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FBI VOL00009

EFTA00227381

2265 sivua
Sivut 1221–1240 / 2265
Sivu 1221 / 2265
REQUEST FOR CREDIT LIMIT INCREASE 
NAMIK Si L 
/5 
vey Cps--eta, 
DATE 3 k 
toe-
ACCOUNT NO. 
PRESENT LIMIT:$ DS- il''Dr) • 
REQUESTED LIMIT:$ 3S; OO6 . 
UPDATED FILE INFORMATION: ( ie, address, place of employment, 
phone numbers, etc) 
COMMENTS: 
APPROVER-d
i
 
DATE 
DECLINED BY 
DATE 
Case No. 08-80736-CV-MARRA 
P-001221 
EFTA00228601
Sivu 1222 / 2265
rNancy Bruno - Jeffrey Epstein 
From: 
Arlene Girten 
To: 
Nancy Bruno 
Date: 
3/29/02 10:55AM 
Subject: 
Jeffrey Epstein 
Hi Nancy. Mr. A called in from Utah this morning. He said to go ahead and put through the 510,000 
increase without having to require any financial statements and he will sign whatever you need him to 
when he gets back. He will be here on Wednesday so If there is anything you want him to sign, just send 
it to me and III put it in with all of his other mail. Thank you and have a wonderful Easter. 
Case No. 08-80736-CV-MARRA 
P-001222 
EFTA00228602
Sivu 1223 / 2265
Page 11 
From: 
To: 
Date: 
Subject: 
Dear Nancy, 
1/25/02 11:15AM 
Change address 
Please change address on individual statements on 
the Credit Card Acc 
to : 457 Madison Av 
New York, NY 10022 
Best regards, 
Bella Tsukerman 
Case No. 08-80736-CV-MARRA 
P-001223 
EFTA00228603
Sivu 1224 / 2265
JAN-24-02 16.04 FROM. 
2127502408 
ID 
PAGE 
1,: 
January 24, 2002 
Arm Lufft 
PB National Bank 
Re: Main account 
VIA FACSIMILE 
NES, LLC 
FOURTH FLOOR 
457 MADISON AVENUE 
NEW YORK, NEW YORK 10022 
TELEPHONE (212) 750.9790 
TELEFAX (212) 3214042 
Please cancel the following card under the above main account number: 
Leave the S2,000 balance unallocated, I'll allocate it as needed later. 
If you have any questions, feel free to contact me at the above number. 
Eric Gany 
Jeffrey Epstein 
Case No. 08-80736-CV-MARRA 
P-001224 
EFTA00228604
Sivu 1225 / 2265
MASK -1V 
111 nen', neural 
IJ 
tIS 
6 ••••31. 
NES, LLC 
FOURTH FLOOR 
457 MADISON AVENUE 
NEW YORK, NEW YORK 10022 
March 14, 2002 
Nancy Bruno/Ann Lufft 
PB National Bank 
Re: Main account #: 
VIA FACSIMIL 
TELEPHONE a al 7504790 
TELEFAX (212) )714042 
Please make the following changes to the above main account number 
• 
Reduce the credit limit for 
o 53,000. 
• 
Reduce the credit limit for 
• W
o 59,000. 
ass the credit limit fo 
to $10,000. 
Sub-Accotnt I # 
ub-Rccountii
Account 
This should have fully allocated the Company credit limit. 
If you have any questions, feel free to contact me at the above number. 
Case No. 08-80736-CV-MARRA 
P-001225 
EFTA00228605
Sivu 1226 / 2265
2127502408 
JAN -08-02 
15:53 
FROM: 
ID , 217 
'02406 
[Chet here and type address) 
PAGE 
I/1 
! 
rfwirg 
kia4. 
taf•CIAi""'÷ 
• 
PB National Bank/ Nancy Bruno 
Fax: 
To: 
t`+1 Is4.aiS”. 
foT.:121:11
, 
.P.13 ;t? 
From: Jeffrey E. Epstein 
Date: 
1/8/02 
Re: 
Credit Card 
Pages: 
I 
CC: 
Urgent 
O For Review 
O Please Comment 
O Please Reply 
O Palate Recycle 
EA, 
aer!..?'.4 
(Wt.— • tttli, 
•41•:••••••ti. 
••••••• 
ifte; 
:;s 7144Wair,V4 
%knish.-
• 
• 
% •icrs.:hrS"" •re • 
............. 
il'5•041“ 
• 
Credit Card 
Credit Card name: Valdson Cotrin 
Company name: NES LLC. 
457 Madson Avenue 
New York, NY 10022-6843 
• 
Please set up Mr. Valdson Cotrin have access to cash advances at 100% of his card limit. 
okt__ 
-kan 
L/->t l s 
s 
uoi (,e <<c 
Case No. 08-80736-CV-MARRA 
P-001226 
EFTA00228606
Sivu 1227 / 2265
DEC- 18-03 13,35 FROM, 
11 .11b1/4724108 
10.21' 122428 
PACE 
1/2 
Dcccmber 17, 2001 
