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EFTA01700995
Goiania' Bank
320 Lakeview Avenue
West Palm Beach, Fl 33401
561871.4366
Fax 561471-4390
e was il r
To:
From: a/Colonial Date: 6/17/2003
Re: Cards 2
CC:
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• • ■ •
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EFTA01700996
•
A/P Traci:in:Number:
Metavante Corporation CREDIT CARD ACCOUNT MAINTENANCE
Credit Card Services Account Record, Card, PIN
For Marital Property States Only
0 Married 0 Not Married 0 Legally Separat
Business Name Spouse's Name
Ac aunt Record Changes
d Close Account
0 Cards Returned 0 Cards Not Returned
Street Address
City, State, ZIP
Card Issuance
0 Re-Open Account 0 Remove Reissue Block 0 Order New Card for
0 Add Soc. Sec. X: Must ,nark below to indicate the type of card ordered
0 Add Telephone g 0 Home Send Card:
0 Business O Normal Delivery — 7 to 10 days
0 Name Change From: ❑ Express Delivery — 2 days (S 10.00 charge)
To: 0 Saturday Delivery (Add 510.00)
0 Address Change to 0 Fastcard — I day ($20.00 charge)
City, State, ZIP 0 Saturday Delivery (Add $10.00)
❑ Add Cardholder Charge: 0 Cardholder 0 Financial Institution
0 Order Card 0 Do Not Order Card Address to Mail Card:
O Delete Cardholder Name
O 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
O Add Type Code 0 Delete Type Code PIN Issuance
O Add Automatic Payment Deduction 0 Order PIN Reminder
T/Ri Checking Aced/ 0 PIN Federal Express — 3 days (510.00 charge)
0 Minimum payment 0 Previous balance Charge: 0 Cardholder 0 Financial Institution
O 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 55# City, State, ZIP
O Add Secondary CH DOB
O Add Secondary CH Daytime Phone Balance/ Payment Transfers
0 Add Fax Number Transfer balance of.5
O Add Cell Phone* From account g
O Add Pager Number To account g
O Privacy Option Transfer payment of S
From account g
Insurance To account frit
O Add Insurance 0 Delete Insurance
' If adding insurance, attach a signed copy of the insurance application Convenience Checks
Free Text Alessagesffiliscellaneous Instructions 0 Send Convenience Checks — g of books
Name
Street Address
City, State, ZIP
Financial Institution Name: Date: r 6 03
Authorized Signature: Bank g t sag Agent X
Print Telephone;
Maine: Ext.
2) f.irrka Slinllu
EFTA01700997
EXCEPTION TYP" CARD ACCOUNTMAHER 047E USER NUMBER
U/34/ 11U PREREISSUE it:Is :l1 -(WL.,t, (99 j USTINGS
1559
NAM AND ADDRESS PAST DUE pee es entlic
5 , .9 S .00 000 I I
PAST ‘:‘:.:440.4' .00
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PURChASES UPI Malt PAYMENTS CREDITS
awn 'mum OVERLOAD' LI •417/, je t+ser k ROM NO AMOUNT NO AMOUNT NO AMOUNT AMOUNT
$ 40005 0. 08 - 02 7371 kW .
Stalseasnl PREVIOUS YEAR CURRENT YEAR 04
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EFTA01700998
Pt-F-1-n 71Ln ki
VP Tracking Number:
Metavante Corporation CREDIT CARD COLLECTIONS
Credit Card Services
AND MONETARY CHANGES
Name:
Street Address 'Kg in A;sen ive
City Ng , / 1 oiu Art State ZIP I Dula
Business Name: 1,O-•
Collections Monetary Changes
9 Restrict Account — R9
d Limit Increase to s 7i 000.
0 Close Account — V9 O Limit Decrease to
0 Delete Cardholder ❑ Change Corporate Account Limit to
❑ Zero Cards to Reissue 9 Reverse Finance Charge of
0 List on Exception File ❑ Reverse Late Charge Fee of
0 Restrict on ATM Access 9 Reverse Over Limit fee of
El Stop Interest ❑ Reverse Insurance Fee of
9 Stop Late Charge
O Reverse Current Membership Fee
9 Stop Statements 9 Waive Membership Fee Permanently
0 Stop Overlimit / Past Due Notices ❑ Reverse Replacement Card Fee
U Minimum Payment Due This Cycle S El Reverse Convenience Fee S
O Fix Payment S 9 Reverse NSF Fee
O Re-Age account O Reverse Insurance Premium Fee S
0 Erase Past Due Status ❑ 1-30 # times O Reverse Returned Check Fee
9 31.60 # times 9 61-90 # times
❑ 91-1,20 it times ❑ Erase All
O Remove R9 Restrictions
Free Text Messages/Miscellaneous Instructions
Financial Institution Name:
Authorized Signature:
6Ln1( Date: ic) r iViii .
