EFTA01700895

PROT0 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 PROT1 [VICTIM NAME REDACTED] V.h S37O14111 [VICTIM NAME REDACTED] [[VICTIM NAME REDACTED]] FL 4 NEW YORK N 100224643 COLONIAL BANK MEMO STATEMENT ACCOUNT NUMBER STATEMENT DATE O51DOS [VICTIM NAME REDACTED] 158'7.44 ENOS ce [VICTIM NAME REDACTED] " 00 NOT REMIT PAYMENT SUMMARY ANNISCimmed./ Tam _CARDHOLDER PuithISS8 Core And Other CMS,' Advances - SIBT44 10 .00 Olean t0 0C r Tool Acdrity 11$7 41 [VICTIM NAME REDACTED] Post Tran Nth Dila Reference Number TTINIssalor. Doscrlollon STOWE 05-24 06-23 US9213141 rolloo.S0010032S NOTICE Undo MPS Lan] BELOW saxeceisrwIngsea•I'mcwomara ASIA GRILL 211-7SSSIBE NY M32 BS 05-2S GS-24 24141C4AW.cO196.5OOO2.92 MED TERRANEO NEW YORK NY MtS20 Orr2S 0646 24O13113146OO1585S32119 [VICTIM NAME REDACTED] M39.27 0540 03.25 24116O4614BOO14917716O9 [VICTIM NAME REDACTED] M26.20 05-29 05-27 24323O3O144122436O.1OSt9 [VICTIM NAME REDACTED] Me3.82 AIWIA4 [VICTIM NAME REDACTED]: FOR CUSTOMER SUWICE OR IDST/[VICTIM NAME REDACTED] Account [VICTIM NAME REDACTED] 146O421-W6 [VICTIM NAME REDACTED]& & INTERNAT/ONAL 1.6064A0.7700 01/16/06 Oita CHARGES 5167.44 CASH A0VANCES_ Rf1. - SEND DitglIIRES To: [VICTIM NAME REDACTED] 12,000.00 ADV.INE Fa. cc [VICTIM NAME REDACTED]- .00 [VICTIM NAME REDACTED] poscrAim [VICTIM NAME REDACTED] S57014 111 30.00 [VICTIM NAME REDACTED] 15167.44 Pavel al 1 PROT2 AUG-16-2006 15:28 P.04 [VICTIM NAME REDACTED] 1111 MADISON Yin 53701-111i e Inbind [VICTIM NAME REDACTED]6843 COLONIAL BANK MEMO STATEMENT ACCOLINTNUMBER STATEMENT DATE 05-18-08 [VICTIM NAME REDACTED] 542.04 MMO int [VICTIM NAME REDACTED] " DO NOT REMIT PAYMONT t [VICTIM NAME REDACTED] Catdholder Total Koenste Cash And Otter Debra ~inca - SOM $0 00 Giedts 14.00 Total Acdirke $42.04 Post Tran Date pitte Riiirmanos Numbor TransactIon Destriplign Amount [VICTIM NAME REDACTED] 1214 [VICTIM NAME REDACTED] ran" 05-06 05-04 2429957812[[VICTIM NAME REDACTED]]823 LEGENDS #11 [VICTIM NAME REDACTED] M42.04 TOTAL ~[VICTIM NAME REDACTED]): $42.04 FOR CUSTOMER SERVICE OR WST/OTDLE11 [VICTIM NAME REDACTED] 7O1.1 FREE 1.[[VICTIM NAME REDACTED]] INTERNATIONAL 1.[[VICTIM NAME REDACTED]] [VICTIM NAME REDACTED] 85118/06 [VICTIM NAME REDACTED] & [VICTIM NAME REDACTED] $42.04 [VICTIM NAME REDACTED]; catorr LIMIT n ir" °n [VICTIM NAME REDACTED] .Q0 "%WC La A rtt /A birg C ree res PROT3 scovub 1St 29 P . 05 Neor••••• I in • .anapill Vie I M DOESIMIIIN 11 - V i N01,••••0 [VICTIM NAME REDACTED] 10.00 [VICTIM NAME REDACTED]AL ACTIVITY At_ 54204 Page 1 of 1 PROT4 AUG-16-2006 15:28 -4- P.06 I I PO BOX 1111 MADISON W[PHONE REDACTED] NES LLC NEW YORK NY 18DZZ-6843 COLONIAL BANK MEMO STATEMENT ACCOUNT NUMBER STATEMIDIT DATE 04-17-08 TOTAL ACTIVITY 6472.[ADDRESS REDACTED]ATEMENT ONLY DO NOT REIMT PAYMENT SARDHQLPER SUMMARY 1.111. 1 Puttheses Cash And Other Debits Ateratme - 4472,19 60.00 Crone SAN Total Activly $472.19 Don iron DS Dale Re mane Number TritheaelIon Daseriolien Amount 03-17 03-17 M213.00 24293516076207795400020 NOTICE WILTED BELOW atngte:Cflin' MEMO AND GRECS BODY PAINT 5618335626 FL 03-97 03-2e 24275306086766763254564 BUDGET RENT-A-CAR WEST PALM BEA FL M198.07 76935455 04-11 04-10 [PHONE REDACTED][PHONE REDACTED]145 LEILA WEST PALM BCH FL M81.12 4472..19 TOTALMIDUNT DESEMO ITEMM6 LOST/STOLEN CARDS CALL TOLL FREE 1.[PHONE REDACTED] INTERNATIONAL 1-60B-2404700 ACCOUNT NUMBER STATEMENT DATE ACCOUNT SUMMARY PURCHASES & DUlT/06 OTfiER CHARG€S 5472.16__ SEND INQUIRIES TO: CREDIT LIMIT ill MI% NI CASH ADVANCES ritela AMfalilt-C reCc .00 net PROT5 AIMI- 16-2006 16:28 MADISON WI 53701-1111 DISPUTE RESOLUTIoN Po BOX $0.00 • fltie tNel.. • tirY CREDITS V y .00 TOTAL ACTIVITY 562.18 Pape 1 or I P . 07 PROT6 AUG-16-2006 15:28 P . 08 PO BOX 1[PHONE REDACTED]111111/ aaaaa NES LLC • NEW YORK NY 10022-6843 COLONIAL DANK MEMO STATEMENT ACCOUNT NUMBER STATEMENT DATE 03-16-05 TOTAL ACTIVITY 8243.83 M00144 x" MEMO OT STATEM PAYMENT ENT ONLY PP DO N REMIT Deronomerr Purchases CINA And otror 0ebto 4 Advances - 5243.88 8000 Credal SO 00 r• Thai Amity $24123 Post Tan _DOI DM* Reference Number Transaolfon Description Amount NOTICE MEMO ntims.ustro BELOW zuzanceessaw"cwneone• 02-10 09-10 [PHONE REDACTED][PHONE REDACTED]769 ROGER DEAN CHEVROLET INC WEST PALM BOG FL M243.82 TOTAL AMOUNT OF MEMO 'TEAMS): _5243.83 YOU. FREE 1-[PHONE REDACTED] INTERNATIONAL 1.608.2s0T700 ACCOUNT NUMBER STATEMENT DATE 03/15105 PURCHASES & OTHER CHARGES $243.83 CREDIT LIMIT co 111111 till CASH ADVANCES .00 ractl ATM ia •IrC Ì PROT7 nut,- le- 2006 15:28 P.09 DISPUTE RESOLUTION $REP1V AO Disponi) Amount PO BOX 1111 MADISON WI 53701-1111 so.00 TOTAL ACTIVITY $243,03 Pegs 1 of 1 L c PROT8 ADO- 16- 2006 15:28 - P . 10 PO BOX 1111 MADISON WI 53701-'1111 imaginal loin' in Urinal Lehi' NES LLC NEW VORK NY 10022-6843 COLONIAL DANK MEMO STATEMENT ACCOUNT NUMBER STATEMENT DATE 02-16-06 TOTAL ACTIVITY $637.37 oges2a MEMO STATEMENT ONLY DO NOT REMIT PAYMENT IMPORTANT INFORMATION Your total finance thMte Dald 1W 2005 was 0.00. al ~iiii m ConihoIcteeTtaal Purr:hawse Cash MS offier Debt -1. /Mama - ía97.97 5000 gees 5000 a Total Actiwty $1537.37 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 sentratuttocanuournatet RACETRAC[PHONE REDACTED]9 W PALM BCH FL M14.00 5637.37 TOTS AMOUNT DE MEMO REINS>: LOST/STOLEN CARDS CALL. TOLL FREE 1-[PHONE REDACTED] INTERNATIONAL 1.[PHONE REDACTED] ACCOUNT NUMBER STATEMENT DATE 02/141/06 PURCHASES & OTHER CHARGES CASH ADVANCES 5827.37 CREDIT LIMIT to mn nralnurt CCCe .00 PROT9 Auu-15-2006 15:29 P . 11 r i I PO SOX 1111 MADISON WI 53701-1111 u.......ems.rowertfl,...-.L.Lohat.. m.deayik...... CREDITS 30.00 TOTAL ACTMTY 5637.37 Page 1 of I a F I PROT10 AUG-16-2006 15:28 P.12 cmoiromTeral 1 PO LICM 1111 MADISON WI 53701.1111 .JANUSZ BANASIAR NES LLC NEW YORK NY IDOZZ-6843 COLONIAL BANK MEMO STATEMENT ACCOUNT NUMBER STATEMENT DATE 01.16 TOTAL ACTIVITY 52.849-42 m MEMO STATEMENT ONLY m . DO NOT REMIT PAYMENT IMPORTANT INFORMATION Your total finance sham Odd far 2005 was 313» cARDHOLDERSUNIMARY Purchase* And Dthar Debits nadu3.42 Cash Adulate Credit; MOO ;MO Tool hcavay F2.84a,4? Post Tran Date oase Raferrance Number tart 12-19 12-19 24328885353209144100242 12-22 12-22 24108395356644476.4853 TraMALOOan DE:Shattiah NOTICE MEMO ITEMS LISTED BELOW mum. GULF STREAM MOTORS 4076888363 FL DOLLAR RENT-A-CAR PBIODO WEST PALM BEA FL HH1154845 01-02 01-02 2416838600264245453476 DOLLAR RENT-A-CAR P81000 WEST PALM BEA FL NMteam 01.03 01-02 24402698003900600300673 BELLA BLU NEW YORK NY 01-03 01-t3 24892166003000223228*11 HAMMACHER SCHLEMMER 800-233-4600014 01-06 01-06 24403686008850600901457 MEDITERRANEO NEW YORK NY 01-09 01-07 24926260_08207499700355 7 45593080~002791650 FOCACCIA FIORENTINA NY NY 01-09 01-08 2 LABSTHE RESTAURANT NEW YORK NY 01-16 01-15 24692166018000839988850 SHELL OIL 20030305419 FORT LAUDERDA FL -weg TOTALAMOUNT OF LIMO MUM Amount M311-62 M898.38 M693.71 M180.15 M384.14 Me6.00 M/18.52 M231_99 M74,93 12.B49.4 FOR CUSTOMER SERVICE OH LOTT/STOLEN CARDS CALL. TOLL FREE 1.[PHONE REDACTED] INTERNATIONAL 1-[PHONE REDACTED] ACCOUNT NUMBER STATEMENT DATE 01/18/06 PURCHASES IL OTHER CHARGES SU/49.42 CREDIT UMIT nnn en CASH ADVANCES .00 r AC1.4 A TM hirg CCC4 fin PROT11 AUG- 16-2006 15:29 vihdpoW.w -a...-. •-•••••rnylaaotc-___ - "dw P. 1 3 CREDITS .00 PO BOX 1111 MADISON WI 58701-1111 MOO TOTAL ACTIVITY 52.84.942 Page 1 el 1 I PROT12 AUG- 16-2006 15:29 P.14 PO BOX 1111 ititticidiniiiiirlyábalitillimiezieli • JANUSZ 8ANASIAR NES LLC NEW YORK NY 10022-6843 COLONIAL BANK MEMO STATEMENT ACCOUNT NUMBER STATEMENT DATE 12-18-05 TOTAL ACTIVITY $1,682.16 [ADDRESS REDACTED]ATEMENT ONLY m< CARDHOUgR SUMMARY Purchaser Cash And Mar Dab Aorentee - ConfhoIderTotat I $1.862.16 jQQQ ormits sato Total AeWly $1.862.16 POD Tran Date Date ReAlran04 Number Transaction DaicriPlIon 101130Àdgentritteflina NOTICE MEMO ITEMS Limb BELOW 11-17 11.16 24184055321837000006240 EXXONMOBIL87 07894391 WEST PAL FL 11.21 1141 24268575326206698100689 LEGENDS #11 WEST PALM BEA FL 11-23 11-22 24254775927452919200500 CITY CELLAR WINE BAR & WEST PALM BCH FL 11-25 11-24 24470975331900012100168 CAFE I! EUROPE PALM BEACH FL 11-28 11-27 24106385881642439403073 DOLLAR RENT-A-CAR PBI000 WEST PALM BEA FL H H1 03420 12-02 12-01 24610435336010160828802 THE12 HOME DEPOT 6306 PINECREST FL 12-1.4 12-14 24288575342205899100700 LEGENDS #11 WEST PALM BEA FL TOTAL AMOUNT OF MEMO ITEMMI: Amount M85.01 M28.39 M80.70 141213339 M968,15 M500.00 M27.92 $1.863,18 TOLL FREE INTERNATIONAL 1-[PHONE REDACTED]. 1-[PHONE REDACTED] AccouNT NUMBER STATEMENT DATE 12/18/05 PURCHASES & OTHER CHARGES s1á62.16 CREDIT OMIT CASH ADVAμCEo4 rnau arno414/-C cccc PROT13 AUG- 16-2006 15:29 P . 16 4,40.WMA••••• I I I ruoEFII.Echi2 - '011---- CREDITS 00 J PO BOX 1111 50.00 TOTAL ACTIVITY $1.682.16 Page I• of I I PROT14 AUG-16-2006 15:29 P . 16 PO BOX 1111 NES LIC NEW YORK NY lon2-6843 3 COLONIAL BANK MEMO STATEMENT ACCOUNT NUMBER STATEMENT DATE 11-164)5 TOTAL ACTIVITY si,eactss N3Nac 'q' MEMO STATEMENT ONLY "3, CARDHOLDER SUMMARY iniiiiM ~Total Purchases Gash MO Offies Debb 4 Advance - Creels f1,62856 $0.03 WO Total Actny S1,628.55 Post Wen Date Dale Befeteince Number Transaction Description /flaunt NOTIce MEMO ITEMS USIED BELOW • 10-15 10-17 10-21 10-20 24208575291205690100591 24208575254206699100929 #11 WEST PALM BEA FL LEGENDS 1 WEST PALM BEA PL LEGENDS M22.89 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 11434 11-03 240C4765307315035690104 24184075308426052002573 °REECHO E STEAK HOUSE WEST PAW BCH FL CHILI'S 44111000001107 WEST PALM BEA FL Wass. M22oh 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 11-14.11-13 24410002016318240932309 247170553177331743591361 CAFFE MED NEW YORK NY EAT HERE NOW NEW YORK NY M1 M14A0 0/5 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 ton/swum CARDS CALL. TOLL FREE INTERNATIONAL 1[PHONE REDACTED] 1.[PHONE REDACTED] ACCOUNT NUMBER STATEMENT DATE 11/16/05 PURCHASES & OTHER CHARGES suaess SEND INQUIRIES. TO: CREDIT LIMIT tannneln CASH ADVANCES t- AC•1 Arntantre evrEca .00 M PROT15 AUG-16-2006 15:29 P . 17 •asa. 1/4 f • III I _put CREDITS 02_- PO BOX 1111 MADISON WI 53/01-1111 S0.00 TOTAL ACTIVITY rymius Plige 1 O( I PROT16 AUG- 16-2006 1---- 15:29 PO BOX 1111 MADISON WI 53701.1111 MIMI kkkk _11.11.11.11_61 0_11_11_1 JANUSZ DANAsIAR NES LLC NEN YORK NY 1002Z-6643 COLONIAL DANK MEMO STATEMENT ACCOUNT NUMBER STATEMENT DATE 10-1T-05 TOTAL ACTIVITY $14.80 " MEMO STATEMENT ONLY "I DO NOT NEWT PAYMENT CARDHOLDER SUMMARY dillilliMI Cardineter Tow Putehamo And OPE Debits 12.196.02 Cash Adtarom - _IA.00 CresIts S2 161 12 TOW AaMty £14.80 Pon Trap Date Rite RSteenCe Number Tranuclien Description " ace mmtn"xen , NOTICE MEMO ITEMS LISTED BELOW 09-20 09-20 24610435253072000003211 ABC CARPET & HOME DELRAY BEACH FL CO-21 09-21 74610436264072000002712 ABC CARPET & HOME DELRAY BEACH FL 09-29 08-28 2S2301S aiatiat ionalL 0O ZZA D0AQ09 W PALM BEACH FL TOTALAMOUNT OF MEMO IMAM TOLL FREE PURCHASES & OTHER CHARGES CASH ADVAIESD____ rne..i AM/M.O. 0 CCM MOM Ammo M2,101.12 M2i 61.12 CR 14.90 14.99 P . 