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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 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

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. APPLICANT SIGNATURE: DATE: Lc to/ PRINT Ceti; retki SIC IN) CORPORATE TITLE: vv, (2) (2.. EFTA00186433 V.I5AeBusinesa Card ReguDns • Pala Beach.National Bank & Trust Co. 3931 RCA Blvd. Suite 3102' Pala Beach Gardens, Florida.33410 Ihe undersigned Holder agreenthe folio ing terms and condit

t Rating O Delete Credit Rating O Add Type Code K Delete Type Code O Add Automatic Payment Deduction T/R# Checking Acct# O Minimum payment K Previous balance K Delete Automatic Payment Deduction El Add E-mail Address O Add Mother's Maiden Name O Add Secondary CH SS# O Add Secondary CH DOB