[PDF] Account#: 1234 W Statement Date: 03/31/2011 MEMBER NAME PDF sample

JCPenney CC JCP EPAY Your Rights If You Are Dissatisfied With Your Credit Card Purchases You must have used your credit card for the purchase

You may use your account for purchases from JCPenney Stores, jcp com, or other companies authorized to accept the JCPenney Credit Card You Promise To Pay You promise to pay us for all amounts owed to us under this Agreement At the time your account is opened, the Purchase APR is 26 99

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See your credit card agreement that follows for more details SECTION II: RATES, FEES AND PAYMENT INFORMATION JCPENNEY CREDIT CARD

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Step 4: Fax or Mail this form to the address listed below Primary Cardholder Name: Primary Cardholder Address: Credit Card Client: Account Number Ends in (last

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[PDF] Account#: 1234 W Statement Date: 03/31/2011 MEMBER NAME

JCPenney CC JCP EPAY Your Rights If You Are Dissatisfied With Your Credit Card Purchases You must have used your credit card for the purchase

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By signing this application, I ask that GE Money Bank (“you”) issue me a JCPenney Credit Card I am providing this information both to you and to JCPenney

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Account#: 1234 W

TRAN EFF DESCRIPTION AMOUNT BALANCE TRAN EFF DESCRIPTION AMOUNT BALANCE

03/01 PREVIOUS BALANCE 5.00

03/31 NEW BALANCE 5.00 YTD Div: .00

SUMMARY

WITHDRAWALS: 0 $0.00 DEPOSITS: 0 $0.00

Suffix G - REGULAR SHARE

TRAN EFF DESCRIPTION AMOUNT BALANCE TRAN EFF DESCRIPTION AMOUNT BALANCE

03/01 PREVIOUS BALANCE .05

ACH TRANSFER FROM 03/04 03/04 TRANSFER FROM SHARE 875.23 875.28 ? ACCOUNT: 1234, SFX: ACH TRANSFER FROM ? X ACCOUNT: 1234, SFX: ? 03/21 03/21 TRANSFER TO SHARE 832.65- 397.86 X ? Internet Transfer 03/11 03/11 TRANSFER TO SHARE 400.00- 475.28 ? Request FROM Internet Transfer ? TO 1234 X Request FROM ? 03/25 03/25 WITHDRAWAL 135.00- 262.86 TO 1234 X ? 03/31 03/31 WITHDRAWAL 75.00- 187.86 03/15 03/15 WITHDRAWAL 40.00- 435.28 ? 03/31 03/31 DIVIDEND .04 187.90 03/18 03/18 TRANSFER FROM SHARE 795.23 1230.51 ? 03/31 NEW BALANCE 187.90

03/31 DIVIDEND Information: TERM: 31 DAYS AVERAGE DAILY BALANCE: 522.40 APYE: .10 APR: .10%, YTD Div: .12 *APYE = ANNUAL PERCENTAGE YIELD EARNED **APR = ANNUAL PERCENTAGE RATE

WITHDRAWALS: 5 $1,482.65 DEPOSITS: 3 $1,670.50

Suffix X - SHARE DRAFT ACCOUNT

TRAN EFF DESCRIPTION AMOUNT BALANCE TRAN EFF DESCRIPTION AMOUNT BALANCE

03/01 PREVIOUS BALANCE 446.14

03/01 03/01 WITHDRAWAL 445.00- 1.14

*** CONTINUED ON NEXT PAGE ***

Account#: 1234 W

Statement Date: 03/31/2011 MEMBER NAME ONE Page#: 2 JOINT/MEMBER NAME TWO 123 MEMBERS RD MY TOWN, US 99999-9999 TRAN EFF DESCRIPTION AMOUNT BALANCE TRAN EFF DESCRIPTION AMOUNT BALANCE