18 PROT17 I I Am- 16-2006 46:29 CREDIT CARO PROCESSING CENTER PO BOX 1111 MADISON WI 5 37 01-11 11 i LCREDITS 2.91172- 1 $0.00 ITOTALACTIVITY S14.80 Fa00 1 of 1 P.19 PROT18 CudholierToral p0-16-2006 rr 15:29 Po BOX 1111 I._ 11_11- I I I I I 1 1 I I I I I NES LLC NEW YORK NY 10022- 6843 COLONIAL BANK MEMO STATEMENT ACCOUNT NUMBER STATEMENT DATE 09-16-05 TOTAL. ACTIVITY $789.46 ter14.1 [ADDRESS REDACTED]ATEMENT ONLY >a PUichucos Cush Ammer Debbi Addenda* SMSAll S0,00 Officals 50.00 Total Acta* $78948 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 24246515253934705900023 06-12 09-10 GRECS BODY AND PAINT WEST PALM BEA FL Mee 1.60 "4""2" 141 TOTAL AMOUNT OF MEMO ITEMISE t 5789.411 FOR CUSTOMER SERVICE DR TOLL FREE INTERNATIONAL 1[PHONE REDACTED] 1[PHONE REDACTED] ACCOUNT NUMBER STATEMENT DATE 09/16/05 PURCHASES & OTHER CHARGES $789.48 P.20 CREDIT LIMIT CASH ADVANCES .00 r-ncw Any ntara ctcq nn PROT19 nvumlb-huub 15:29 PO BOX 1111 P . 21 a w I CREDITS SUDO TOTAL Acorn,* Page 1 of 1 PROT20 AUG-16-2006 15:29 - -1-- P . 22 COLONIAL BANK MEMO STATEMENT PO 60%1111 ACCOUNT NUMBER IMOMI STATEMENT DATE 03-16-03 NES LLC NEW YORK NV I 0 OZZ - 6843 TOTAL ACTIVITY 172,207.97 MOOa MEMOoT REMIT STATEMENT ONLY T a DO N PAYMEN 1i~ CarctekkecTotel Fueling.» Cash And Oder Debits Advances - 32,29727 9000 Creas 50.00 1 Tom! Aabiq 82287.97 Rost T) Dale Data Reference Number 'transaction Description liaaMlied~SPIOVIat NOTICE MEMO rags LISTED /m ow vleamecceeec~mormanzamc AMMO 07-21 07-21 [ADDRESS REDACTED]REAM MOTORS WEST PALM BCH FL M622.92 08-04 came ne 0808-088 08-0e 08-08 08-07 06-08 24782825217288489800813 CHINA 24246515219207309700088 INDIAN 24403885220900522000434 MEDITERRANE0 24810445221010151784855 THE FUN NY NY TANDOOR-OVEN RSTR NEW YORK NY NEW YORK NY HOME DEPOT 0390 WEST PALM BCH FL M1 Mel M55.70• ,563.78 TOTAL AMOUNT OF MEMO fTEMISS 92297.27 FOR cusTomER SERVICE OR TOLL FREE 1-[PHONE REDACTED] INTERNATIONAL 1-[PHONE REDACTED] ACCOUNT MUNIDER PURCHASES to. OTHER CHARGES 52.297.97 STATEMENT DATE ovieros CASH ADVANCES .00 CREDIT LIMIT ton/am PAC" AM/MI.1K CgCC nn PROT21 marie-2006 15:29 li+1•••••r I "LI P.23 CREDITCARDPROCESSINGCENTER ERES DMPUT OUMON CREDITS POBOX1111 MADISONW[PHONE REDACTED] S0M0 TOTAL ACTIVITY $2.a97.97 Page 1 of 1 PROT22 AUG-16-2006 15:30 P.24 PO BOX 1111 MADISON WI 517014111 NES LLC NEW YORK NY 10022-6843 COLONIAL BANK MEMO STATEMENT ACCOUNT NUMBER STATEMENT DATE OT-18-05 TOTAL ACTNITY S249.99 Nr10O4 [ADDRESS REDACTED]ATEMENT ONLY 101 CARDHOLDER SUMMARY cartokunTotal And Oiler Debts Arnintes - 624949 50 .00 Ccullle $0 .00 Total AcityR/ 524999 P.M Tan Dale Date Referena Number CARDHOLDER Acrwrry _Dilloracrlon De3CtiDlIon Arnow& NOTICE MEMO ITEMS LIVED BELOW Imkacgaux""mnfl"'"I't 06.27 06-26 2'717055178551750123371 DELTA AIR 0062186044465 CINCINNATI OH M249.99 DIFONZO/COLLEEN DEPARTURE DATE 0627-05 PSI DL B WA DL B PER TOTAL AMOUNT OF NEMO ITEMISt nom SAY LOST/STOLEN CARDS CALL. TOLL FREE 1.[PHONE REDACTED] INTERNATIONAL 1-[PHONE REDACTED] ACCOUNT NUMBER STATEMENT. DATE CI7/18MS PURCHASES & OTHER CHARGES 5246.89 CREDIT LIMIT C7nMM CASH ADVANCES .00 MIA Air C CCP% PROT23 AUG-16-2006 15:30 P.25 • e•Ltio•-a •••••4 PO BOX 1111 OW...4 6W DISPUTED AMOUNT so.da CREDITS .00 TOTAL ACTIVITY S249.39 Page 1 of 1 PROT24 AUG-16-2006 15:30 P . 26 PO BOX 1111 COLONIAL BANK MEMO STATEMENT ACCOUNT NUMBER STATEMENT DATE 06-18-05 TOTAL ACTMTY 51.712.513 IUIIIIIIIIIIIIeItlllllllllllidltII1I11IUIle1IJ1h11I11I1Il Wilma NES LLC NEW YORK NY 10022-6843 a MEMO STATEMENT ONLY ,0 iiinfilM Cardholder Tom) _CARDHOLDEMIMMARY Purchase° And Other Debits Cash Ackances - 51.71259 90.00 Crad3a 4080 4 Taal Aovvrty $t712_59 Peat Tan DAM DMA Rekoncie ~her Trail:40_2n DescriRgen Billog 0°49 MI-06 NOTICE MEMO STED BELOW Juaccompuoccan'aw."1.asna PALM BEACH (CYCLESWEST PALM BEA FL M619.31 24210735159318000010098 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 SI 712.50 "am""12mc's".."00••••asi TWO_ AMOUNT OF MEMO ITEMS): LOGT/STOLEN CARDS CALL TOLL FREE 1-[PHONE REDACTED] INTERNATIONAL 1.[PHONE REDACTED] ACCOUNT NUMBER STATEMENT DATE 06/16/05 ACCO_Vm- SUMMARY PURCHASES Ec OTHER CHARGES _51.71259 CREDIT UNIT nnn N1 cASAA0VANCES ,00 ~la anvaNrc- =cos nn PROT25 nyu-lo-tuu5 15:30 P.27 ...et,. l•-•••••e•- . 1 DISPUTE RESOUJTIOti pp Box tun MADISON WI 53101-1111 $0.00 Page 1 of CREQIES_ TOTAL ACTIVITY 51,71259 PROT26 AUG-16-2006 15:30 P.28 PO BOX 1111 I...111611 NES LLC NEW YORK NY 10022-6843 COLONIAL BANK MEMO STATEMENT ACCOUNT NUMBER STATEMENT DATE 05-16.0.5 TOTAL ACTNITY SI ,576.51 Marla "" MEMO STATEMENT ONLY iOt DO NOT REMIT PAYMENT caulholgerTetal CARDHOLDER aLIMMANY Purchases Cash Tow AM Oihat Doblts At:trances - Cracks Pethrhy 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 [PHONE REDACTED][PHONE REDACTED]402 POLO 027 PALM BEACH FL M1,676_51 1"'""tcaneemaIta TOTAL AMOUNT OF MEMO ralgust n =L31 TOLL FREE 1-[PHONE REDACTED] INTERNATIONAL 1430B-240-770D ACCOUNT NUMBER STATEMENT DATE 05/16/05 PURCHASES & OTHER CHARGES 51.676.31 CREDIT LIMIT ta MA IN CASH ADVANCES .00 •-ticu atirwararc ÌArt PROT27 Am- lb-2005 15:30 - P.29 eyeve..... • DISPUTE RESO 1111 LUTION PO BOX MADISON WI 53101-1111 80.00 CREDITS TOTAL ACTIVITY 51,676.31 Page 1 of 1 PROT28 UG-16-2006 16:30 P.30 Page 1 of 1 I I I t ==.110.44it - Ir° -e `m in an aml 31.41:771,". lomeWI.SMCric IMC bean •PasaW Allead101410 nrasuammsdad rztrt.."72Zujaw= iweio ltps://checkimage.roibaak.conilinguir'y/serviet/inquiry 8/14O.006 PROT29 ,Wettem 1%1cm Spealpay Version: v3.3.1 •••••• 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 Mulct Assault Payment typo ACH Payment Info Payment Aim 1 19808.271 Payment Date.16~00t1 9a6,á TOW Anne $19,609.27 Cush:0er Information ust. Name ItES I PAR Adelbea1467 MADISON AVE FL 4 rypof Personal Aocourd To Dena VP, CItr, Skis 10022 NEW YORK Ptiorrell Anemias Phone Posting Details I Payee : 1 of 7 entered. $19,606.27 total. wane) Number Chocking Si si Bank Marne., Phone Address city. Slate, DO Doha Name Joint tame 2Ip, City. State COLONIAL BANK. NA lee W LAKE MARY BLVD Connonalbre 011475700 [(4,w) 44S-2205 ItAKE MARY I IFI. 132740 boon 'NEW YORK QNY tioar Info Colaoor lEts Collet/ Group Payment Entered On Payment Entered By Piel Site IBZFCMCO CSSUP ~2008 3:2010 PM EXTRANET MEN 1 Bank *ASK CARD SERVICES curr. Cat Steles CI E.-Maa Adeline St 3 Caller tD 11 I Rad Code Cattectoc ID $1 S - Page 1 of 14. 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NA lit212) 270 6 I Cly, 504,11002Z tiNEWY0 RK TINY ~n 1111 POLARIS PARKW4Y AAWmele Phene Payers total. nv, State, Zip jc.otten BUS, ILII .... 24(2 j Details - : 1 of 7 entenerl, $10,885.10 Debit Name IJEFFERY EPSTED1 i Jein( Home Zip, Cly, Slete 110022 gNEW YØ IINY I Ussr Info Collier ID Colterrier Greep Payrned Enbriad On Psyrnent Entend at PM» S Bank rM I RD SERVICES LIFFNFREDER Cum Colt. Sialus S Z CSSUP 5/312005 11:01:50 AM EXTRANET aM rgil E-Ms5Addrass S eallecrer ID 5L CallerlD Si i S I Reu* Corte 5 ro C.) ev ups://nj61.speedpay.com/spentry.asp7AcdoníitForrn&FormName--,Payments&PAYMENT ID03795 8/16/2006 PROT32 AUG-16-2006 15:30 - P.34 Pagb 1 of 1 rant=3.•••Th =Ant OUR Meta moat Visa Gum ~Vs - ••• att•-•=1:44. ' s 7 • htrps://checkimage.mibank.com/inquiry/servlet/imuiry r It lin 16..i 1.8.0.11••••••....Uni.. i okr grae .4.14 .?::: rem, %art./WM Pti•altilif 2 avelsri+4•."•• WammirmemmismallasAG. *MEI f 1 8/15/2006 PROT33 ' AUG:161-3006 15:31 P . 35 Page 1 of 1 IM M M Orr 0 MdfaST Mr Nam Mamma luipa MaPpl. OMAR, vow ttlati". 1 S 0220 0I: WIC Ogi MINN* awe IPII.P4 2.2 0.4PlinIA moan/ nwY kl Inn* ma area •Is Int 3 i t . • I 11 Ike ,o 0/ littpsd/obeeleinvagemibazdr-comfinquiry/sowletruaquiry 8/15/2006 PROT34 Western Union Specdpay Version: v3.3.1 Page 1 of 1 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 110-16-2006 Dela Unchanged Aceourigilli m Account Payment Type ACH Payment Info Payment Amt 1 a0000.006 PriMelli D 12/12)2011 1 Sa/M1 Total Amount 53000130 Customer Information Cul. Hama Debit Mesta Zip, City, FTonee INES 1457 MADISON AVE FL 4 I I yype1Parzertal C Posting Details User Into Collector ID Collector Group Payment Entered Cm Payrnen1 Enticed B7 NW Me INY Payee INE71 : 1 ol 7 intend. $30.000.00 12/12/2006 11:47:09 AM EXTFtANET MEW Account To DWI itrougng timber thectrY 1181 Contermalon 61' .6_1377 IMO Name, Phone IcoLONIAL RANIt, NA 1(407) 444-2165 Address pus wuvi wow BLVD City, Me, 2tp ham MARY JIB 132748 Debi Marne Mn Nome Zip, Qty, Stale 10022 MEW YORK But SANK cm° SERVICES Car. Cog Steers Sffn &Mall Addrees SI CARY ID Resell Code It S Collector D sf S S ,b< ttprfinj61.speedpay.conilspentry,asp?ActioníitFoml&FortnNrne - Payments&PAYMENT Ine1564377 PROT35 AUGa16-2006 15:31 -r-- 08/15/2086 13; 45 4143573825 p I i11 423PINIZISTATI.4111 M I L0CKROX P.37 PAGE 63/03 Page 1 of 1 fan C0 PAWS; DUE DATE 12.11145 Militia DUE loam reiamnif raw* rit I N C0 TIAL 4 saw cagea PR0CESSING CENTER PO OX 305_ GILM0RE& VI 532AI - S0SR WES LEG itgrat TIm0peC _ VEIL 4 NEW YORK JP/A 1MM-684S 4POrvprovempoes - Nyco Inerneuthatzed automatemyna the hairnet =mat that you have authorized new balance or miniature Parma) etil debited tin Widnes) drys meArtepeynarnttaimeate. eas WOO999 CM lfl mS eeesavio MVO rwmencervaviltlIZIOITOCCowiltsc. Posting Date 2005 Dec 07 Box No. 200 Batch 2000005 Seq No. 293 Amovat 511,743.66 Account Noalga MOM Eaci.vato - me - nun TO VANI:Cno nivinous V PSYratatte received et other *en Ito remit to internam on the face of this stenintent may he eubtotil to In metal tip to 6 dap after Urn dab of PI 4. httped/claeckimage.mibank.couginquity/pegehtemprintjsp7BEANNAME=AmbiveltenaLls... 8/15/2006 PROT36 AUG-16-2006 15:31 69/15/2006 13:45 4143573025 N I LOCKBOX P.39 PAGE 02/03 Pap 1 of I I 141:90i. epatit ita ninadlimolpf. Sabi SI Piga Is VI et . Lae 7970 ILIEWZMI t i: it i $ 0114741/4 ye BeistilScr•tos 1 thnliecandiareltadnithexennorti66Aarss.."..." .....nnatu a It CsdkOrsatcatelniCadit ItIllstakc S30/4A.71 C f A. t • • Posting Date 2005 Dcc 07 Box No. 200 Batch 2000005 Seq No. 294 Amount $11,743.66 Account No. Si Sr httpslichetkimage.mibankeomilnquirylpegohtemprintjsp7BE4NNAME.-AschiveltemLis... 8/15/2006 PROT37 RUG-16-2006 15:31 foannoo8 oB:33 FAX GOB 223 2830 M a I DIRECT I rjj reeinro4Weroet-sivi COLONIAL _RAW CA:1 rmaressmoa COME IlitAUUSEN NE 53201-scist mEs cOlintRATE &Mr a O AVE Fc YORK NY leeZZ- LIM Plow intre.ee item ilemoomdek rib 002 Paso 1 of 1 COWN1AL RANK ant Illnilifil PltOMIT bUEwn 1Y01/XT =REIT MAXIM tested WILCO Wad tOtriesifi woo mummilimmemftxmnual to laalleala ataow [ dyne hare suibeased redrendapronembh the payment amount that you hints autbotind (new bWanva of munimmun mommit) will be debited two Mime •Vla Sew payment due date. vascreaws allIEROEM NE MILO PinAll OCTKEVINIMOIIIEMBIOTIMIXIDIVILCIPIL Noting Due 2005 Nov 02 Box No. 200 Beta 2000036 Seg 211 Amount $8,360.93 Account No. Payments received at ogler then the iambi to &Orem en the lace of gill statement we btie etrojeta Sray In away o 5 deo eer the dela rincarpL P . 