Ann Lufft 
PB National Bank 
Re: Main accoun 
VIA FACSINIIL 
NES, LLC 
FOURTH FLOOR 
457 MADISON AVENUE 
NEW YORK. NEW YORK 10022 
TELEPHONE (212) 7S0-9700 
TELEPAX (212) 3714042 
Please make the following changes to the above main account number: 
• 
Add a new card for Vaidson Cotrin, French Social Security 
credit limit S3,000, signature attached. 
If you have any questions, feel free to contact me at the above number. 
Thank you, 
Authorized — Jeffrey Epstein 
Case No. 08-80736-CV-MARRA 
P-001227 
EFTA00228607
Sivu 1228 / 2265
' DEC -.18-01 13.35 FROM: 
2127502408 
ID:2I. 
0240H 
PAGE 
2/2 
Case No. 08-80736-CV-MARRA 
P-001228 
EFTA00228608
Sivu 1229 / 2265
2127502408 
NOV-1S-01 11.27 FROM. 
10.21: 
02408 
PACE 
1/1 
NES, LLC 
FOURTH FLOOR 
457 MADISON AVENUE 
NEW YORK, NEW YORK 10022 
November 14, 2001 
Ann Lufft 
PB National Bank 
Re: Main account,: 
VIA FACSIMILE: 5 
FILE 
ib 
TELEPHONE (212) 750-9790 
TELEFAX (212)5714042 
FAXED 
Please make the following changes to the above main account number: 
• 
Reduce the credit limit for
Sub-A.ccount # 
to 52,000. 
• 
Add a new card for 
Social Security 
credit limit 
55.000. signature attached. 
Leave the 53,000 balance unallocated, I'll allocate it as needed later. 
If you have any questions, feel free to contact me at the above number. 
Thank you, 
Case No. 08-80736-CV-MARRA 
P-001229 
EFTA00228609
Sivu 1230 / 2265
an Lufft - NES, LLC 
Page 11 
From: 
Nancy Bruno 
To: 
Lufft. Ann 
Date: 
10/11/01 11:42AM 
Subject: 
NES, LLC 
Eric Ganey called regardin 
- the statement address needs 
chap ed to: do 
Fourth Floor, 457 Madison venue, New York, New York 10022. His number is 
Can we set up two different addresses - one for billing and a separate address for renewals, notices. 
etc.?? 
G
 —catt.:0 
Case No. 08-80736-CV-MARRA 
P-001230 
EFTA00228610
Sivu 1231 / 2265
MAY - 1b -10J 
I J 
LIU 
I < /..e.d•••OO 
ZOR1O RANCH 
40Zorri Ranch Road 
Stanley; NM 87056 
l i-
. tr  t j  
.. 
. 
c - v1-51 Dear 
"--\\, Bebe 
names and sionatues 
,rest you records
Brice M. Gordon 
z,../f
ill
facsimile transmkai 
Bega Meal 
From: 
OAK 
05/15003 
Rix 
Signs= 
Page= 
1Page 
D tit's* 
DR( Rater 
PlaireOsaprgirt 
Q Mena Reply 
D Plasm nova" 
tibiae aa any moderns or concerns geese cal 
Warmest repents 
Case No. 08-80736-CV-MARRA 
P-001231 
EFTA00228611
Sivu 1232 / 2265
Ulf14/AWU4 
tO.V4 
OVU - UfOl('l 
JAN-10-2005 05:211$11 
PROF 
LAJLUNIAL YANK 
PAGE 02/02 
T-351 
P.002/005 
F-TTT 
NAME 
REQUEST FOR CREDIT LIMIT INCREASE 
4.5 LLC. 
DATE <<Os 
ACCOUNT NO. 
PRESENT LIMIT:$ 3≤ DI) 7) 
REQUESTED LIMIT:S LIS, ODD - 
UPDATED FILE INFORMATION: ( ie, address, place of employment, 
phone numbers, tc) 
4 
—Currn14- 
iote 
brnj 
35, D 
?t.s ,
 ILA 
I mo 63 
'Ovtd:r1,1 
b‘stie..5 ;n
1431. .3i MOndb 
— 4CLburit 
COMMENTS: 
C104e- \ n 
r 0154 :A 
11 L) 
S r'
Col 
e/c/lid 
I. 
:14 
e. 
4 01.41n A` e 
J2.,4s2_ 
APPROVED BYI 
DECLINED BY 
l-f0-05 
DATE 
DATE 
Case No. 08-80736-CV-MARRA 
P-001232 
EFTA00228612
Sivu 1233 / 2265
Colada! Bank 
2000 Pan Beach Lakes Blvd 
West Pan Bea* Fl 13409 
Tel: 561-616-4065 
Fax: 561-616-4092 
facsimile transmittal 
To 
Metavante 
Fax 
From 
Jeff Desmond/Colonial Bank Date: 
1/12/2005 
Re 
Limit Increase 
2 
CC 
K Urgent 
K For R 
ATTENTION: Susannah 
Please contact me if you have a 
Jeffrey Desmond 
Merchant Services 
Please Recyce 
Case No. 08-80736-CV-MARRA 
P-001233 
EFTA00228613
Sivu 1234 / 2265
Mal Data Services 
EFD Card Services 
f DR PFD USE ONLY 
Amara 
Name Lim 1 
Keyed by 
COMMERCIAL 
PRODUCTS - 
COMPANY skr-ur 
Verified by 
Code 
 