DirectPay DirectPay

03/15 03/15 WITHDRAWAL 100.00- 2208.85 ID:HDCRTLXXXXXX678 ? AMERICAN EXPRESS ELEC 110228 ? REMIT 03/04 03/04 DEPOSIT 1211.34 1212.48 ? ID:XXXXXXXXXXXX770 XXXXXXXX XXXXXXX ? 03/16 03/16 WITHDRAWAL 100.00- 2108.85 PAYROLL ? CITI CARD ONLINE ID:XXXXXX00000127X ? PAYMENT 03/04 03/04 TRANSFER TO SHARE 875.23- 337.25 ? ID:XXXXXXXXXXXX551 ACH TRANSFER TO ? 110315 ACCOUNT: 1234, SFX: ? 03/17 03/17 SHARE DRAFT # 1692 100.00- 2008.85 G ? 03/18 03/18 WITHDRAWAL 52.99- 1955.86 03/04 03/04 WITHDRAWAL 67.30- 269.95 ? POS # XXXXXXX XXXXXX METLIFE PAYMENT ? PAYPAL GLOBALGARAG ID:XXXXXX19516 110304 ? SAN JOSE 03/17 03/07 03/07 WITHDRAWAL 7.98- 261.97 ? 03/18 03/18 WITHDRAWAL 29.10- 1926.76 POS # XXXXXXX XXXXXX ? POS # XXXXXXX XXXXXX APLITUNES ? PAYPAL XXXXXXX XXXXXX 866-7XX-XXXX 03/04 ? SAN JOSE 03/17 03/08 03/08 WITHDRAWAL 20.00- 241.97 ? 03/18 03/18 WITHDRAWAL 59.88- 1866.88 JCPenney CC JCP EPAY ? POS # XXXXXXX XXXXXX ID:XXXXXX920 030411 ? PAYPAL XXXXXXX XXXXXX 03/11 03/11 TRANSFER FROM SHARE 400.00 641.97 ? JOSE 03/17 Internet Transfer ? 03/18 03/18 DEPOSIT 1170.25 3037.13 Request FROM ? XXXXXXXX XXXXXXX TO 1234 X ? PAYROLL 03/14 03/14 TRANSFER TO SHARE 60.00- 581.97 ? ID:XXXXXX00023027X Internet Transfer FROM ? 03/18 03/18 TRANSFER TO SHARE 795.23- 2241.90 1234 X TO XXXXXXX X ? ACH TRANSFER TO 03/14 03/14 WITHDRAWAL 400.00- 181.97 ? ACCOUNT: 1234, SFX: TERM# CO8H10 - 44 ? G SHOPS AT FIVE WAY ? 03/18 03/18 TRANSFER TO SHARE 75.00- 2166.90 XXXXX XXXXXXX1 ? ACH TRANSFER TO 03/14 03/14 WITHDRAWAL 46.35- 135.62 ? ACCOUNT: XXXXXXX, SFX: POS # XXXXXXX XXXXXX ? C #07401 SHAW'S XXRKET ? 03/18 03/18 WITHDRAWAL 954.50- 1212.40 XXXXX XXXXXXX2 ? XXXXX XXXXXXXXXXXX XXXXXXX 03/14 03/14 DEPOSIT 200.00 335.62 ? REMIT 03/14 03/14 DEPOSIT 140.00 475.62 ? ID:XXXXXXXXXXXX133 03/14 03/14 WITHDRAWAL 20.00- 455.62 ? 03/18 03/18 WITHDRAWAL 135.00- 1077.40 XXX Eagle CC AE EPAY ? 03/18 03/18 SHARE DRAFT # 1700 30.00- 1047.40 ID:XXXXXX703 031011 ? 03/18 03/18 SHARE DRAFT # 1701 80.00- 967.40 03/15 03/15 WITHDRAWAL 10.00- 445.62 ? 03/19 03/19 WITHDRAWAL 20.86- 946.54 POS # XXXXXXX XXXXXX ? POS # XXXXXXX XXXXXX INFLIGHT US AIRWAYS ? 02138 XXXXXXXX 03/17 PHOENIX 03/14 ? 03/21 03/21 WITHDRAWAL 4.03- 942.51 03/15 03/15 WITHDRAWAL 40.00- 405.62 ? POS # XXXXXXX XXXXXX TERM# 4540A871 - 43 ? M4405 OF XX XXXXXXXX C0MMERCE WAY XXXXXXXX ? 03/19 03/13 ? 03/21 03/21 TRANSFER FROM SHARE 832.65 1775.16 03/15 03/15 WITHDRAWAL 17.00- 388.62 ? Internet Transfer POS # XXXXXXX XXXXXX ? Request FROM INFLIGHT US AIRWAYS ? TO 1234 X PHOENIX 03/14 ? 03/22 03/22 DEPOSIT 81.37 1856.53 03/15 03/15 WITHDRAWAL 20.27- 368.35 ? XXXXX XXXXXXXXXXXX XXXXXXX POS # XXXXXXX XXXXXX ? DIRECT TARGET TXXXXXXX XXXXXX ? ID:XXXXXXXXXXXX030 WAREHAM 03/14 ? 03/22 03/22 WITHDRAWAL 75.00- 1781.53 03/15 03/15 DEPOSIT 1940.50 2308.85 ? CHASE EPAY STRICKLAND,GEORG ING ? ID:XXXXXX7076 110321 DIRECT ? 03/22 03/22 WITHDRAWAL 50.00- 1731.53 ID:XXXXXXXXXXXX030 ? AMERICAN EXPRESS ELEC