39 PROT38 Page 1 of 1 P.40 AUG-16-2006. 15:31 1 08/18/2008 08:83 FAX [PHONE REDACTED] H & I DIRECT woo AP94,4 0060 IICOPWKS2•••••S*04 asOnAitti last 71304 109269/0/1 yep V sorwellarloa I S "MOM elrfistiodatekeshotha ndgmernabin••••••••••••••••••••••••••••••..............•••••••••nm g Cdunidlini OoftCed Pounaras ram NM WS II2101•1032 ! alio 111.• Posting Date 2005 Nov 02 Box No. 200 Datoh 2000036 S'xl No. 212 Amount 58,360.93 Ar.couttt No. "41 5, PROT39 AUG-16-2006 15:31 09/19/2008 09:33 FAX 909 223 2934 H 8 I DIRECT P.41 i 004 Page 1 of 1 till =I ye: Unit itt Rkg7ritiiiilifiRtICESSINO CENTER rilL/21(11 WI 55231-3452 ActogNk :1Z logz=-40.1 ØMIALBR/dit Ramoeitoursiit twig« Odit onn ASCU« DUE =Am« MaidiE Aron iitibisci li Mc( ',MAW WhAritu nu Mc( nubIf ya: haws aitiorticO aumrmAepfpmafee the payment imnolmt Mot you have a:4 mi (now balanse or minimum la to ~tad me nat days afteeiutillyirlduie na:.mDr limns ~flux ~tip .nail ear:0i~ ciiiiii~act Donn Posting Dam Box No. Bata Seq No. Amount Accottnat. 2005 Oct 07 200 2000033 249 317,175.54 Payments received al other than tho melt to *Moles on Om hum of lNe zdstomant ow be «Oct te ti Way In criind up to 5 Grp Wtor We dote of PROT40 6. tel C i M 1 I DIRECT 08/10/2008 08:34 FAX 808 223 2830 1 auosspvie ac n go van. sus I 04 eliN di:lt• WS WIC 11•/In. .I.W.14.1stlar JO I • 7.: r. • a. I 2.i rt c Posting Date 2005 Oct 07 1 PROT41 AUG-16-2006 15:31 - r--- 00/16/2008 08:30 FAX 806 223 2820 M 6 I DIRECT k P.43 a008 Page I of 1 COLONIAL BANK stem du em SIMS FAME= DIM can MOOS CA301101111257001-1111 cpLOOIAL DANK_ f: E;III KNA CENTS MILWAUKEE MX 88261-8032 NES Lt COXYDRA 057 bilm C s TEDrigrk I. NEWYORK AY lam28-4043 Primp ts0 w+aaortlIrs•emeal% aataueroug NOM • GO MM( IllakaND1 ilileeXte *WSW InIOISIO 8 saw PLIMI MARI Odra yklayll TO asaacana CGMae ay= haYsalahOdZathadanSIIID parards, the payment amount that you have adthorlad (raw bellies or minimum pewee* wdl ha dataie we buineas days atilt Matta Ode OS. ma mate Os NE REsereCre asaiatourdsa SIIIK OrrnierooTTOCZnevagst POMONA Wand of 01116T than the net to address on the Taos of This taattunr may he eubled to s delay In credlling d op to 8 days are? dla dna OP vatalpt Posting Date 2005 Aug 31 Box No. 200 Basch 2000010 Scq No. 253 Amount S15,893.99 Account No. PROT42 AUG-16-2006 15:31 01/16/2006 oi!!34 FOC 849 223 2030 N & I DIRECT 4 4 4D. 2 Posting Date 2005 ALT 31 Box No. 200 Batch 2000010 Sag No. 254 Amount 515,693.99 Account No. P.44 (R) 007 Pap 1 of 1 bQ PROT43 stvu - lb - ZUlli, 15:31 58/15/2005 08:24 FAX ROO 223 2830 tl lt I DIRECT Page 1 of 1 P . 45 •••.• 'ad/. 5101,4111 mitt,tm.....vonakeiduinummurnadt cs 'Lc acasslim CENTER PO ROX 2 bILWOU 5O243-8152 MRS t CORPgli RE account 457 i JAW. P LEM YORK5ON mr aat. aa.seas pgamne~ =mime linewillaioN COLONIAL BANK weetertetritede PAVIale7 Me an ~2a MJX440 120.514.7; allitell7 ~Off RUMOR esour amain ma Purim =MI ban PAIMILE TilliAllliCtilD1111111«11 If you boo ante/Azad ~pay!~ the payment »mum! Diet you have ember-1ml inn balance el minimum pnynntO *0 be dabble two Winnow dun arum ~era earl& TM ~ASS Cal M Peat A« mina ~A finswitsr0/114.LINITTAKIWIFLOPP. Posting Dato 2005 Aug 03 Box No. 200 Basch 2000025 Seq No, 341 Amount 320,12439 AtemmtNo. Payments read at other then the Mina m aidtast on the tete of Wile ~mull may he ~feet le a delft tit ~Mel tio bc 5 /Was mar lb& data et natl. 41. PROT44 AUG-16-2006 15:32 09:34 TAM Bog 223 2830 N & I DIRECT P.47 (11014 Pass 1 of 1 411•••• PO oatONt« I lifitinS I akr ilI L IAIRO CENTER Po IA/ 3015111 CES"" INTIAlouNEE Mt 53201-305e COaICRICiTE ACCOUNT MADISON AVE Fs 4 NEW YORK WI' 1.0942-589S itS."11.1~ ••••••••••11~~ COLONIAL BANK =our moan Arnow Con OW 07-3143 ~WI« OM egiveallaUliva Mai:O near wises SW Mat isaa Vita pansy To loS• «wag [ ll ytu isms auentaid wank% pagnivila, the pay 111 ent amtutg that you nee acrinorlad (new Dales. or minimum parnirc WO En doblar tiiia hyenas clays rt«ITIQ Paymereldeo delis MIONISIItbr 'MI ~Mt PM Oellan SWUM bITI4E•liCOICIfillellSe0Stat PostingDato 20051n112 Box No. 200 Batch 2000008 Selo. 163 Amount 511,25946 Account»). Puma» ~erred III orlon' than MI Walt re seerela on ire fad of this Ørn« may be subject m ■ dMay in Orator Up to 5 dap &Mr Ila age PROT45 A10-16-2006 16:32 o2/18/2002 o0:3,1 FMC SOB 222 2830 M & I DIRECT Page 1 oil P.48 1 •• 1; E 6 Posting Date 2005 Jul 12 Box No. 200 Batch 200000& Sec No. 164 Amount $11,259.46 Account No. PROT46 AUG-16-2006 15:32 P.49 Page 1 of 1 t 771 PO BOX 1111 MADISON '1151701-1111 LlinAh.LUI COLONIAL DANK CREDIT CARD pRoCESSINO CENTER PO BOK 3052 MILWAUKEE WI 51201-5052 NES LLC CORPORATE ACCOUNT 457 MADISON AVE Fl 4 NEW YORK NV 10022-6143 COLONIAL BANK ACCDUKY NUMBER MEM PAYMENT VIM DATE otfooS AMOUNTPUE 2712.00 =SWEAT VALANCE $14.370.V2 AIMIONTOMMMO au Rail Mal! CrECIC IMIA011 TO WOOLCANO VIJOOLTS If you Note MIMOSA teltOtneio BANTAM Ma payment amount that you have authorized (new balance or minimum payment) veil be debited two burets dew alter the payment clue date. the Kai= OW TM IMBUESCE SW" APPIIM 1/411511\SMOOWOFT414BEITYCII Mint Posting Date 2005 Jun 13 Box No. 200 Batch 2000046 Seci No. 225 Amount $14,370.92 Account No. Payments received et other than th■ remit to address on the face of Mk idetement may be eubieol to a delay In crettehtA of up to 5 days attar to data d tempt hups://checkimage.rnibank.com/Mquity/pageinemprint.jsp7BEANNAME=ArchivalternLis... 8/16/2006 PROT47 AUG-16-2006 15:32 P . 50 Page 1 of 1 •1 tOrte Esna. into Slaisa IX V1 caw ••••••••11. Ik1 al•tatICI 7513 ge MialltdSovias I $ m14.37031 FiglamallisdaniThalciaasktakneyatinAW 7 Caboliask Cratikomillnain Con MIRA 3032 IfloOks. WI 02014001 am• Viument../.....••••••••••••••• ••••••••••••Sik e a le a F 5> 4.1 . 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 PROT48 AUG-16-2006 15:32 P.51 Page 1 of 1 PO ERA .ITIT kilkoiDON 53101-1111 COLONIAL SANK Atteouwr muting Rata DUE DATE ofriD•05 AmIDIJNY DUE snare bhholl.AJH IhJhUmishhohhhholIJJI CAIMISIT IRAUINCt 1116,$73.21 COLONIAL BANK CREDIT CARG PROCESSING CENTER AMODOTOMmATED PO pox 3052 MILWAUKEE VI 53201-3052 CORPORATE ACCOUNT NEW YORK NY 10022-604s mat LIAM SAO Mgt PAYAIALL TO DAMr.can BERME; ti yoll have ILISMOITDDO alitorrea paymetat the payment amount that you have authorised (new balance or minimum paynwitt) wU its debited two blainele days ear the payment due data. MI6 .Dow.. lit PEVESISE ®DE SOLO AWOM vitnewiltoovicamiesernaksonsava Payments received at other man the remit to addreas on the face [ADDRESS REDACTED]atement may be subject to a delay Si of cream of up to 3 days atter the Cal. reeeipt. Posting Date 2005 May 06 Box No. 200 Batch 200002$ Seq No. 79 Amount $15,573.36 Accotmt No. https;//cbeckimage.mibank.com/inquiry/pagetjtemprint.Jsp?BEANNAME=ArchiveItcatLis... 8/16/2006 PROT49 to 4-4 a) ck is 8 14414444.24111,14 4•414.1.1044,8• O 0141COUL /MAC X I "Re TOTAL P.52 PROT50 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: K Utgent CI For Review ' K Bente Comment K Pease Reply K Please Recycle ATTENTION: Please contact me if you have any questions. Thank you. Merchant Services Colonial Bank • PROT51 M&I Data Services EFD Card Services FOR ETD USE ONLY Account Code Name Line 1 Date Keyed by verified by PSC DOC 0 Tracki Number:. COMMERCIA COMO PRODUCTS 1 cc, COMPANY Skrrill i O Purchasing Please indicate Commercial Card Product Type: O Ntra a --1.nsioess SECTION I - COMPANY PROFILE O MasterCard Corporate Company Name: ATTN: Company Address: 9 6 -last 21 51 - City get° yogic O Bulk Ship (1:1 Reissue Daily Ship and/or O Daily Bulk Ship) Telephone: (i2ja..) -7,50 - Organized as: 0 Corporation 0 Partnership K Sole Proprietorship Company Name to Emboss on Cards: A/es 1,6, 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 rai r 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 -- Corga ilil orat line "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 Company Number: State: A) y ZIP Code: 1O0 a I ErOther: Maximum of 24 Characters 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: Authorized Signer: Date: 233-102 MIDSbc (05,00) Agent N: Bank N: /.._57.57 Branch N: S/2 'd H3 S33IAa3S add3ANIde Wd8P:2T 60, IT Sib PROT52 :ode: Date: Ke edb A&I Data Services 1ompany Name: kec ;ECTION I- COMPANY REPORTING A/P Trackin Number: curl) intooticIS -s COMPAN I2lt. I ONG ANDIHIER:Altt 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 Options form) 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 Department Name: Unit ID It: Unit ID N: Unit ID tr: 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) (Depth Reporting Level 1) (Depth Reponing Level 2) Division Name: Unit ID er: Unit ID th ' Department Name: Unit ID a: Unit ID N: Unit ID N: Additional Reporting Unit (Depth Repardng Level 3): Unit Name: Unit ID N: (To define additional Depth Levels 4 - 6, phase attach additional organizational chart) (Depth Repotting Level 1) (Depth Reporting Level 2) {l.. Division Name: Unit ID N: Unit ID ri: Unit ID #: Unit ID a: 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) (Depth Reporting Level 1) (Depth Reporting Level 2) Agent it: 1111111: Authorized Signature: 233-106 MIDSbc (04100) Bank It: /5 5 -1 F -3/•v/ S/E 'd HD SB0IALOS CW0MMUS Wecla7:2T 00, II sae 222£ 608 809 PROT53 u ',intercom 0 Corporate 0 Purchasing ?lease indicate Commercial Card Product type: 0 VI Business Company Name: C.. C. Corporate Account: Agent It -0 tf I 4 ,rti 71 re - n:r-i.l - 1Yeeddrgsber 1 ft oar Credit Line /0, O0O • Cash Advance Capability t _.".., "D" or .0 of Limit Pin Y€2 Reporting Unit (Optional) Div. ID Div. Name'. Dept. ID Dept. Name 1/ \C. G' II T yaxmab.le M yIN E A. i Mothers Maiden Name (Optional) Social Security Nurber (Optional) Home telephone II (Optional) . Acdopt.it Number (RenAcard Use) Cardholder billing address (Optional - if not 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 ( Name Credit Line 10,006 . Cash Advance Capability t "D" or % of Limit Pin Y Id 0 Div. ID Div. Name General Ledger # Assigned • Taxable YIN* MEA YIN' Social Security Number (Optional) Home telephone N (Optional) ( ) tasccuinS:NUmber .(B.ankegrd OA flcilliNVI:fs Cardholder billing address (Optional - if not complete will default to Corporate billing ddress): City State ZIP Code O Bulk Shipment Plastic address if different from Cardholder billing address: City State ZIP Code ll Credit Line 6 7. 