Date 
 
PSC DOC* 
Please wham Commaeral Card Product Type: 
O 
Visa 
O 
MasterCard 
9-- lru—ritsers 
K 
Corporate 
SECRON I - COMPANY PROFILE 
Company Name: 
Ne -5 
L. C. 
AT N: 
O 
Purchasing 
/Sj—
Company Address: 9 e2,-,O- 9, 
set 
City: ,veas 
YO 
ty Ship anodrot K Daily Bulk Ship) 
Telephone: 
Organized as: 
Corporation 
Partnership 
K Sole Proprietors/up 
Company Number: 
Sum: 
Y 
ZIP Code: /DO 
erjther 
Company Name to Emboss on Cards: 4/ e gg 
/2, G  
Maximum of 24 Characters 
SECTION fl - ACCOUNT SET-UP INFORMATION 
Corporate Credit Limit: A 4.57 0 OD • 
Percentage of Limit aUowed for Cash Advance: 
a 
Annual Report Production: 
erjalendar Year 
O 
Fatal Year 
(Month Fiscal Year Ends) 
Statement Cycle Date Madams Card/ Corporate Card): 
0 
6 
O 
10 a---i-a 
O 
20 
0 25 
O 
26 
Q 
21 
Statement Cycle Daze (Purchasing Card Only): 
lb a O 
6 
O 
10 
O 
16 
O 
20 
O 
22 
O 
24 
O 
26 
O 
27 
V Custom File Bank Ind Seare Cycle: 
Statement Options *1 
Q _.....bastaul Billing 
B 
Corp
e rillIng 
led Corporate Statement 
O Summarized Corporate Statemeez 
O No Individual Memo Statement 
"Quaffing this optima requires a new tabula bactuchas rarer tardy Ouch are issued at the etas at the bap 
Membershlo Fees: 
An annual membership fee of S(0
 