Bank # Agen
Print
Telephone 11 Ext
Name:
For Metavante Use Only
Completed by
Date
Verification
Date
233.09% MIDSbc (12/01)
Fax R.9 requests to Collections, 608-240-7601; others
to Account Processing, 608-240-7605
EFTA01700999
EXCEPTION AC/TAINT NtIURFR
TYPE CARD DATE USERNUIABER
UHri U PR I lIk..a 00
E A NO ADDRESS TOTAL DUE PAST WE • USTINGS
5 .0 1 5 • 00 000 I I
PAST ......... • .00
457 MADISON AVE FL 4 DUE :,Dab• .00
AMOUNT ai/ii,.
NEW YORK NY 10022 - 6843 EY .00
RANGE tie.
' Vii. •
HONE TELEPHONE BUSAVESS TELEPHONE a Mr Mtge OF laittA •
3 Q OM DAYS fiiii,L . •
LE
SWITIORIPEGEUSERSal NGSt.CARDS•ISSUES WACO> 09/ 04 TED accomu NUMBER
Km Ott C COI ME
1534 1 0 •
MAW num CREDIT UNE NIMES: MANE DISPUTE SIX mam4s MONETARY HISTORY
S CS 5000$ 49F PURCHASES CAW MUM PAY/SPITS CREDITS
CUM SD Lift OVERUMIT TT:talent, nn e nem NO AMOUNT NO AMOUNT NO AMOUNT AMOUNT
A 5000 LSI 0 a 0.0 0 Q99 QZ
Statement PREVIOUS YEAR CURRENT YEAR
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EFTA01701000
•
An) Tracking Number:
Metavante Corporation CREDIT CARD ACCOUNT MAINTENANCE
Credit Card Services
Account Record, Card, PIN
For Marital Property States Only
❑ Married ❑ Not Married O Legally Separated
Spouse's Name
ount Recor d Changes
i 0cClose Account
Cards Rearmed
Street Address
City, State, ZIP
g i Cards Not Returned Card Issuance
O 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
❑ Add Telephone # 0 Home Send Card:
0 Business 0 Normal Delivery — 7 to 10 days
0 Name Change From: O Express Delivery -2 days (510.00 charge)
To: O Saturday Delivery (Add $10.00)
D Address Change to O Fastcard — 1 day ($20.00 charge)
City, State, ZIP 0 Saturday Delivery (Add $ (0.00)
O Add Cardholder Charge: 0 Cardholder 0 Financial Institution
El Order Card 0 Do Not Order Card Address to Mail Card:
❑ Delete Cardholder • Name
❑ 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
0 Add Credit Rating 1:1 Delete Credit Rating
Add Type Code Delete Type Code PIN Issuance
0
D Add Automatic Payment Deduction O Order PIN Reminder
TIR# Checking Acct# O PIN Federal Express — 3 days ($10.00 charge)
Minimum payment 0 Previous balance Charge: 0 Cardholder 0 Financial Institution
El
❑ Delete Automatic Payment Deduction O Send PIN to Alternate Address Below
O Add E-mail Address Name
0 Add Mother's Maiden Street Address
Name
El Add Secondary CH SS# City, State, ZIP
0 Add Secondary CH DOB
O Add Secondary CH Daytime Phone Balance Payment Transfers
O Add Fax Number Transfer balance of S
❑ Add Cell Rhona From account #
0 Add Pager Number TO account #
O Privacy Option Transfer payment of S
From account #
Insurance To account #
O Add Insurance 0 Delete Insurance
• If adding insurance. attach a signed copy of the insurance application Convenience Checks
Free Text Messages/Miscellaneous Instructions D Send Convenience Checks — # of books
Name
Street Address
City, State, ZIP
Financial Institution Name:
Authorized Signature:
Date: 3 )sD 4
Bank # 15 s Agent #
t Print Telephone: 411.--
•Xt
Name:
ml09 (It/U
EFTA01701001
MP Tracking Number:
Metavante Corporation COMMERCIAL CARD PRODUCTS
Credit Card Services ACCOUNT MAINTENANCE
Company Name 11/ et_ 5 I. 1. Company Number
Change Request For.
E . Corporate Account II
Q Individual Account Individual Account Name fl.‘tze ( 0 Fri'd /he.