000 • "D" o % of Limit Pin Y i Div. ID Div. Name General Ledger 0 Assigned • Taxable Y/N• MEA Y/N' Mothers aiden Name (Optional) Social Security Number (Optional) Home to ( ) 1 phone li (Optional) :;(0,- t.11Uinber (80,ifkeeriliffige),.. ; Cc alder billing address (Optional - ifnot complete will default to Corporate billing ddrem): City State ZIP Code Special Handling instructions: O Bulk Shipment Plastic address if different from Cardholdei billing address: City State ZIP Code • Pita Purchasing Cord Options 233-i07 MIDSbe (5/99) 11.•Yes. NuNet, DsDefoult to CompanySeimp yes, indica a%oflimit avail ablefor car lit) B Dale: -0/ Bank /IS? It AJ Hamber.t, ;.:?: PROT54 BankCard Services ureait Led' u fl t,eaeeug re (Please Pun First Request O Follow-u to Verbal Ft" u punt: Larite Business Name 4) 65:5 U - FOR MARITAL PROPERTY STATES ONLY O Married O Not Married O Legally Separated Name and Address of Spouse ACCOUNT RECORD CHANGES O Close Acct O Add Soc. Sec. No. O Cards Returned O Cards Nat Returned O Reopen Account O Remove Reissue Block O Add Telephone Number Max Code Phone Number O Name Change From: To: Address Change cout4A riga r q5.1 4t) en Li -e--- Perk/YOrg. MV /OOa eiji rdd Cardholder O Order Card O Do Not Order Card O Delete Cardholder O Add Authorized User O Order Card O Delete Authorized User O Add Credit Rating O Delete Credit Rating O Add Type Code O Delete Type Code O Add Insurance' O Delete Insurance O Delete Automatic Parnent Deduction O Send Balance Transfer Checks ati To: Cardholder Address if adding insurance. attach a signed copy of insurance application. 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. FOR BANKCARD USE ONLY ACO3Ull 8 Name Line 1 Code Keyed by ' WNW by PSC COC 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 $ O Reverse Over Umit Fee of $ • O Reverse Insurance Fee of $ O Reverse Current Membership Fee O Waive Membership Fee Permanently CARD/PIN ISSUANCE O Order New Card for O Charge Cardholder Replacement Card Fee of S Send Card O Normal Delivery • 7 - la days (Check One): • O Express Delivery - 2 days $10 O Saturday Delivery Add it 0 CI Charge Cardholder CI Charge Financial Institution O Fastcard S20 Address to Mail Card O Order PIN Reminder O PIN Federal Express O Send PIN to Alternate Address Please Provide Address Below FREETEXT MESSAGES / MISCELLANEOUSINSTRUCTIOt not Name of Authorized Signer 911 At? aiO 41647% Poutba: Vorge • Moosup/NEI-LOW • Financial Outlook., PROT55 PALM BEACH 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. PROT56 (Please Print) 3 First Req .toil unt • tile Business Name O Married O Not Married - O Cards Returned O Cards Not Returned O Add Telephone Number - Asia Coda Phone Nunn( To: O Address Change hillAdd Cardholder O Order Card K Delete Cardholder O Order Card K Do Not Order Card O Celete Authorized User K Delete Credit Rating 0 Delete Type Code O Delete Automatic Payment Deduction O Send Balance Transfer Checks $ To: Cardholder Address •It adding insurance. attach a signed copy of insurance application. RISK MANAGEMENT/COLLECTIONS O Restrict Account • R9 O Restrict ATM Access Fix Payment $ °Minimum Payments fiumove R•9 Restrictions O Erase Past-Due Status * times 1.30 31 - 60 61 - 90 91 • 120 Erase All O Re-Age Account O Stop S Date a 11) Approved By File Number Agent No. FOR BANKCAR0 USE ONLY Account Nam Lin I Code Dale • Virifild by O Limit Increase to S (whole dowry) Limit Decrease to S %e NIDa ebsat only) K Change Corporate Account Limit to S Mote ea& pay) O Reverse Finance Charge of O Reverse Late Charge Fee of S O Reverse Over Limit Fee of S O Reverse Insurance Fee of S K Reverse Current Membership Fee O Charge Cardholder Replacement Card Fee of 3 Send Card O Normal Delivery • 7 - 10 days (Check One): O Express Delivery - 2 days $10 O Saturday Delivery Add $10 0 Charge Cardholder O Charge Financial Institution O Fastcatd $20 Address to Mail Card O Send PIN to Alternate Address Please Provide Address Below FREETEXT MESSAGES !MISCELLANEOUS INSTRUCTIONS Financial Institution nt Name of Authorized Signer 911 ACT 41.0 wtallh Foddro: *mut • Pion I scar ELLOW Fulani& nonAlon PROT57 Coil c: Dale: Nevnt by: A/P Trackin: Number: M8di Data Services Please indicate Commercial Card Prodoet type: COMMERCIAL CARD PRODUCTS - INDIVIDUAL ACCOUNT INFORMATION K vi usiness K K MaslerCard Cor oralt K Purchasin SECTION I - AUTHORIZED USERS Navne Credit Line Sioöb i- Cash Advance Capability tO "D" or % i Linul Pin Y Div. ID Div. Name Dept. ID Dem. Name General Lcdger // Assigned • Taxable Y/N• MEA Y IN• Mcilhers Melden Name(Oprionol) Social Security (Optional) Number Home telephone ( ) II (Optional) Account Number (EFD Lise) Caidboldcr billing addrcss City State -1 ZIP Code initial Ihndling hutra/bom: Q Fixlmal Express Pta lic address if different from Cardliolder Name billing sikh Ciedil Lint -ess: Cub Advance Capability t "D" or %of Limit Vin Y/N Div. ID Div. City Name Dept. ID Dept. State Name I..IP Code General Ledget N Assigned • Taxable Y/N • MEA Y/N• Modiers Maidcn Name (Optiunal) Social Sec (Optional) rity Number Home telephone N (Option/) ( ) I /tumult Number (EFD Use) Caniliolder billing address City l State 1 ZIP Code Special Handling in tructions: D Federal Express Plastic address if different from Cardholder Name ) billing address: Credit Line PM Y/N Div. II) Div. City Name Dept. ID Dept. State Num ill' Code General Ledget tl Assigned • Taxable VIN' MEA YIN• Mollsers Manien Name (Optional) Social Securily Number (Optional) Home telephone P (Optional) ( ) Account Number (EFD Use) Cardholdet billing addrcss City State ZIP Code Q Federal Express Plastic address if different front Cardholdcr billing address: City State ZIP Cosle • Visa Purchasing Card Options Authorized Signaturs: I 233-107 MIDSbc (04700) t DÞfaull to Company Set-up (ifyes, al yes. sn l le af linrit avattable for Agent # Bank # Sri Date: -6 PROT58 - INES-SAGE CONF I RNA T (PleariePah0 j First Roque .Ie?ilun; ; L LC Business Name Married Q Not Married O Cards Returned O Curds Nor Returned O Remove Reissue Block a Add Telephone Number Ina COdll Phte4 NUMMI To: Ci Address Change add Cardholder WO Order Card 0 Do Not Order Cud O Delete Cerdhoider O Add Authorized user O OWE Card O Do Not Order Card • OtiOle Authorized User O Delete Cry% Rating Q Gen Insurance O Send Balance Transfer Chocks I 12/06/01 12:20 ID=PALN BEACH NATIONAL BANK Account Hirt* Uni Goa Kane ty PSC CCC g FOR DANKCARO USE ONLY Otte 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 $ O Reverie Over Limit Fee of $ K Rivers* Insurance Fes of $ O Reverse Current Membership Feta O Waive Membership Fe, Permanently O Order New Cud for O Charge Cardholder Reptacerminl Cud Fe of $ Sand Card O Nomial Delhi!), • 7 • days (Check One): O Express Delivery • 2 days $10 O Saturday Delivery Add $10 O Charge Cardholder Charge Financial Institution O Festraud $20 AriCresa to Mall Cud O Lard PIN to Aiternate Address Patio Provide hams; Belau TA PROT59 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 [repeated 4 times] 0 0 PAST DUE $0 0 101601 00 PAST DUE $ 0 [repeated 6 times] 0 VISAPHONE N OPENED 9999 082101 HIGH BALANCE $[ADDRESS REDACTED]0 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 > [repeated 4 times] > 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 H 0000000000 P. 10022-IIIII **OLD HOLD N 000 **ACCOUNT IS CURRENT PROT60 (Please Print) Driest Segue "rOR BANKCARD USE ONLY Account O Business Name O Married 0 Not Married - O Cards Returned O Cards Not Returned O Remove Reissue 13Iock O Add Telephone Number Area Code Phone Number To: O Address Change Odd Cardholder O Order Card O Order Card O Co Not Order Card O Celete Authorized User O Send Balance Transfer Checks # To: Cardholder Address 'If adding insurance, attach a signed copy of insurance application. RISK MANAGEMENT/COLLECTIONS O Restrict Account - R9 I O Restrict ATM Access O Stop Late Charge r Fix Payment on °Minimum Payment S L.) Fir:move R-9 Restrictions O Erase Past-Due Status ft times 1 • 30 31 • 80 61 - so 91 • 120 Erase All O Re-Age Account O Stop Statements Name Une I Code bale Keyed by • Verified by PSC 0OC Limit Increase to $ O limit Decrease to $ O Change Corporate Account Limit to S (*de doh/ Gay O Reverse Finance Charge of $ O Reverse Late Charge Fee of $ O Reverse Over UMit Fee of O Reverse Insurance Fee of 3 OO a Perth dozer oety _brads 'Setif cab O Charge Cardholder Replacement Card Fea of $ Send Card O Normal Delivery • 7 • IC days (Check One): O Express Delivery - 2 days $10 0 Saturday Delivery Add $10 O Charge Cardholder 0 Charge Financial Institution O Fastcard $20 Address to Mad Card O Order PIN Reminder • O Send PIN to Alternate Address Please Provide Address Below FREETEKT MESSAGES I MISCELLANEOUS INSTRUCTIOI um 'mar, Rouble: WHITS • Piece stedYELLOW • Fnancial Institution Print Name of Authorized Signer *al Institution ch i File Number Agent No. li (palat al I O1 Approved Er PROT61 (Please Print) D First Reque BANKCARD USE ONLY 0 Business Name • 0 Married O Not Married O Cards Returned 0 Cards Not Returned O Add Telephone Number ksi Cole Phone Numb• er To: 1O Address Change Oa\ dd Cardholder O Order Card O Do•Not Order Card O Order Card O Celete Authorized User O Send Balance Transfer Checks I To: Cardholder Address 'It adding ;Astir:Ince. attach a signed copy of insurance application. 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 91 • 120 Erase All r Fix.Payment S on 0 Re-Age Account °minimum Payment 3 .-.3 ro:move R.9 Restriction; Date ACCOUrit Name Chet Code %arid by PSC DOC I Date • Voritlii0 try 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 $ O Reverse Over Umit Fee of $ • O Reverse Insurance Fee of $ O. Charge Cardholder Replacement Card Fee of $ Send Card O Normal Oethery • 7 - tt, days (Check One): O Express Delivery - 2 days • $10 O Saturday Delivery Add $10 O Charge Cardholder O Charge Financial Institution O Fastcard $20 Address to Mail Card O Send PIN to Alternate Address Please Provide Address Below FREETEXT MESSAGES MISCELLANEOUSINSTRUC11O Fite Number Agent nCial Institution ame of Authorized Signer .41 Lime nMl. ROUllecj: WHITE • Piece isowYELLOW • Awed Inidiutton PROT62 AIP Track' Number: 'IAL CARD PROM. CTS - INDIVIDUAL ACCOUNT (NFOR\IATIO\ VISA /Business K K MasterCard Corporate 0 Cure teraPability t ...... mit Pin Ye...../ Reporting Unit (Oprimuit) Div. ID Div. Name Dept. ID Dept. Marne General Ledger N Assigned • "taxable Y/N• MEA WWI Nome telephone it (Optional) ( ) City State ZIP Code City Siam ZIP Code ce Capability I knit Pin TM I Div. ID D. I [wit] :i1,1.:tOp.. v. Name Dept. ID Om: ',.L .