will be assessed for the first 
to 
card(t) issued, S 
pa cud If 
to 
cads 
me issued, S 
per card if 
to cards ate Issued. and S 
per Card if 
cards are issued. 
Month to Bill Annual Membership fee 
0 
Default to Current Month 
O 
Other 
Waive Membership Fee: 
Eriicrtnanently 
O 
First Year 
Q 
Six Months 
n 
Entaration: 
Montt for Card Expiry ion: 
Year for Card Expiration: 
Miscellaneous Processing Instructions. 
K 
Default to Current Month 
K 
Other 
(if other than default) 
Minimum Card Age: 
Control A000amt6 divert Weer purchase categones to separate «Counts that vat nteetv• throb own Shop statornera. Five system-defter/ and fin cast* 
donned sonatina are available. If the maximum number and dollars ars not specified. the defeat value is 99,999 
Sytunt-1241fied 
Category Name 
MCC Ranee 
Credit Lbw 
Max a Daily man, 
malt $ Spas Daily 
Account a (Card Services Uses 
o Annual Pets 
NIA 
0 
Ail Lim 
N/A 
t O Cu Rental 
N/A 
O Lodging 
WA 
El Restetrant 
WA 
anu-Defined 
Category Name 
MCC Ran 
Oat Use 
Ma: *Daly ads 
Max $ Snot Daly' 
sataaat • (Card Services Use) 
Fiaaneia/ latituden Name: 
git/ 
Inhö. 575-7 Branch it: 
Agate IN /53 
/ 
Authorized Sire: 
Da: 
SiZ d 
Case No. 08-80736-CV-MARRA 
P-001234 
IC S33IAä3S alte»kle Ildetn2T 
00. IT Wed 
EFTA00228614
Sivu 1235 / 2265
!ode: 
a a Data Services 
FD Card Services 
:ornpany 
kes
Date: 
C-
iECTION I — COMPANY REPORTING 
Ke ed b : 
A/P Trac 
• Numbe r: 
COMMMOL 
CARD PRODUCT'
CONIPANIIREWIRTING AND HIERARM 
Company Number • 
.1% 
'pecify the desired reporting options: 
] No reports requested (send monthly statements only). 
Standard reporting at company level. Frequency and detail level as indicated. 
TER 100 Report Manifest (tyck, sornmarY) 
TISR 410 Account Spending analysis (month end. null, standatd reporting cutegot(et) 
TER 200 Unit Cycle Stan sees (month ending:mil) 
TIDI 210 Account Listing (cycle, detail) 
Tgg400 Account Cycle (cycle, detail) 
TIM 700 Annual Account stalling (annul, detail/ 
TBR )1u Anal Spending Analysis (annual, due I. tended pricing categories) 
tandard Annual reporting at company level. Frequency and detail level as indicated. 
TBR 700 Annul Account alibi's (annual. detaap 
TRlit 710 Animal Speruhag Analysis (annual. detail. standard pricing cantons) 
D Specialized reporting (please complete Section 
Company Reporting and the Report Options form) 
SECTION - COMPANY REPORTING HIERARCHY (OPTIONAL) 
;even levels of reporting are available. Each level can house up to 99,999 units. All Identification numbers are $ digits and right justified. 
':ease provide an organizational chart if necessary. Any unit nor reporting to another unit will report to the company level. 
:ompany Name: 
Company ID • 
(Depth Repornng Level 0) 
Division Name: 
Unit 113 
(Depth Reporting Levet I) 
Department Name: 
Department Name: 
Department Name: 
Department Name: 
Unit ID It 
Unit ID it 
Unit ID 0 
Unit ID 0: 
Additional Reporting Unit (Depth Reporting Level 3): 
Unit Name: 
Unit ID k. 
(TO dealt ninon! Depth Lcscls 4 - 6. please attach additional organisational churn) 
(Depth Reporting Level 2) 
Division Name: 
Unit VD I 
Department Name: 
Unit ID 0: 
Department Name: 
Unit ID 
Department Name: 
Unit ID 1e. 
Department Name: 
Unit ID a: 
Additional Reporting Unit unapt* Reps-nag Lerc: 
Unit Name: 
Unit ID It: 
(To define additional Depth Levels 4 -G. please attach additional organizational chart) 
(Depth Repotting Level I) 
(Depth Reputtir.g Level 2) 
Division Name: 
Unit LD 0: 
Department Name; 
Unit ID f: 
Department Name: 
Unit ID*: 
Department Name: 
Unit ID*. 
Department Name: 
Unit ID it 
Additional Reporting Unit (Depth Repealing 'ma 3): 
Unit Name: 
Unit ID 0: 
(To define additional Depth Lavak 4 -6. plena nano t additional of E,srd 
ch.r.-1) 
(Depth Reporting Level 1) 
(Depth Reporting Level 2) 
Financial Institution Name: 
Authorized Signature. 
Agent #: /5--3 if 
Date: 
Butt 
P -at •o / 
233-106 M1DSbc (04/00) 
S/2 'd 
HD S3DIALI3S Cletn>lkitrEi Wcr6P:2I 
00. tt Oflid 
Case No. 08-SeR6a€W4SkRRA 
P-001235 
EFTA00228615
Sivu 1236 / 2265
'lease indicate Commercial Card Product type: 
Li M.bluµu 
Financial Institution Name: 
Authorized Signature: 
233.107 MIDSbe (5/99) 
:ompany Hanle: 
:orporate Account: 
Nes 
CC- c. 
1 .1bSA 
Daflaess 
Corporate 
El Purchasing 
Company Number. 
Agent 
AT3 
 I 
VD 
''' • ••-• 
- 
I r•-Th 
`1) Zi. 
I I. n-.4
, 11rei 
I 
in 9/ 
Na'
Credit Line 
/0/ 000 • 
Cash Advance Capability t an
"D" or %of Limit 
Pin YW 
Reporting Unit (Optional) 
Div. ID Div. Name 
Dept. ID Dept. Manx 
General Ledger 0 
Assigned • 
Taxable 
Y/N • 
MEA 
Y/14' 
74
Mothers Maiden Name (Optional) 
Social Security N umber (Optional) 
11/M 
Home telephone II (Optional) 
( 
) 
Account Number (Benkcard UN) 
Cardholder billing address (Optional — If not complete will default to Carporate billing ddress): 
City 
State 
ZIP Code 
Special Handling Instructions: 
0 
Federal Express 
0 Bulk Shipment 
Plastic address If different from Cardholder billing address: 
City 
a 
State 
ZIP Code 
I 
Name 
Credit Line 
101000 . 
Cash Advance Capability t/.. 
"D" or % of Limit 
Pin
Name 
6 
Div. ID Div. Reporting 
Unit (Optional) 
Dept. ID Dept. Name 
General Ledger II 
Assigned • 
Taxable 
Y/N• 
MEA 
YIN* 
Mothers 
alder' Name (Optional) 
Social Security Number (Optional) 
Home telephone N (Optional) 
( 
) 
;vte
 