*** CONTINUED ON NEXT PAGE ***

Account#: 1234 W

Statement Date: 03/31/2011 MEMBER NAME ONE Page#: 3 JOINT/MEMBER NAME TWO 123 MEMBERS RD MY TOWN, US 99999-9999 TRAN EFF DESCRIPTION AMOUNT BALANCE TRAN EFF DESCRIPTION AMOUNT BALANCE

REMIT

ID:XXXXXX12731136 ID:XXXXXXXXXXXX764 ? 110324 03/22 03/22 SHARE DRAFT # 1698 15.00- 1716.53 ? 03/25 03/25 DEPOSIT 7.05 1009.17 03/22 03/22 SHARE DRAFT # 1697 210.00- 1506.53 ? 03/25 03/25 SHARE DRAFT # 1695 469.17- 540.00 03/22 03/22 TRANSFER FROM SHARE 75.00 1581.53 ? 03/26 03/26 DEPOSIT 50.00 590.00 Internet Transfer FROM ? 03/28 03/28 TRANSFER TO LOAN 50.00- 540.00 XXXXXXX A TO 1234 X ? TRANSFER TO SUFFIX X 03/23 03/23 WITHDRAWAL 5.30- 1576.23 ? 03/28 03/28 SHARE DRAFT # 1699 50.00- 490.00 XXXXXX XXXXX XXXXXXX ? 03/30 03/30 DEPOSIT 291.00 781.00 ACH ID:17773 ? 03/30 03/30 WITHDRAWAL 445.00- 336.00 03/23 03/23 SHARE DRAFT # 1696 66.00- 1510.23 ? DirectPay DirectPay 03/24 03/24 WITHDRAWAL 6.28- 1503.95 ? ID:HDCRTLXXXXXX521 POS # XXXXXXX XXXXXX ? 110329 #07401 XXXXXX XXRKET ? 03/30 03/30 WITHDRAWAL 271.00- 65.00 XXXXXXXX 03/22 ? XXXXXX XXXXXXXXXXX 03/24 03/24 SHARE DRAFT # 1694 20.00- 1483.95 ? BILLPAYER ID:XXXXXX46 03/24 03/24 SHARE DRAFT # 1693 94.18- 1389.77 ? XXXXXX 03/25 03/25 WITHDRAWAL 387.65- 1002.12 ? 03/30 03/30 SHARE DRAFT # 1702 25.00- 40.00 XXXXXXLXXXXXXXXXXXX ? 03/30 03/30 WITHDRAWAL 20.00- 20.00 ICPAYMENT ? 03/31 NEW BALANCE 20.00 YTD Div: .00

ITEM NUMBER RECAP

Item# Amount Item# Amount Item# Amount Item# Amount Item# Amount 1692 100.00 ? 1695 469.17 ? 1698 15.00 ? 1701 80.00 ? 1693 94.18 ? 1696 66.00 ? 1699 50.00 ? 1702 25.00 ? 1694 20.00 ? 1697 210.00 ? 1700 30.00 ? ?