O Control Account # Control Account Name
O Address Change O Company
O Individual
O Name Change From:
To:
❑❑❑❑❑❑❑❑❑❑
Add/Changc Phone Number
Corporate Limit Increase to S Corporate Limit Decrease to S
Control Account Limit Increase to $ Control Account Limit Decrease to $
Individual Limit Increase to S Individual Limit Decrease to $
Reverse Finance Charge of $ Reverse Over Limit Fee of $
Reverse Late Charge Fee of S Reverse Insurance Fee of S
Reverse Current Membership Fee
Add Home Banking O Delete Home Banking
Add Credit Rating
Add Automatic Payment Deduction O Minimum Payment O Previous Balance
T/R# Checking Acct#
D Order PIN Lc Change ATM Access-Cash Advance Only
D Waive Membership Fee One Year O Waive Membership Fee Permanently
D Charge Cardholder Replacement cad
Fee of S
O Order New Card for
Send Card O Normal Delivery - 7-10 days
❑ Fastcard $20 (next day - if received at Metavante by 12:00 p,m. CST)
❑ ExEcss Delivery - 2 days $10 Address to Mail Card:
U Saturday Delivery Add $10
O Charge Cardholder
0 Charge Financial Institution
O Add Account R9 Rating O Remove R9 Rating
O List on Exception File
O Zero Cards to Reissue
O Stop Interest CI Fix Payment - Date to Start Fix-Payment
O Re-Age Account
O Erase Past Due Status
//Times 1-30 O 31-60 O 61-90 O 91-120 ❑ Erase All E
• MRO Reissue
Re-Open Account
Close Account
Free Text/Miscellaneous Instruction:
Please attach additional documentation for the following options:
Add MCC Add MEA Add Level Add Group
Reassign Cardholder to another level/group Change Report Options Add or Delete Cash/Purchase Table
Financial Institution Name: C n l On.' l /5 ei • Agent #: AIMIBank #: l _Cr?
Authorized Signature:
Date: Li 3Di D
FOR METAVANTE USE ONLY
Account Code
Name Line 1 Date
Keyed by Verified by CSC DOC #
233-104 MIDSbc (02/03)
EFTA01701002
Code: Date: kr v ect rA:
Metavante Corporation
.
Credit Card Services ' •
INEC. Trinninint . ' t ' ' lialWaSITilriffilLiffipistWia 8ra vi tio vr rLea
Please indicate Commercial Cold Prixhici type: Lji VISA U M./sinCard
a Business O Corporate U Putclumor,
Company Name: Ai £ 5 LL C Company Number: Corporate Account
SECTION I — AUTHORIZED USERS
Reporting Unit (Optional) General (.edger 0 Taxable MEA
Credit Cash Advance Capability a
Yfie YIN•
Line "Ira %ofgny Pin WU Div. ID Div. Name Dept. ID Dept. Name Assigned •
0 00
Mothers Maiden Name (Optional) Social Security Number IIonic telephone II (Optional) Account Number (Metavante Usc)
)
Cardholder billing address ci s r7 el 6 i City A i State L„.
A/ 1
ZIP Code t .
/ 0 03,),
at i 0/1 Ave , frovi#1, floor Met") t(or. IC
Special Handling Instructions: . Ill Federal Express
Plastic address if different from Cardholder billing address: City State ZIP Code
Reponing Unit (Optional) General Ledger # Taxable MM
Name Credit Cash Advance Capability H YIN°
Div. ID Div. Name Dept. ID Dept. Name Assigned • TN'
Line "D" Or %of Limit Pin Yffl
Mothers Maiden Name (Optional) Social Security Number Home telephone II (Optional) Account Number (ilietavante Use)
(Optional)
I I
Cardholder billing address ( ) I City I State I ZIP Code
Special Handling Instructions: Q Federal Civets
City State ZIP Code
Plastic address If different from Cardholder billing address:
General Lag& # Taxable 'MEA
Name fl ed,: Cash Advance Capability II Reporting Unit (Optional
Div. Name dept. ID Dept.Hanle Assigned s. Y/t4 • YIN*
Line "V" or %of Limit Pin YIN Div. II)
Mothers Maiden Name (Optional) Social Security Number Home telephoneff (Optional Account Number (Metavante Use)
(Optional)
( ) City State ZIP Code
Cardholder billing address
Special Handling Instructions: CI Federal Express
I Cily I State I ZIP Code
Plastic address If different from Cardholder billing address: '
—
• Visa Purchasing and Options = r c art to onipan • .