not Number (Bombast.: Use) 
Cardholder billing address (Optional — ((not complete will default to Corporate billing ddress): 
City 
Stale 
ZIP Code 
Special Handling Instructions: 
0 
Federal Express 
0 Bulk Shipment 
Plastic address If different from Cardholder billing addtss: 
City 
State 
I ZIP Code 
Credit Line 
•57 DOD. 
Cash Advance Capability t 
"D",% of Limit 
Pin Y 
Reporting Unit (Optional) 
General Ledger I 
Taxable 
MEA 
Div. ID Div. Name 
Dept. ID Dept. Name 
Assigned • 
Y/N• 
WI* 
[Social Security Number (Optional) 
Ader billing address (Optional - if not complete will de/a& to Corporate billing dims): 
City 
Home telephone N (Optional) 
( 
)I
State 
Aceount Number (Bonkcard Use) 
ZIP Code 
Special Handling Instructions: 
0 
Federal Express 
Plastic address If different from Cardholder billing address: 
Bulk Shipment 
City 
State 
I ZIP Code 
• run Purchasing Card Options 
fin Yes. N-No, OnDefault to Company Setup a lye& indica e % of limit mailable for cash) 
PBX ) 6 
MEW
Date: 
e_oid -0/ 
Bank N 
 
3-59
Al?, Tracking Number 
r
IQ 
C. 
No. 08-80736-CV-MARRA 
EFTA00228616
Sivu 1237 / 2265
liantudisru JeTVICeS 1/4•I cult %SW %a 0- 4 ve
(Please Prin 
First Requ 
t 
I 
- 
j
un; 
Business Name V 0'5  
LA- Ci 
-
FOR MARITAL PROPERTY STATES ONLY 
CI 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 Not Returned 
O Reopen Account 
O Remove Reissue Blodt 
O Add Tel
 Number __ 
Mu Coes Pare Nun*. 
O Name Change From: 
To: 
Address Change 
hont-A Floor 
Lis? itiatlisirn Avenut... 
AlewitiorK /UV i000t-
hiedd Cardholder 
-2rO Order Card 
O Do Not Order Card 
O Delete Cardholder 
O Add Authorized User 
 
