Legally Sepan Business Name /If 4.5 LL C Spouse's Name Actiount Record Changes Street Address g Close Account City, State, ZIP 0 Cards Returned EilCards Not Returned Card Issuance 0 Re-Open Account 0 Remove Reissue Block p Order New Card for 0 Add Soc. Sec. #: Must mark below to Indicate the type ofcard ordered 0 .Add Telephone # 0 Home Send Card: 0 Business ❑ Normal Delivery — 7 to 10 days 0 Name Change From: 0 Express Delivery —2 days (S10.00 charge) • To: 0 Saturday Delivery (Add S10.00) 0 Address Change to 0 Fastcard — 1 day ($20.00 charge) City, State, ZIP 0 Saturday Delivery (Add $10.00) 0 Add Cardholder Charge: 0 Cardholder 0 Financial Institution 0 Order Card 0 Do Not Order Card Address to Mail Card: 0 Delete Cardholder Name 0 Add Authorized User Street Address 0 Order Card 0 Do Not Order Card City. ST, ZIP 0 Delete Authorized User ID Charge Cardholder Replacement Card Fee or S ❑ Add Credit Rating O Delete Credit Rating 0 Add Type Code 0 Delete Type Code PIN Issuance 0 Add Automatic Payment Deduction ❑ Order PIN Reminder TrItet Checking Acct# O PIN Federal Express — 3 days (310.00 charge) 0 Minimum payment 0 Previous balance Charge: 0 Cardholder 0 Finincial Institution O Delete Automatic Payment Deduction O Send PIN to Alternate Address Below 0 Add E-mail Address Name 0 Add Mother's Maiden 'Street Address Name 0 Add Secondary CH 55# City, State, ZIP 0 Add Secondary CH DOB ❑ Add Secondary CH Daytime Phone Balance I Payment Transfers 0 Add Fax Number Transfer balance of S 0 Add Cell Phone# From account it' 0 Add Pager Number To account # 0 Privacy Option Transfer payment of S From account # Insurance To account # 0 Add Insurance 0 Delete Insurance • !fainting itterunce. attach a signed copy ofthe insurance application Convenience Checks Free Text Messages/Miscellaneous Instructions 0 Send Convenience Checks — # of books Name Street Address City, State, ZIP Financial Institution Name: Colonial Bank Date: 3/ rb s 3 Authorized Signature: Bank # 1559 Agent N Print Telephone: Ext. Name: 21j.eyroi (I JO EFTA01700993 Ai? Tracking Number: Metavante Corporation CREDIT CARD ACCOUNT MAINTENANCE .Credit Card Services Account Record, Card, PIN For Marital Property States Only 0 Married O Not Married 0 Legally Separ Spouse's Name A count Record Changes Street Address 4 Close Account 0 Cards Returned Cards Not Returned City, Stare, ZIP Card Issuance 0 Re-Open Account 0 Remove Reissue Block O Order New Card for O Add Soc. Sec. tt: . Must mark below to indicate the type ofcard ordered 0 Add Telephone tit 0 Home Send Card: 0 Business 0 Normal Delivery— 7 to 10 days 0 Name Change From: O Express Delivery — 2 days (310.00 charge) To: 0 Saturday Delivery (Add S10.00) 0 Address Change to ❑ Fastcard — I day ($20.00 charge) City, State, ZIP 0 Saturday Delivery (Add S10.00) 0 Add Cardholder Charge: 0 Cardholder 0 Financial Institution 0 Order Card 0 Do Not Order Card Address to Mail Card: O Delete Cardholder Name 0 Add Authorized User Street Address 0 Order Card 0 Do Not Order Card City, ST, ZIP O Delete Authorized User 0.Charge Cardholder Replacement Card Fee of S O Add Credit Rating 0 Delete Credit Rating 0 Add Type Code 0 Delete Type Code PIN Issuance 0 Add Automatic Payment Deduction 0 Order PIN Reminder 1712.# Checking Aced/ 0 PIN Federal Express — 3 days (510.00 charge) • 0 Minimum payment 0 Previous balance Charge: 0 Cardholder 0 Financial Institution 0 Delete Automatic Payment Deduction. 0 Send PIN to Alternate Address Below 0 Add E-mail Address Name 0 Add Mother's Maiden Street Address Name 0 Add Secondary CH SS# City, State, ZIP 0 Add Secondary CH DOB 0 Add Secondary CH Daytime Phone Balance / Paythent Transfers O Add Fax Number Transfer balance of S 0 Add Cell Phone# From account if 0 Add Pager Number To account # 0 Privacy Option Transfer payment of From. account # Insurance To account - O Add Insurance 0 Delete Insurance • !lidding insurance. attach a signed copy ofthe insurance application Convenience Checks Free Text Messages/Miscellaneous Instructions 0 Send Convenience Checks — # of books Name • Street Address City, State, ZIP Financial Institution Name. • nk Date: Authorized Signature: Bank # 1 %co Agent N Print Telephone: Ext. Maine: Marrs, sun:au:Is o • EFTA01700994

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