- Gant Leta Assigned • To TM' MFA Y/N• 1 Use) Home Mkplane N (Optional) ( ) Account %Umber (CPU City State ZIP Code ex Capability1 irgit Pin yrN Div. ID Div. City State Reporting Unit (Optieroar) Name Dept. ID Dept Name /JP Code General Ledger 0 Assigned • Taubk TM* MEA TM* Home telephom N (Optional) ( ) Amount Number (EFO Use) City State ZIP Code City State I ZIP Code OÞftailt Io Complay Set-up Of yes. Mileage 96°11in:A available for cash) Paaa Agedt ti Bank # / S3 7' Date: Z - / PE:9T BT/ET g y 3 a r 2 2 C S -0 mm In C C m CO CI) 0 3D 0 PROT63 Code: Date: Keyed by: A/P Trackin Number: M&I Data Services Please indicate Commercial Card Product type: Company Name: _itie5 SECTION I - AUTHORIZED USERS COMMERCIAL CARD PRODUCTS - INDIVIDUAL ACCOUNT INFORMATION K VISA 0--•-•017;iness K K MasterCard Corporate K Purchasin Corlroratc Account: Name 'I/aid, OIL' - ej2#7- in Credit Line ,5f 6 61) Cash Advance Capability t _""r, Pin Y 05 Div. II) Div. 'tine Repotting Unit (Optional) General Ledger H Assigned • Taxable YIN* MEA YIN• L Mothers Maiden Nance (Optional) Social Security Number (Optional) Home lekplione /4 (Optional) ( ) ) r:ardholder billing address City State ZIP Code Q Federal lixpress Plastic address if different from Cardholde Name billing address: Credit Line "D" or %of Limit l'in Y/N Div. ID Div. City Name Dept. ID Dept. State Name ZIP Code General Ledger H Assigned • Taxable Y/N• I MFA Yffi• (Optional) Home telephone If (Optional) • ( ) 1 Account Number (EEO Use) 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 Unc "D" or % of limit Pin Y/N Div. ID Div. Hanle General Ledger II Assigned • Taxable Y/N• MEA Y/N• (Optional) Home telephone If (Optional) ( ) City State ZIP Code a Federal Express Plastic address If different from Cardholder billing address: City State ZIP Code • Viso Purchasing Card Options t Y • Authorized Signature: 233-107 MIDSbc (7 Yat Pli•No. Þ y I to Company t-up yes. an Ica e o inn vo P.5/ (215 Agent ft a Dank # /53'7 Date: - O/ PROT64 TRANSMISSION VERIFICATION REPORT "- I 3/6,/o-a- TImE ....erialJai!)9 02:37 NAME : FAX : TEL DATE,TIME FAX NO./NAME DJRATION PAGE(S) 04 RESULT OK MODE STANDARD PROT65 %L bi2A PALM BEACH 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. PROT66 A/P Tracking Nombre: Metavante Corporation Credit Card Services CREDIT CARD COLLECTIONS AND MONETARY CHANGES Collections Monetary Changes O Restrict Account - R9 O Restrict on ATM Access K Stop Interest K Stop Statements O Stop Overlimit / Past Due Notices El Minimum Payment Due This Cycle K Fix Payment K Re-Age account K Erase Past Due Status K 31_60 # times O 91-120 # times K Remove R9 Restrictions D 1-30 O 61-90 # times O Erase All # times Free Text Messages/Miscellaneous Instructions Financial Institution Name; Authorized Signature* Print Name: D Limit Increase to S (Z Limit Decrease to s Soo o. aD K Change Corporate Account Limit to O Reverse Late Charge Fee of O Reverse Over Limit fee of O Reverse Insurance Fee of S O Reverse Ortrent Membership Fee K Waive Membership Fee Permanently K Reverse Replacement Card Fee K Reverse Convenience Fee O Reverse NSF Fee K Reverse Insurance Premium Fee O Reverse Returned Check Fee S For Metavante Use Only Telephone # Date: 3 -/y-b Bank # 75n Agent # Ext. Completed by Verification Date Date 233-099b MIDSbc (12/01) Fax 129 requests to Collections, 608-240-7601; others to Account Processing, [PHONE REDACTED] PROT67 MP Tracking Numinti Collections K Restrict Account - R9 K Zero Cards to Reissue K List on Exception File K Restrict on ATM Access K Stop Interest K Stop Late Charge K Stop Statements K Stop Overlimit / Past Due Notices K Minimum Payment Due This Cycle K Fix Payment K Erase Past Due Status K 1-30 K 31-60 # times K 91-120 # times K Remove R9 Restrictions S # times K 61.90 # times K Erase All Print Name: K Limit Increase to 2 Limit Decrease to 5 qO 0O.0 D K Change Corporate Account Limit to K Reverse Finance Charge of K Reverse Late Charge Fee of K Reverse Over Limit fee of K Reverse Insurance Fee of K Reverse Current Membership Fee K Waive Membership Fee Permanently K Reverse Replacement Card Fee K Reverse NSF Fee S S K Reverse Returned Check Fee S Telephone # Agent # Ext. Completed by Verification Date Date 233-099b M1DSbc (12/01) Fax 1t9 requests to Collections, 608-240-7601; others to Account Processing; [PHONE REDACTED] PROT68 A/P Tracking Number:- Account N - Name: Street Address City Business Name: bes., LLC State ZIP Collections O Restrict Account - R9 El Zero Cards to Reissue .O Stop Statements O Stop Overlimit / Past Due Notices O Minimum Payment Due This Cycle O Fix Payment O Re-Age account O Erase Past Due Status O 31-60 # times K 91-120 # times O Remove R9 Restrictions ID 1-30 K 61-90 # times O Erase All S # times Print Name: 5:Limit Increase to O Limit Decrease to O Change Corporate Account Limit to O Reverse Over Limit fce of K Reverse Insurance Fee of El Waive Membership Fee Permanently O Reverse Replacement Card Fee O Reverse Convenience Fee O Reverse NSF Fee S O Reverse Returned Check Fee Date: - /a/ if) -2. Agent # Telephone # Ext. Completed by Verification Date Date 233-099b MIDSbc (I2/01) Fax R9 requests to Collections, 608-240-7601; others to Account Processing, 608-240-7605 PROT69 MESSAGE CONFIRMAT I ON 01/24/02 16:11 ID=PALM BEACH NATIONAL BARK MODE TX BOX GROUP 511 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 CREDIT CARD ACCOUNT MAINTENANCE Account Record, Card, PIN Acct # Name Business Name CS (..L. Account Record Changes X Close Account K Cards Returned Cards Not Returned K Re•Open Account K Remove Reissue Block K Acid Soc. Sec. #: K Add Telephone # K Home K Business 0 Name Change From: To: K Address Change to City, State, ZIP K Add Cardholder K Order Card K Add Authorized User K Order Card K Do Nor Order Card K Delete Authorized User K Add Credit Rating K Delete Credit Rating K Add Type Code K Delete Type Code - K Add Automatic Payment Deduction T/R# Checking Accra K Minimum payment K Previous balance K Delete Automatic Payment Deduction K Add E-mail Address K Add Mother's Maiden Name K Add Secondary CH SS# K Add Secondary CH DOB K Add Secondary CH Daytime Phone For Marltal.Property States Only K Married K Not Married K Legally Separated Spouse's Name Street Address Card Issuance K Order New Card for Must mark below to indicate the type 0.1'4=1 ordered Send Card: K Normal Delivery - 7 to 10 days K Express Delivery - 2 days (S10.00 charge) K Saturday Delivery (Add $10.00) K Eastcard - 1 day ($20.00 charge) K Saturday Delivery (Add $10.00) Charge: K Cardholder K Financial Institution Address to Mail Card: Name Street Address City, ST, ZIP Charge Cardholder Replacement Card Fee of $ PIN Issuance K Order PIN Reminder K PIN Federal Express - 3 days ($10.00 charge) Charge: K Cardholder K Send PIN to Alternate Address Below Name Street Address Balance / Payment Transfers PROT70 pa Qj ecry?.S A/P Tracking Number' Acct # ■ Name Easiness Name /1/e-S, LL c • 54 Close Account O Cards Returned O Re-Open Account K Remove Reissue Block O Add Soc. Sec. #: O Add Telephone # O Home O Business O Name Change From: To: D Address Change to O Add Cardholder O Order Card D Add Authorized User o Order Card 0 Do Not Order Card O Add Automatic Payment Deduction T/R# Checking Acct# El Minimum payment El Previous balance O Add E-mail Address O Add Mother's Maiden Name O Add Secondary CH SS# K Add Secondary CH DOB O Add Secondary CH Daytime Phone O Add Fax Number ID Add Cell Phone# El Add Pager Number O Privacy Option Insurance O Add Insurance ci Delete Insurance • If adding insurance, attach a signed copy of the insurance application Financial Institution N Print Name: 233.0991 MIDSbe (1 Fax to Account Processing, 608-240-7605 For Marital Property States Only 0 Married O Not Married Spouse's Name Street Address Card Issuance K Order New Card for Must mark below to indicate the type of card ordered Send Card: O Normal Delivery - 7 to 10 days El Express Delivery - .2 days (S10.00 charge) O Saturday Delivery (Add 510.00) K Fastcard - 1 day (520.00 charge) O Saturday Delivery (Add 510.00) Charge: O Cardholder O Financial Institution Name Street Address Ciry,. ST, ZIP K Charge Cardholder Replacement Card Fee of S PIN Issuance ID Order PIN Reminder O PIN Federal Express - 3 days (510.00 charge) Charge: O Cardholder El Send PIN to Alternate Address Below Name Street Address Transfer balance of $ From account # To account # Transfer payment of From account # To account # Convenience Checks O Send Convenience Checks - # of books Name Street Address Date: Bank # A cot # Telephone: Ext. PROT71 A/P Tracking Number:" 0 Close Account 0 Cards Returned 0 Cards Not Returned 0 Re-Open Account 0 Remove Reissue Block 0 Add Soc. Sec. #: El Add Telephone # 0 Home 0 Business El Name Change From: To: 0 Address Change to 0 Add Cardholder El Order Card 0 Delete Cardholder 0 Add Authorized User 0 Order Card 0 Delete Authorized User 0 Add Credit Rating 0 Delete Credit Rating 0 Add Type Code 0 Add Automatic Payment Deduction T/R# Checking Acctit K Minimum payment El Previous balance 0 Delete Automatic Payment Deduction 0 Add E-mail Address 0 Add Mother's Maiden Name 0 Add Secondary CH SS# 0 Add Secondary CH DOB 0 Add Secondary CH Daytime Phone 0 Add Fax Number 0 Add Cell Phone# 0 Add Pager Number 0 Privacy Option Insurance 0 Add Insurance 0 Delete Insurance Free Te Messages/Miscellaneous Instructions D Pre/ - St7 A i4v7te.4, p °79 dcl- 0.F ; 71 ;1 - . Financial InstiturionName: Authorized Signa Print Name: 233-099a MIDSte El Married 0 Not Married 0 Legally Separated Spouse's Name Street Address Card Issuance 0 Order New Card for Send Card: 0 Normal Delivery - 7 to 10 days 0 Express Delivery - 2 days ($10.00 charge) El Saturday Delivery (Add $10.00) 0 Fastcard - I day ($20.00 charge) 0 Saturday Delivery (Add $10.00) Charge: 0 Cardholder 0 Financial Institution Name Street Address City, ST, ZIP 0 Charge Cardholder Replacement Card Fee of $ PIN Issuance 0 Order PIN Reminder 0 PIN Federal Express - 3 days ($10.00 charge) Charge: 0 Cardholder 0 Send PIN to Alternate Address Below Name Street Address Transfer balance of $ From account To account # Transfer payment of $ From account # To account # 0 Send Convenience Checks - # of books Name Street Address Bank # /6-6 - 9 Telephone: Date: - r -O Agent # PROT72 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 [repeated 6 times] PAST DUE $0 0 101601 00 PAST DUE $ 0 [repeated 6 times] 0 VISAPHONE I OPENED 9999 082101 HIGH BALANCE $[ADDRESS REDACTED]0 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 > [repeated 4 times] > 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.: PROT73 TCSI 002 CODE TAL ACCT NES LLC -BUSINESS- 4470115340005213 NEj-1LC 1534 TBR CORPORATE ACCOUNT 1534 TBR NES LLC 1534 TBR 4470115340005247 1534 TBR 1534 TBR 1534 TBR 4470110000002634 2534 TBR '2534 TBR 4470115340005643 • 3534 TBR NES LLC [repeated 4 times] NEST BUILDERS INC CORPORATE ACCOUNT NEST BUILDERS INC NEW YORK BAR AND GRILL CORPORATE ACCOUNT 3534 V4 TBR NEW YORK BAR AND GRILL NEW YORK NY NEW YORK NY NEW -NEW YORK NY NEW YORK NY NEW YORK NY 1001 10TH CT JUPITER FL KISSIMMEE FL 12189 US HIGHWAY 1 NORTH PALM BEACH FL NORTH PALM BEACH FL 000-00-000 10022-6843 000-00-000 10021-4102 000-00-000 10021-4102 000-00-000 10021-4102 000-00-000 10022-6843 000-00-000 10022-6843 000-00-000 33477-9030 000-00-000 34746-3651 000-00-000 33408-2684 000-00-000 33408-2684 PF7/PA1=PAGE BACK PF8/ENTER=PAGE FORWARD PROT74 CUSTOMER PROFILE - BALANCE SUMMARY BANK 534 COST. # COST NAME STATUS DATE OPENED DATE CLOSED BRANCH COST CENTER BNK APPL 534 CC - 534 DP [repeated 5 times] - 534 DP 534 HH CIC3209 - P 00000002550 JEFFREY E EPSTEIN 457 MADISON AVE 4TH FL NEW YORK NY 10020 OPEN TAX ID 03-08-1991 HOME PHONE BUS PHONE PRIM OFFICER SEC OFFICER BIRTH S OPEN P RELATION CDTYP O 11-98 P O 03-91 P O 03-91 P O 01-94 P O 10-97 P O 01-01 S O 08-99 P O 09-00 P HH RELATE GE OR USE OPERATOR LOGICAL PAGING COMMANDS PALM BEACH OFFICE 0000200 NEXT - PAGE 1 03/29/02 08:48:47 REMARKS HISTORICAL INFO DOROTHY WILSON DOROTHY WILSON BALANCE SRA AUTH SIGN 492 SOLE OWNE N 015 4,797 N * SOLE OWNE N 015 44,333 N * SOLE OWNE M 014. 