O Order Card O Do Not Order Card 
O Delete Authorized User 
O Add Credit Rating 
O Delete Credit Rating 
O Add Type Code 
O Delete Type Code 
O Add Insurance* 
O Delete Insurance 
O Delete Automatic Payment Deduction 
O Send Balance Transfer Checks I 
To: 
#47- 
Cardholder Address 
it adding ins' prance, attach a signed copy of insurance application. 
RISK MANAGEMENT/COLLECTIONS 
O Restrict Account • R9 
O Erase Past•Due Status 
i O Reset' t ATM Access 
a times 
1 -30 
O List on Exception Fie 
31 -60 
O Zero Cards to Reissue 
61 - 90 
O Stop Interest 
91 -120 
O Stop Late Charge 
Erase Al 
r Fix Payment $ 
on 
O Re-Age Account 
°Minimum Payment S 
J IIa-woe R.9 Restrictions 
CI Stop 
ements 
account it  
Name Line 
Cede 
Keyed by 
PSC 00C  
FOR BANKCARD USE ONLY 
 
Ow 
 
Venial try 
MONETARY CHANGES 
O Limit Increase to $ 
teeele dealt only) 
O Limit Decrease to $ 
cool any: 
O Change Corporate Account Lind b S 
Ohio dolor one 
O Reverse Finance Charge of S _ 
O Reverse Late Charge Fee of $ 
O Reverse Over Limit Feed $  
O Reverse Insurance Fee 
$ 
O Reverse Current Membership Fee 
O Waive Membership Fee Permanently 
Ciati77/212L-
reL_ Approved By  
Fie Number 
Agent No. 
CARD/PIN ISSUANCE 
O Order New Card for 
O Charge Cardholder Replacement Card Fee of $ 
Send Card 
O Normal Delivery • 7 - lti days 
(Check One): 
O Express Delivery • 2 days $10 
o Saturday Delivery Add it 0 
O Charge Cardholder 
O Charge Financial Institution 
O Fastcard $20 
Address to Mali Card 
O Order PIN Reminder 
O PIN Federal Express 
O Send PIN to Alternate Address 
Please Provide Address Below 
FREETEXT MESSAGES / MISCELLANEOUS INSTRUCTIOI 
 
 
\V  
p ina
ir  
Financial Institution  
_ 
Print Name of Authorized Signer 
111 Nf 
kite riAilill 
Swear Win • Place 1 sortYC U.OW fitardei b011iaan 
Case No. 08-80736-CV-MARRA 
P-001237 
EFTA00228617
Sivu 1238 / 2265
I 
...a 
sate 
dim 
PALM BEACH NATIONAL BANK 
& TRusr COMPANY 
3931 RCA Blvd, Suite 3102 
Palm Beach Gardens, Fl 33410 
Fax Transmission cover Sheet 
Date: 11/15/01 
To: 
Credit Service 
(Applications and Business card maintenance) 
Sender 
Ann Lufft 
Re: 
NES LLC 
You should receive 3pages(s), including this cover sheet. If you do not 
receive all the pages, please calms 
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. Mall. Thank you. 
Case No. 08-80736-CV-MARRA 
P-001238 
• 
EFTA00228618
Sivu 1239 / 2265
(Please Print) 
D First Request O Follow-up to Verbal Re.,...est 
:, • 
FOR BANKCARD USE ONLY 
Business Name 
Ales 66c 
FOR MARITAL PROPERTY STATES ONLY 
O Married O Not Married 
O Legally Separated 
Name and Address of Spouse 
ACCOUNT RECORD CHANGES 
O Close *cot O Add Sac. Soc. No. 
O Cards Returned O Cards Not Returned 
O Reopen Account 
O Remove Reissue Block 
O Add Telephone Number 
Ana Code Nam, Marts 
O Name Change From:  
To: 
 
O Address Change 
WO4dOrder Card 
O Do Not Order Card 
O Delete Cardholder 
O Add Authorized User 
O Order Card O Do Not Order Card 
O Celtic Authorized User 
O Add Cade Rating 
O Delete Credit Rang 
o Add Type Code 
O Delete Type Code 
O Add Insurance' 
O Delete Insurance 
O Delete Automatic Payment Deduction 
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 
O Erase Past-Clue Status 
O Restrict ATM Access 
8 times 
I •30 
O List on Exception Fie 
31 •60 
O Zero Cards to Reissue 
61 • 90 
O Stop Interest 
91. 120 
O Stop Late Charge 
Erase Al 
Fit Payment S 
on 
O Re-Ag• Account 
°Minimum Payment a 
L.1 It:move R•9 Restrictions 
Cl Stop S 
Account 
 