Agent Dank # I 53-
Financial Institution Name:
Date:
Authorized Signature:
233.107 MIDSbc (11/00)
EFTA01701003
- JUL. b.eucia 10:21AM N0.158 P.1/2
Metavante Corporation
P.O, Box 1111
Madison, WI 53701-1111
metavante.com
Metavante"
Fax
07.05.04 Pages:
Date:
To: From:
Metavante Corporation
COLONIAL BANK
Senders
Fax:
Senders Phone:
Phone:
Comments:
possible compromise of
Please see the following page(s) for Information regarding a
account numbers for your financial institution.
Pease contact me if you have any questions.
information Intended ter the use of the
The information contained In this fricslmlie message Is privileged and confidential
ee or the agent responsihla
addressee listed above. If you are neither the Intended recipient. nor the employ
d
for dellvedng this massage to the Intende recipien t, You aro hereby nobned met any disolosurs. °Amino, distribution,
prohibited. If you have resolved
or the taking of action In reliance on the contents of the tolafaxed Information Is strictly
of the original document to us.
this telefax In error, please notify us by telephone to arrange for the return
EFTA01701004
•
N1 Tnitking Number
Metavante Corporation CREDIT CARD ACCOUNT MAINTENANCE
Credit Card Services Account Record, Card, PIN
For Marital Property States Only
O Married O Not Married p Legally Separate
Spouse's Name
A count Recor d Changes Street Address
El Close Account City, State, ZIP
0 Cards Renamed 0 Cards Not Returned C d Issuance
O Re-Open Account 0 Remove Reissue Block Order New Card for SCMe
0 Add Soc. Sec. #: Must mark below to indicate the • r o Cret
0 Add Telephone ; 0 Home Send Card:
0 Business ormal Delivery — 7 to 10 days
O Name Change From: Express Delivery — 2 days (510.00 charge)
To: 0 Saturday Delivery (Add $10.00)
0 Address Change to 0 Fastcard — 1 day ($20.00 charge)
City, State, ZIP ❑ Saturday Delive (Add 310.00)
0 Add Cardholder Charge: CI Cardholder Financial Institution
0 Order Card 0 Do Not Order Card • Address to Mail Card:
0 Delete Cardholder Name
0 Add Authorized User Street Address 14-717 mc.13p, //we 4 i'`)
0 Order Card
O Delete Authorized User
0 Do Not Order Card City, ST, ZIP Net, / r ock, Atti- 1 0 0 a
0 Charge Cardholder Replacement Card Fee of S
❑ Add Credit Rating 0 Delete Credit Rating
0 Add Type Code 0 Delete Type.Code PIN Issuance
0 Add Automatic Payment Deduction O Order PIN Reminder
TIM Checking Acct# O PIN Federal Express — 3 days ($10.00 charge)
0 Minimum payment 0 Previous balance Charge: 0 Cardholder 0 Financial Institution
O 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
ID Add Secondary CH Daytime Phone Balance / Payment Transfers
O Add Fax Number Transfer balance of S
O Add Cell PhoneN From account #
❑ Add Pager Number To account Pi
O Privacy Option Transfer payment of S
From account N
Insurance To account #
O Add Insurance 0 Delete Insurance
• Ifuaing insurance. attach a signed copy of die insurance application
Convenience Checks
Free 'text bIessages/Nliscellaneous Instructions 0 Send Convenience Checks — # of books
r oscol (Dayromcicp. Feletic biotic
Clsr- 6/0 Name
c.00vni (Ana ;sive. net.) (GA-A Street Address
City, State, ZIP
Financial Institution Name: Date: 11 i t 0 lt
Authorized Rigor Bank # 1 cso Agent #
Print Telephone:
Name: Ext.
2)3.0.riti mos& (12/01)
EFTA01701005
MEMORY TRANSMISSION REPORT
TIME : JUL-06-2004 02:30PM
TEL NUMBER :
NAME
FILE MINDER j : 211
DATE : JUL-06 02:29PM
TO
DOCUMENT PAGES : 001
START TINE : JUL-06 02:29PM
ENO TILE : JUL-06 02:30PM
SENT PAGES : 001
STATUS : OK
FILE MUNGER : 211 *** SUCCESSFUL TrNOT ICE ***
ℹ️ Document Details
SHA-256
cb872cd3b3d6545cd955f1d9055e6f160139933a06acdce6cf694b9f4a7bd8d7
Bates Number
EFTA01700995
Dataset
DataSet-10
Document Type
document
Pages
100
Comments 0