618,204 N * SOLE OWNE N 015 4,814 N * AUTH SIGN D 075 26,741 N * SOLE OWNS C 028 113,910 N * PROT75 AR Tracking NuinFii:: Acct # Name 1'4 G Business Name K Close Account K Cards Returned El Cards Not Returned O Re-Open Account K Remove Reissue Block O Add Soc. Sec. #: O Add Telephone # O Home K Business O Name Change From: To: O Address Change to O Add Cardholder O Order Card O Order Card El Add Credit Rating K Add Type Code El Delete Type Code K Add Automatic Payment Deduction 17R# Checking Acedi El Minimum payment ID Previous balance O Add Mother's Maiden Name El Add Secondary CH DOB O Add Secondary CH Daytime Phone O Add Fax Number O Add Cell Phone# O Add Pager Number O Privacy Option Insurance O Add Insurance Free Text Meisages/Miscellaneous Instructions 5 1,42-1- 4%-•?-1/4 a_t; Print Name: 213-0992 MIDSbc O Married O Not Married Spouse's Name Street Address Card Issuance K Order New Card for Must mark below to indicate she type of card ordered Send Card: O Express Delivery - 2 days ($10.00 charge) K Saturday Delivery (Add 510.00) K Fastcard - 1 day ($20.00 charge) K Saturday Delivery (Add 410.00) Charge: O Cardholder Name Street Address City, ST, ZIP K Charge Cardholder Replacement Card Fee of S PIN Issuance O PIN Federal Express - 3 days (410.00 charge) Charge: • O Cardholder K Send PIN to Alternate Address Below Name Street Address Balance Payment Transfers Transfer balance of S From account # To account # Transfer payment of S From account # To account # El Send Convenience Checks - Name Street Address Bank # Telephone: # of books Date: a-11~02 - Aeent # Ext. PROT76 A/P Tracking Numb/it-E. Acct # Name Business Name O Close Account O Cards hemmed O Cards Not Returned O Re-Open Account 0 Add Soc. Sec. #: O Add Telephone # O Home O Business O Name Change From: To: 'Address Change to AIS /2/ Pl y Had ISnAi f-Ve. -e Lk A) Y / O 0 ID Add Cardholder O Order Card El Order Card Delete Credit Rating O Add Automatic Payment Deduction T/R# Checking Acct# O Minimum payment O Previous balance O Add Mother's Maiden Name O Add Secondary CH DOB O Add Secondary CH Daytime Phone O Add.Fax Number O Add Cell Phone# O Add Pager Number O Privacy Option Insurance re£~ext Messages/Miscellaneous Instructions Financial Instinnion Na Authorized Signa Print Name: 233-0993 Mlinee (12,0 ARD ACCOUNT MAINTENANCE O Married Spouse's Name Street Address Card Issuance O Not Married Must mark below to indicate the type of eard ordered Send Card: O Normal Delivery - 7 a; 10 days O Express Delivery - 2 days ($10.00 charge) O Saturday Delivery (Add $10.00) K Fastcard - 1 day ($20.00 charge) O Saturday Delivery (Add $10.00) Charge: O Cardholder Name Street Address City, ST, ZIP O Charge Cardholder Replacement Card Fee of S PIN Issuance O PIN Federal Express - 3 days ($10.00 charge) Charge: D Cardholder O Send PIN to Alternate Address Below Name Street Address Transfer balance of $ From account # To account # Transfer payment of $ From account # To account # O Send Convenience Checks - # of books Name Street Address Bank # Telephone. Date: / - Ext. PROT77 AR Tracking Number: Metavante Corporation. Account Number: Name: Street Address City Business Name: Peg, State ZIP Collections O Restrict Account - [ADDRESS REDACTED]op Late Charge K Stop Statements O Stop Overlimit / Past Due Notices K Minimum Payment Due This Cycle S K Fix Payment S O Re-Age account O Erase Past Due Status D 1-30 # times O 31-60 # times O 61-90 # times O 91-120 # times i O Erase All O Remove R.9 Restrictions Financial Institution N Print Name: Moneta Chan es it Limit Increase to O Limit Decrease to ' Don • S O Change Corporate Account Limit to O Reverse Over Limit fee of O Reverse Insurance Fee of S D Reverse Replacement Card Fee K Reverse NSF Fee D Reverse Returned Check Fee Telephone S S Date: .5-02. 9 - Oa-, Agent i Ext Completed by Verification Date Date 233-099b MlDSbc (1MI) PROT78 MP Tracking Number: K Close Account K Cards Returned K Cards Not Returned K Re-Open Account K Remove Reissue.Block K Add Soc. Sec. #: K Add Telephone # K Home K Business K Name Change Front To: K Address Change to K Add Cardholder K Order Card K Add Authorized User K Order Ctird K Delete Authorized User K Add Credit Rating Delete Credit Rating K Add Type Code K Delete Type Code - K Add Automatic Payment Deduction T/R# Checking Acct# K Minimum payment K Previous balance K Delete Automatic Payment Deduction K Add E-mail Address K Add Mother's Maiden Name K Add Secondary CH SS# K Add Secondary CH DOB K Add Secondary CH Daytime Phone K Add Fax Number K Add Cell Phone# K Add Pager Number K Privacy Option Insurance K Add Insurance K Delete Insurance Free Text essages/Miscellane Instructions Authorized Sig Print Name: 213-099a MIDSbc (i K Married K Not Married K Legally Separated Spouse's Name Street Address Card Issuance K Order New Card for Send Card: 0 Express Delivery - 2 days (S10.00 charge) K Saturday Delivery (Add S10.00) K Fastcard - 1 day ($20.00 charge) K Saturday Delivery (Add $10.00) Charge: K Cardholder Name Street Address City, ST, ZIP K Charge Cardholder Replacement Card Fee of S PIN Issuance K Order PIN Reminder K PIN Federal Express - 3 days (S10.00 charge) Charge: K Cardholder K Send PIN to Alternate Address Below Name Street Address Balance,/ Payment Transfers Transfer balance of S From account # To account # Transfer payment of S From account # To account # K Send Convenience Checks - # of books Name Street Address Bank # Telephone PROT79 A.P •Mehl Nuamboes hintamrsarstet Corporation Credit Card Sermeinnat "neaten hi rrsens• Serves Address Gine Dustneas Name: 011ection5 Moneta Chian ea Inaretne to S T 0 0 -0 A/es Rescrict Account R9 Pare Caren to Reterus ]Sat en Ran:papa File Restrict on ATM Access Stop Interest i=1 Stop Late Charge Stop Statements CI Stop Overlimit f Pass Cue Haricot MinannumThyrneac Due This Cycle C Fix Payment 3 Re -Age account Erase Past Cue Stems CI 31-60 0 Once 91-120 0 nines (=Remove 110 ittaterictione fl ee Text 9/SessateM/TvliscallnocOuS inSternetIcsizs 0 S Times rn a i_00 M fa - (-n All Sane CI Limit neonate to Change Corporate Ac Count Limit to CI Reverse Finance Orange of Reverse Late Charge Pee of Reverse Over Limit fee of Reverse Insurance Fee er 3 S Reverse Current Membership Tao In Waive Memberstdp Pee Permanently CI Reverse Replacement Card Pee 5 Reverse Convenience Pee Reverse NSF Fee O Reverse Insure Me Premium Poe S Reverse Renamed Cheats Pee S Pineataial Xametinadon Hemel Authorized Sips. Print Hinnen Per Metevarite Viso OnlV Completed by Wrifiean on Date Cate Cain Agent e 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 PROT80 Code: Date: Keyed by: A/P Trackin Number: M &I Data Services COMMERCIAL CARD PRODUCTS - INDIVIDUAL ACCOUNT. INFORMATION Please indicate Couunncial Curd Product type: 0 VISA usfness CI MasterCard Cor orate 0 Pureliaan. Corn an Name: SECTION I - AUTHORIZED USERS Corn an Number: Co •rate Account: Name Cmilit Cash Advance Capability 1 General Ledger It Taxable MEA Line S i nbt)i "IP" or %of Limit Pin Y/N Div. II) Div. Name Assigned • Y/N • Y/N• lot ere al en arm pr ona • Social Security Number '(Optional) Nome telephone II (Optional) ( ) j City State ZIP ('ode Special dandling Intinutions• 0 Finked INuess Plastic address if differs:6i from cardholder Name billing address: Credit Line "D" or % &limit Pin Y/N Div. If) Div. City Name Dept. If) Dept. Mate Name Zll' Code General Ledgers Taxable Assigned • Y/N• MLA Y/N• (Optional) I tome telephone It (Optional) ( ) City State ZIP Code Special Dandling Instructions: 0 bcdcral lixiiiess Plaids address if differeal from Cardholder Name billing address: Credit Line "D" or % of l.imit Pin Y/N Div. If) Div. City Name Dept. ID Dept. Stale Name Zll' Code General Ledger a Assigned • Taxable Y/N• MEA Y/N• Mothers Maiden Name (Optioned) (Optional) Nome telephone a (Optional) ( ) I City Stale ZIP Code Special Handling lostrudions. 0 Federal Express City Stale ZIP Code t V- Yet asDefaidt to Company Scrimp (styes, indicate % of limit available for cash) Agent It Date: Dank I/ /57-9 233-107 MIDShe (04/00 PROT81 AR Tracking Nuiii - be r: Collections K Restrict Account - R9 0 Zero Cards to Reissue 0 List on Exception File K Restrict on ATM Access D Stop Interest D Stop Statements K Stop Overlimit / Past Due Notices El Minimum Payment Due This Cycle S El Fix Payment S 0 Erase Past Due Status El I-30 0 31-60 # times El 61-90 K 91-120 # times 0 Remove R9 Restrictions # times # times 0 'Erase All Free Text Messages/Miscellaneous Instructions unit Increase to S 07'00t) K Limit Decrease to S El Change Corporate Account Limit to 0 Reverse Finance Charge of K Reverse Late Charge Fee of D Reverse Over Limit fee of CI Reverse Insurance Fee of K Waive Membership Fee Permanently D Reverse Replacement Card Fee 0 Reverse Convenience Fee 0 Reverse NSF Fee 0 Reverse Insurance Premium Fee El Reverse Returned Check Fee Authorized Sigiatur Print Name: Completed by Verification Date Date Date: /SS c Agent # Ext. 233-099b MIDSbc (12101) Fax R9 requests to Collections, 608-240-7601; others. to Account Processing, 608-240-7605 PROT82 Credit ervices A/P Tracking Number: Close Account K Cards Returned CI Re-Open Account O R mo e Reissue Block K Add Soc. Sec. #: K Add Telephone # O Home O Business K Name Change From: To: 1:1 Address Change to K Add Cardholder K Order Card O Order Card 1:1 Add Credit Rating CI Add Automatic Payment Deduction T/R# Cheeping Acct# O Minimum payment 0 Previous balance CI Delete Automatic Payment Deduction CI Add Mother's Maiden Name O Add Secondary CH DOB CI Add Secondary CH Daytime Phone El Add Fax Number O Add Cell Phone# O Add Pager Number CI Privacy Option Insurance Financial Institution Nam Authorized Signa Print Name: 233-0992 MIDSbc (12/01) O Married O Not Married Spouse's Name Street Address Card Issuance Send Card: O Express Delivery-2 days ($10.00 charge) K Saturday Delivery (Add $10.00) O Fastcard - 1 day ($20.00 charge) O Saturday Delivery (Add $10.00) Charge: O Cardholder Name Street Address City, ST, ZIP O Charge Cardholder Replacement Card Fee of $ PIN Issuance o Order PIN Reminder O PIN Federal Express - 3 days (S10.00 charge) Charge: O Cardholder CI Send PIN to Alternate Address Below Name Street Address Transfer balance of From account # To account Transfer payment of S From account # To account # O Send Convenience Checks - It of books Name. Street Address City.. State. ZIP Bank # Telephone: (LS k Date: A ent # Ext. PROT83 Code: (late: Keyed by: A/P Trackin Number: MM Data Services Please indicate Co !!!!!! crcial Card Product type: _Company NallIC: pe $ / SECTION I - AUTHORliED USERS COMMERCIAL. CARD PRODUCTS - INDIVIDUAL ACCOUNT INFORMATION Business O MasterCard O Corporate Company Hunker O Purls Credit Line tte Cash Advance Capabilit "D" • % or Limit I'i Y Div. II) Div. Name Gencial Ledga N Assigned • Taxable Vite• MCA Y/N• M '(optional) Home telephone n (Optional) ( ) Account Number (RFD Use) . .Wielder billing address City Slate Zll' Code Special Handling I nstriscui 0000 s: el IkNIti al FAN s. Ctedit Cash Advance Capabili t tine "O" or % of Limit I' DO. /OD g(ta City Div. ID : Div. Name Slate Derd. ID Dept. Name ZIP Utak Cameral Ledger N Taxable MI:A Assigned • 'ON • VFW (Optional) home telephone II (Optional) ( ) City State ZIP Code • ltdetal I:apte.,.