Name UM I 
Cede 
Keyed by 
PSC 0OC 
0en 
voided to 
MONETARY CHANGES 
Al' Umit Decrease to S n'eArl 
 
ter yam eon
O Limn Increase to S
1 
O Change Corporate Account Limil lo $ 
o Reverse Finance Charge of S 
O Reverse Late Charge Feed $ 
O Reverse Over Umit Fee of $  
o Reverse Insurance Fee of $ 
_ponds dam any, 
aosai tely) 
O Reverse Current Membership Fee 
O Wake Membership Fee Permanently 
CARD/PIN ISSUANCE 
O Order New Card for 
O Charge Cardholder Replacement Card Fee of $ 
Send Card 
°Normal Delivery • 7 - IG days 
(Chock One): 
O Express Delivery - 2 days St 0 
O Saxday Delivery Add $10 
O Charge Cardholder 
O Charge Fnandal Institution 
O Fasicard S20 
Address to Mal Card 
O Order PIN Reminder 
O PIN Federal Express 
O Send PIN to Alternate Address 
Please Provide Address Below 
FREETEXT MESSAGES I MISCELLANEOUS INSTRUCTION! 
Oats 
-of  Approved By 
Pole Number 
Agent No. 
F1nanclat Institution  
Print Name of Authorized Signer 
ag • ewe • • Sall T. 
fi
e' WHIT( • hoc ir tur/Yell.OW . rnancisi bwiliValan 
Case No. 08-80736-CV-MARRA 
P-001239 
Cardholder 
EFTA00228619
Sivu 1240 / 2265
Code: 
Hale: 
Kesed by: 
A/P Trarkin Number 
M&I Data Services 
EF0 Card Services 
Please indicate Commercial Card Product type-
Company Name: 
/ICC Lt. G 
SEC 
ISO USERS 
COMMERCIAL CARD PRODUCTS - INDIVIDUAL ACCOUNT INFORMATION 
usIness
K 
MasterCard
K 
Corporate 
Company Number: 
K 
Purc 
Corporaie Account: 
Nome 
4.4.?ria 
Credit 
Lone 
o 
Cash Advance Capability t
- Woe% law 
Pin If 
Reporting Unit (Qonona° 
Div. ID 
Div. Name 
Dept II) Dept. Name 
General Ledger I 
Assigned • 
Taxable 
WN•
MEA 
Y/N• 
Mahe 
tonal)
ial Security Numba 
(Optional) 
Home [elephant I (Optional) 
( 
) 
Account Number (E£D Use) 
Cardholder boiling address 
so 
City 
State 
ZIP Code 
special Handling Instructions. 
-O Federal Eaptess 
Plastic address if differrai from Cardholder 
Name 
billing address: 
Credit 
Line 
Cash Advance Capability t 
-n- or ii, of limit 
Pin YIN 
Div. ID 
Div. 
I City 
Reporting Unit (Optional) 
Name 
Dept ID rksit 
State 
Mane 
I ZIP Cade 
General Ledger a 
Assigned • 
Taxable 
Y/N• 
MPS 
YIN* 
Mothers Maiden Name (Optional) 
Social Security Number 
(Optional) 
Home telephone it (Optional) 
( 
) 
i 
Account Number WO Use) 
i 
Cardholder belling address 
I C").
I Slate 
I ZIP Code 
Special Handling Instructions. 
O relent Express 
Plastic address if different from Cardholder 
Name 
i 
billing address: 
Creln 
Line 
Cash Advance Capability t 
*if or % alai 
Pin WN 
I 
Ow II) 
Div. 
City 
i 
Reporting Unit (Optional) 
Name 
Dept. ID Dept. 
State 
I
Name 
I ZIP Code 
General Ledger N 
Taxable 
MEA 
( 
Assigned • 
YM• 
YIN* 
Mothers Maiden Name (Optional) 
Social Security Number 
(Oshawa) 
home telephone N (Optional) 
( 
) 
Account N mber (E£D Use) 
Cardholder billing address 
City 
State 
ZIP Code 
Special Handling Instroclions: 
-O Federal Lawns 
Plastic address if different from Cardholder !Mang address: 
City 
State 
I ZIP Code 
• Pisa Purchasing Card Options 
Financial Institution Name: 
Authorized Signature: 
t V- Yes. N"No. DoDelault to Company Set-up (/yes. indicate % Wilma evadable for cash) 
, 233-107 MIDSbc (04/00) 
Agent Si 
6- 3 Le 
Bank /I 
/ Try 
Dale: 
-0/ 
EFTA00228620
Sivut 1221–1240 / 2265