< Plastic address if different from Cardholder etnnfre billing address: Credit line "On or %of Limit Pin Y/N Div-ID Div. City Name Slate ZIP Code General Ledger N Taxable MEA Assigned • Y/N • Yfft• Mothers Maiden Manic (Optional) (Optional) Home telephone It (Optional) ( ) City State ZIP Code • 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 Agent A Bank fl Date: -ff - 233-107 MIDShc (04/00) PROT84 A)? Tracking Number: Account N Name: Street Address City AI i,"/ Business Name: IVL L L C Collections Dv/. K Restrict Account - R9 O Close Account - V[ADDRESS REDACTED]op Statements O Stop Overlirnit / Past Due Notices U Minimum Payment Due This Cycle O Fix Payment S O Re-Age account O Erase Past Due Status El 31-60 ear times O 91-120 # limes El Remove R9 Restrictions O 1-30 # times O 61-90 tt times O Erase All Print Name: Completed by Verification loo r State ZIP 1 00? O knit Increase to I Limit Decrease to O Change Corporate Account Limit to S O Reverse Over Limit fee of O Reverse Insurance Fee of O Reverse Replacement Card Fee O Reverse Convenience Fee O Reverse NSF Fee O Reverse Insurance Premium Fee O Reverse Returned Check Fee S [repeated 3 times] S Date Date 233.099b MIDSbc (12101) PROT85 Vat.. nc rte U : A/P Tracki Number: Please indicate Commercial Card Product type; • Company Name: VE .5 tee& C.- SECTION I - AUTHORIZED' COMMERCIAL CARD PRODUCTS - INDIVIDUAL ACCOUNT INFORMATION Cl/ VISA a Rosiness K K MasterCard Corporate O Purchasin Credit Line N606. Cash Advance Capability lil "D" or %of imit Pin Y/N 0 o Div. ID Div. Name Dept. ID Dept. name General ledger if Assigned • Taxable Whit MEA Y/N• o rs al en ame pt onat) (Optional) Home telephone H (Optional) Account Nun her (llfelayante Use) City Slate ZIP Code Spt . liandling Instructions: Credit Line yo Cash Advance Capability II Pin Y 00 0 ft, Div. ID Div. City Name Dept. ID Dept. Slate Name ZIP Code General Ledger 0 Assigned • Taxabk Y/N• MEA TiN• (Optional) Home telephone tt (Optional) i Account Number (Metavante Use) :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 Line Cash Advance Capability ii "V' or % of Limit Pin YIN Div. ID Div. Name General Ledger PI Assigned • Taxable Y/N• MEA Y/N• /others Maiden Name (Optional) (Optional) Home telephone H (Optional) ) Account Number (Herayante Use) 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 naneial Institution Name: C010 ulhorizcd Signature: Y=Yes: N=No. DÞjautt to Conspany 3dt-up yes. n scat o sin a 13 (-4 i( 3.107 MIDSbe (I1100) Agent Date: Dank E .5116 (I ) 3 PROT86 Code: Please indicate Commercial Cad Naiad type: Dale: K edb A/P Trac:Inc, Number COMMERCIAL CARD.PRODUCTS INDIVIDUAL ACCOUNT INFORMATION' - Company Name: /i) (E., 5 LA, c SECTION I - AUTHORIZED USERS Lit VISA isushiess K ;.I.isic:exti Corporate K Por :., 'n Credit Lin 3,poo Cash Advance Capability N "D" Ol % of Limit Pin Y6I Repotting Unit (Optional) Div. II) Div. Name Genet,' Ledger I • Assigned° Taxable Whi• MEA Y/N• Home telephone II (Optional) (Optional ) City Slate ZIP Code 0 Pcdcrat Express Plastic address If different from Cardholder Name billing address: I wthi line Cash Advance Capability AV Pin WN Div. ID Div. City Name Dept. ID Dcpl. State Name ZIP Code i General Ledger ll Assigned • Taxable Y/N• MEA Y/t4* Social See rity Number (Optional) Home telephone II (Optional) ) Account Number (Aletnante Use) City State ZIP Code Spedal Handling instructions: U Federal Express I City Statc ZIP Code Name Credit Line Cash Advance Capability ft Pin Y/N Div. ID Div. Name . Dept. II) Dept. Name General Ledger a Assigned • Taxable 171i• M EA ION* Mothers Maiden Name(Optional) (Optional) Home telephone N (Optional) ) City State ZIP Code Special Handling inflections' 0 Federal Express City Slate ZIP Code 0Y=Yes. N=No, DÞfauft to Company Set-up (if yes. indicate % of limit available for cash) • ••• a•enco, r I IiOQ) Agent N Dale: Hanky PROT87 Code: Please indicate Commercial Card Product type: Date: K ed b Company Name: NI ES L SECTION I - AUTHORISED USERS AIP Trackin Number: --COMMERCIAL CARD PRODUCTS INDIVIDUAL ACCOUNT INFORMATION VISA Rusines O MasterCard O Corporate Purchasin Credit Line 3OOO Cash Advance Capability II "D" or %of Limit Pin VIN O CA 0 /4 Div. ID Div. Name General Ledgers Assigned • Taxable WTI' MEA Vaq• (Optional) Home telephone fl (Optional) ( ) Account Number (lletavante Use) rdholder billing address City State ZIP Code Special Handling Instruclions: 0 Federal Express City State ZIP Code Name Credit Line Cash Advance Cape/Ably lii Pin YM Div. ID Div. Name Dept. ID Dept. Nanx General Ledgers Assigned • Taxable NIN• M EA V/N• (Optional) Home telephone tr (Optional) ) I City State I ZIP Code 0 Federal Express Plastic address if different from Cardholde billing address: City State ZIP Code Name Credit Line Cash Advance Capability S 'D" or %of Limit Pin VIN Div. ID Div. Name General Ledgers Assigned • 'Iambic YIN• MEA Wei* (Optional) Home telephone II (Optional) ) City State ZIP Code U Federal Express City State ZIP Code Financial Institution Name: Z.O Lo IO 1 AL. C A k- Agent « Bank tl Date: \*• \'.1\ ky 233-107 MIDSbe (I 1/00) N-No, D-,Default to Company Set-up Wye& indicate % of limit available for cash PROT88 illetavante Corporation 'lease indicate Commercial Card riOd1C IYPc: :ompany Name: SECTION I- AUTHORIZEOUSERS C ant4U le kw. VISA Business O MasterCard O Corps/rate K Pur Name Alfre do ROartSkiel Credit Linn 2p So0 Cash Advance Capability if "D" w'/. of Limit Pin YIN Repotting Unit (Opiional) Div. II) Div. Name Gcncial Ledger it Assigned • Taxable YIN' M EA lithl• Social S (Optional Home telephone If (Optional) ( ) Account Number (Mehtrante Use) II 5r 1 [Dad ) On /hie, FEW» h f 10 Dr City Mk) 1( 0 r )( Stale Al Y: ZIP Code ) 6 O Dal U fedel ral Express ' Plastic address If different from Cardholder billing address: City Slate ZIP Code Name Credit Line 1r 00 0 Cash Advance Capability /0 "D" or %of Limit Pin YIN LBv..11) Div. Reporting Unit Name (Optional) General Ledger ti Assigned • Taxable Y/N• MEA Y/N• Molders Maiden Name (Optional) Social Sec n Dome telephone II (Optional) (Optional) i ) Account Number (Metarante Use) 5 /49 0 .? S City State ZIP Code Special Handling instructions. City Slate ZIP Code Name Cash Advance Capabilily k7 General Ledger H Taxable MEA itg-i - C1 0 Fonitnile, Credit Line 1, 000 "D" or of Limit Pin YIN Div. ID Div. Name Dem. ID Dcpl. Name Assigned • YIN* WM' Social Sec (Optional) Home telephone P (Optional) ( ) Account Number (Metarante Use) A City State ZIP Code Special Handling instructions: Er Federal Express Plastic address If different from Cardholder billing address: City State I ZIP Code Financial Institution Name: (0 (1,- 233-107 MIDSbe (11/00) Y= es, o, DÞjoulr10 CompanySet-up Dank F 1_5-3 y Date Agent #91 ID v O?? PROT89 Code: Date: to a C 0 to C ID L 1 - Pkasc indicate Cummercial Cant l'indtta type: Company Name: A/CS , C SECTION I - AUTHORIZED USERS commriciAL CARD PRODUCTS - INDIVIDUAL VISA liminess K MasrnCard O airmen( e o PureintsIn Corporate Account at. Nave lifi-e c do RoanqUeZ Credit Line 2,5 -00 Cash Advance Capability a "D" or %of Lim!! Pin Y/N Reporting Unit (Opitorre0 Div. ID Div. Name Dept. ID DWI. Heine j Gam A (Optional) Home telephoned (Optional) ( ) Account Number 0 Cardholder billing adds (15 47 /licit 5 on 4 ve /DIA it Plots I State /lbw York At Y. 21! Special Handling Instrualont O Faiend Express Vitale madras If different from Cardholder billing address.. City State il Name Credit Lam )1000 • Cash Advance Capability fil IlY" of % of Limit Piu YeN Reporting Unit (Optioned/ Div. 1O Div. Name Dept. ID Dept. Name Mothers Maiden Na (Optional) Home telephone V (OpaonaO ) Account Number Canilsoides billing address - 5AM C City Slate Special. Handling Instructions: Plane address If different from Cardholde billing addness City Sure Name 1.12Lic,r) 0 F0/11.C/IrlIC Credit Line i 1 0O 0 Cash Advince Capability 0 "D" a % or Limit Pin 'ON Reporting Unit (Onion') DIv.1O Div. Name Devi. ID 0H* Hanle C Mothers Malden Maine (Orminfia0 Social Sec ' Home telephone fl (Optiona0 (Op/tonal) Account Numbe ( ) 15ty Stale ..S 4 M c Special Handl:or Windfalls: Plank addren I( different from Cardholder billing address: Oty Stale - ' Visa Purchasing Can't Options Financial ineliertion Hama: COI H1{4 233-107 MIDSbe (I IMO) MY- Yu. NerNo, DÞfouft onwany I -Up ns. I trate o ova: t Areald Bar Date: "); •Ct I PROT90 EXCEPTION TYPE ACC() Pa DATE USE CARD IS C 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 . 0 0 NEW YORK NY 10022-6843 AMOUNT BY • , lt:-.4b. RANGE iStii:* HOME TELEPHONE it 911ilitIll OF istif : s , 00N DAYS :-14)*•:..,` . 0 %.:"AUTHORIZEOVSERE..... NO,GaRDStSSUE0Sf0 1 friiiker> 08/03 tsar itll;k 911 Ca 534" 9 11111 1 7.4 Man litall CREDIT LINE NIVIEST mum DISPUTE SIX MONTHS MONETARY HISTORY S 0s 7000 PURCHASES en. maim PAYMENTS CREWS MOM untallt OYEAUM IT /•41:00k ten WITS NO AMOUNT NO AMOUNT NO AMOUNT AMOUNT 5 700SH a 1x11 371 krii Stattowni MEI/IOUS YEAR cumerr YEAR 0a tI Ar XXXXXXIXIXIXta l:Mg; 1(Xnfiltkililli4 32 skiiii, xxx 02 ovedim nvr ??Iil 51.10 en gin./ I PAST OUE HISTORY it -1)0 s-n n-se 41-94 '1-2x1121421 351. 11 + magraa ver: 7 nen, SSW ATP) 0 n FLO 2 can .00 I tIt i°122".e> Mien° OP-082101 I SS-000000000 4 114 - - Itir e lita;fr OW "-Kt • .4,, --xatia..-417 • a it: i t . ii,e0493; n 4.,SR05,117.01 li, 4 Is b' uii it 0214112 Se OSP "osio VS0.00.70 Ksteat a 011 000701 007:01 0•907fors 9.7 a Vt- w toy ansagoverimmanootem AantititrakingMang %-P i 0.00%-PER ANN L BANpS .2811M8USEMEEM0NdaniM 23002 - WNONITOK 25.wamotinereffenain 23015-WCONT TO N .23015MIONITOR. 23004 tHMONITOR . 2.UO3:49EMONna e 23007 "VCR - C1.11, - SA Kra. 230'04 H R EttEnitINOIRMLIMagg gEDAWARNZI r DV R 1 MA:510§ !.2 MA cOACMN.R.VAN WO [repeated 3 times] PROT91 EXCEPTION TYPc CARD ACCO "fr NI tl !EIF R DATE USER NUMBER umnu Ud 07-01-0 M al c TOTAL DUE PAST WE IgaCi E s . 0 4 .00 000 I I PAST NnYb .00 MX 4iwa* .00 NEW YORK NY 10022-6843 AMOUNT 44 4110' .00 BY RANGE .,.,. ..... -Az407 .00 HOMETELEPRONE BUSINESS TELEPHONE : ' OF I 1: •:' l i s " 0 DAYS osts)...". . 1 1 IPATITHOFOZEDOSERS:::-: :: .:7.:1-.' 1 Iiinia) 08/0 ACCOUNT NUMBER MINT I,QE attar I 19 MIMI MIME CREW UNE mast BA UM DISPUTE SIXMONTHS MONETARYHISTORY ' S E 30005_ PURCHASES ass Anima PAYMENTS CREDITS • awn mania OVERLauT __9* 1,1 1, tru NOM NO NO AMOUNT NO AMOUNT NO AMOUNT ANOINT - 910 3 G 83..0 7371 kt* SISSIMet PREMOLS YEAR CURRENT YEAR 0 Lug I I A Nal)trulaz lizi s NEN ? ribiguin a istl X)(k XXXYXX VW& )0000a 'U Ovary 01, "Usr. la 3140 nn war DUE HISTORY 040 I n sun I 41.40 .11410 Ill-ISO mu 11 ".,..t.Itx 9 tntkagi1> 06)102 A r> .90 SU, 0(000 CP-062101 I SS-4001MM 1 itta 4.Wia 'alfant grafil %A m " s, SUS -...Are... OM SOWS. i iis 1" NM , wiimEgool lis•M'a0411-Wq2301ZINDSEMEEKSAMMEMI: M ii.,W.A3032/4n40.0FFOOR4314,74.4ng:: ii -- lgg4p1. t). 1, II amly '4 gigcitlZrlSMAEaaeaCOIFWfdlgjettilktci ' mr. rga 140•01 40601 1L6101 '02 m1/4-,-..^Ak aF2rolgrigrierraterantatirem re.rinIggriggrAtanumat A 01- 42301KONITOttr"' W,BraMeoPagaatitiONANKS9 misznoximatiaormasmn NogssifitgaititimcKliummitsm amen" 4230'04 •NMONITOR. 423004 3011* DECLINE 4230t24MONITOR • lain! 425004 -*USE7SEEMrOK - MIS PROT92 AN Tracking Number: Account Number: Name: Street Address City Business Name: e.2 State ZIP Collections K Restrict Account - R9 K Close Account - V9 K Zero Cards to Reissue K List on Exception File K Restrict on. ATM Access K Stop Interest K Stop Late Charge K Stop Statements K Stop Overlimit / Past Due Notices K Minimum Payment Due This Cycle .0 Fix Payment $ K Erase Past Due Status K 31-60 # times K 91-120 # times K Remove R9 Restrictions K 1-30 # times K 61-90 # times K Erase All Print Name: Completed by Verification For Metavante Use Ooly Monetary Changes alLimit Increase to $ Lin OO • K Limit Decrease to K Change Corporate Account Limit to K Reverse Finance Charge of K Reverse Late Charge Fee of K Reverse Over Limit fee of K Reverse Insurance Fee of K Reverse Current Membership Fee K Waive Membership Fee Permanently K Reverse Replacement Card Fee K Reverse NSF Fee K Reverse Returned Check Fee S S S . Date: 9- 9-o 2 _- Bank # 1,53- Agent # Telephone # Ext. Date Date 233-0996 MIDSbc (12/00 PROT93 A/P Tracking Number: Name: Street Address City Business Name: Collections K Restrict Account - R9 K Close Account - V9 K List on Exception File K Restrict on ATM Access O Stop Statements O Stop Overlirnit / Past Due Notices O Minimum Payment Due This Cycle O Fix Payment $ K Erase Past Due Status O 31-50 # times O 91-120 # times El Remove R9 Restrictions K 1-30 O 61-90 O Erase All # times # times Authorized Sign Print Name: [Limit Increase to O Limit Decrease to .O Change Corporate Account Limit to $ K Reverse Over Limit fee of K Reverse Insurance Fee of K Reverse Replacement Card Fee S O Reverse Convenience Fee O Reverse NSF Fee D Reverse Insurance Premium Fee $ K Reverse Returned Check Fee $ 67o00 • S S Date: e -9-0a- Bank # /--g 9 Agent # Ext. Telephone # Completed by Verification Date Date 233.0996 MIOSbc (12/01) PROT94 AT Tracking Number: Collections O Restrict Account - R9 Close Account - V9 Stop Late Charge O Stop Statements O Stop Overlimit / Past Due Notices -D Minimum Payment Due This Cycle Fix Payment $ O Re-Age account O Erase Past Due Status O 1-30 ; o31-60 # times K 91-120 # tirnes j g Remove R9 Restrictions # times 61-90 Erase All # times . Authorized Signature: Print Name: Limit Increase to O Limit Decrease to O Change Corporate Account Limit to O Reverse Over Limit fee of O Reverse Insurance Fee of O Reverse Replacement Card Fee Reverse NSF Fee O Reverse Insurance Premium Fee K Reverse Returned Check Fee $ ID, a oo • [repeated 4 times] phone # Completed by Verification Date Date (12/01) be PROT95 MI' Tracking Number: Vie Account O Cards Returned Returned EF...e .....--r ands Not O Re-Open Account O Add Soc. Sec. #: O Add Telephone # O Home CI Business O Name Change Front To: .O Address Change to City, State, ZIP • K Add Cardholder O Order Card O Add:Authorized User ID Order Card O Add Automatic Payment Deduction T/R# Checking Acct# 0 Minimum payment [Previous balance O Add Mother's Maiden Name O Add Secondary CH DOB O Add Secondary CH Daytime Phone O Add Fax Number K Add Cell Phone# O Add Pager Number O Privacy Option ; Insurance • gadding insurance, attach a signed copy of the insurance application Authorized Signa Print Name: 233-099a NUDSbe 024 O Married E l Not Married Spouse's Name Street Address Card Issuance Must ;nark below to indicate the type of card ordered Send Card: CI Normal Delivery - 7 to 10 days O Express Delivery - 2 days ($10.00 charge) O Saturday Delivery (Add $10.00) K Fastcard - 1 day ($20.00 charge) 0 Saturday Delivery (Add $10.00) Charge: O Cardholder Name Street Address City, ST, ZIP O Charge Cardholder Replacement Card Fee of PIN Issuance 0 PIN Federal Express - 3 days ($10.00 charge) Charge: 0 Cardholder O Send PIN to Alternate Address Below Name Street Address Transfer balance of $ From account # To account # Transfer payment of $ From account it To account # O Send Convenience Checks - # of books Name Street Address City, Stare, ZIP Date: - Oa, Bank # /SS Agent # - Telephone: xt. PROT96 MEMORY TRANSMISSION REPORT IRE : AUG-00-2002 03:35PM TEL NUMBER : NALE FILE NUMBER DATE TO DOCUMENT PAGES START TIME END TIME SENT PAGES STATUS FILE NU ER : 635 AUG-09 03:34PM 004 AUG-09 03:34PM AUG-09 03:35PM 004 OK : 635 SUCCESSFUL TX NOTICE *** AAP Treelese a teamees. PAttanellerttO Conacremtii.r. Credit Card EfOrtiletiola Cainert CARD COLLECTIONS AND wicerz-rdkark• atigastams Wexner Street CITY Ownosell Names Collections RimeAccount FEW Close ••• 001.11a • • VD Delete Cardholder Zero Cards to Reissue Q List on Exception ni e lteatrict on PCFNI.AsseSS C:l stop batmen C3 Stop Lase Omega Stop Stammers. lStop Cmartirnit I Pest Due Notices Minimum Payment One This Cycle 5 CI Fix Payment Ete-Ace amount Erase Peat Due Stems 1-30 0 lieSCJI 31-.90 S dame Q dtaten S tee IL Q I=I 9te120 w dome Q Erase AR Remove RP leassnieriene AJ- Free Tett Mess ratiesataitheellamodus Instrusetoest State EXP Moo. C• an 9 cas Ltrolt Increase to .-57n 00 - CI Limit Decease. to In Chemin Corporate Account Limit to 5 C Pavers. Plasma Mamma of I=I Raegna Late Charge Fee of Reverse Over Limit fee of Reverse lestusemon Pee of S Rovers. CUL-rent lvrembership Fce CI Waive bdereberibly Fee Pannanently C3 Itemise Etripleeentonc Card Fee S Iterara. Convenience rye Reverse NSF Fee Rename Inamenco *mince Fee litemerso Eternised Check Fee S ' Financial Instination Name: .42 ' Authorised Sitazutasse Print *hipbone a Name: . For brarevarne Csa Col* Completed by Verification Date: (1;--cr-j fit as Hanle F Scent 0 Date Data 2-33.-ason re masa ow Fax re.Sa requests to Collections, 6O8-24O-76O1i others to Account Processing, 608-240-7605 PROT97 Al? Trechittg Number: .Credit Card Services Acct Name Business Name /If 4.5 LL C Actiount Record Changes g Close Account 0 Cards Returned 0 Re-Open Account 0 Add Soc. Sec. #: 0 .Add Telephone # 0 Home 0 Business 0 Name Change From: To: 0 Address Change to 0 Add Cardholder 0 Order Card 0 Delete Cardholder 0 Add Authorized User 0 Order Card 0 Delete Authorized User K Add Credit Rating 0 Add Type Code 0 Add Automatic Payment Deduction TrItet Checking Acct# 0 Minimum payment 0 Previous balance 0 Add E-mail Address 0 Add Mother's Maiden Name 0 Add Secondary CH 55# 0 Add Secondary CH DOB K Add Secondary CH Daytime Phone 0 Add Fax Number 0 Add Cell Phone# 0 Add Pager Number 0 Privacy Option Eil 0 Remove Reissue Block Insurance 0 Add Insurance 0 Delete Insurance • !fainting itterunce. attach a signed copy of the insurance application K Married Spouse's Name Street Address Card Issuance p Order New Card for Must mark below to Indicate the type of card ordered Send Card: 0 Express Delivery - 2 days (S10.00 charge) 0 Saturday Delivery (Add S10.00) 0 Fastcard - 1 day ($20.00 charge) 0 Saturday Delivery (Add $10.00) Charge: 0 Cardholder Name Street Address City. ST, ZIP ID Charge Cardholder Replacement Card Fee or S 0 Not Married 0 Legally Sepan PIN Issuance K Order PIN Reminder O PIN Federal Express - 3 days (310.00 charge) Charge: 0 Cardholder 0 Finincial Institution O Send PIN to Alternate Address Below Name 'Street Address Balance I Payment Transfers Transfer balance of S From account it' To account # Transfer payment of S From account # To account # 0 Send Convenience Checks - # of books Name Street Address City, State, ZIP s 3 Colonial Bank Date: 3/ rb Bank # 1559 Agent N Print Telephone: Ext. Name: 21j.eyroi (I JO PROT98 Ai? Tracking Number: .Credit Card Services Account Record, Card, PIN count Record Changes A4 Close Account 0 Cards Returned 0 Re-Open Account 0 Remove Reissue Block O Add Soc. Sec. tt: 0 Add Telephone tit 0 Home 0 Business 0 Name Change From: To: 0 Address Change to 0 Add Cardholder 0 Order Card 0 Add Authorized User 0 Order Card 0 Delete Credit Rating 0 Add Type Code 0 Add Automatic Payment Deduction 1712.# Checking Aced/ 0 Minimum payment 0 Previous balance 0 Delete Automatic Payment Deduction. 0 Add E-mail Address 0 Add Mother's Maiden Name 0 Add Secondary CH SS# 0 Add Secondary CH DOB 0 Add Secondary CH Daytime Phone O Add Fax Number 0 Add Cell Phone# 0 Add Pager Number 0 Privacy Option Insurance 0 Delete Insurance • !lidding insurance. attach a signed copy of the insurance application 0 Married O Not Married Spouse's Name Street Address City, Stare, ZIP 0 Legally Separ Card Issuance Send Card: 0 Normal Delivery - 7 to 10 days O Express Delivery - 2 days (310.00 charge) 0 Saturday Delivery (Add S10.00) K Fastcard - I day ($20.00 charge) 0 Saturday Delivery (Add S10.00) Charge: 0 Cardholder Name Street Address City, ST, ZIP 0.Charge Cardholder Replacement Card Fee of S PIN Issuance 0 Order PIN Reminder 0 PIN Federal Express - 3 days (510.00 charge) Charge: 0 Cardholder 0 Send PIN to Alternate Address Below Name Street Address Balance / Paythent Transfers Transfer balance of S From account if To account # Transfer payment of From. account # To account - 0 Send Convenience Checks - # of books Name Street Address Financial Institution Name. nk Bank # 1 %co Print Telephone: Maine: Marrs, sun:au:Is o Date: Agent N Ext. PROT99