SUMMARY

WITHDRAWALS: 44 $6,825.30 DEPOSITS: 12 $6,399.16

Loan Suffix Y - SECOND MORTGAGE

01/01 PREVIOUS BALANCE 29155.10 01/18 TRANSFER PAYMENT 460.20- 156.36- 303.84- 28851.26 Internet Transfer FROM XXXXXXX X TO 1234 Y 02/14 TRANSFER PAYMENT 460.20- 144.06- 316.14- 28535.12 Internet Transfer FROM XXXXXXX X TO 1234 Y 03/14 TRANSFER PAYMENT 460.20- 147.76- 312.44- 28222.68 Internet Transfer FROM XXXXXXX X TO 1234 Y 03/31 NEW BALANCE 28222.68 Loan Type: Fixed rate, Closed-end Due Date: 05/01/2011 APR: 6.750% Payment Amount: 460.20 Daily Rate: .018493151% YTD Fin Chg: 448.18 **APR = ANNUAL PERCENTAGE RATE

*** CONTINUED ON NEXT PAGE ***

Account#: 1234 W

Transactions

03/28 03/28 TRANSFER PAYMENT 50.00-

Interest Charged

ADD-ONS: 0 $0.00 PAYMENTS: 1 $50.00 PRINCIPAL: 1 $-41.78 INTEREST: 1 $8.22

FEES GRAND TOTALS

TOTAL FEES CHARGED THIS PERIOD .00 TOTAL FEES CHARGED IN 2011 .00

INTEREST CHARGED GRAND TOTALS

TOTAL INTEREST CHARGED THIS PERIOD 8.22 TOTAL INTEREST CHARGED IN 2011 15.50 *APYE = ANNUAL PERCENTAGE YIELD EARNED

YTD TAX INFORMATION

YTD Taxable Dividends: $ .12 YTD Taxable Interest: $ .00 YTD Finance Charges: $ 15.50 , Mortgage: $ 448.18

This statement of account contains income tax reporting information, year to date interest and/or dividends. The dividend amount will be reported to federal and

state governments per requirements. Retain your statement of account for purposes of income tax reporting.

If you wish to change your name, address, or contact information contact the credit union using the information on the front of this statement.

OtherQThanQHome-EquityQPlans

Q Q

If you think there is an error on your statement, write to us at the address on the front of the first page of this statement. In your letter, give us the following

information: · Account information: Your name and account number. · Dollar amount: The dollar amount of the suspected error.

· Description of Problem: If you think there is an error on your bill, describe what you believe is wrong and why you believe it is a mistake.

You must contact us within 60 days after the error appeared on your statement. You must notify us of any potential errors in writing [or electronically]. You may call

us, but if you do we are not required to investigate any potential errors and you may have to pay the amount in question.

While we investigate whether or not there has been an error, the following are true: · We cannot try to collect the amount in question, or report you as delinquent on that amount.

· The charge in question may remain on your statement, and we may continue to charge you interest on that amount. But, if we determine that we made a

mistake, you will not have to pay the amount in question or any interest or other fees related to that amount.

· While you do not have to pay the amount in question, you are responsible for the remainder of your balance.

· We can apply any unpaid amount against your credit limit.

If you are dissatisfied with the goods or services that you have purchased with your credit card and you have tried in good faith to correct the problem with the

merchant, you may have the right not to pay the remaining amount due on the purchase. To use this right, all of the following must be true:

1. The purchase must have been made in your home state or within 100 miles of your current mailing address, and the purchase price must have been more

than $50. (Note: Neither of these are necessary if your purchase was based on an advertisement we mailed to you, or if we own the company that sold you

the goods or services.)

2. You must have used your credit card for the purchase. Purchases made with cash advances from an ATM or with a check that accesses your credit card

account do not qualify.

3. You must not yet have fully paid for the purchase.

If all of the criteria above are met and you are still dissatisfied with the purchase, contact us in writing [or electronically] at the address on the front of the first page

of this statement.

While we investigate, the same rules apply to the disputed amount as discussed above. After we finish our investigation, we will tell you our decision. At that point,

if we think you owe an amount and you do not pay we may report you as delinquent.

In Case of Errors or Questions About Your Bill: If you think your bill is wrong, or if you need more information about a transaction on your bill, write us at the

address on the front of the first page of this statement, as soon as possible. We must hear from you no later than 60 days after we sent you the first bill on which

the error or problem appeared. You can telephone us, but doing so will not preserve your rights. In your letter, give us the following information:

1. Your name and account number.

2. The dollar amount of the suspected error.

3. Describe the error and explain, if you can, why you believe there is an error. If you need more information, describe the item you are unsure about.

You do not have to pay any amount in question while we are investigating, but you are still obligated to pay the parts of your bill that are not in question. While we

investigate your question, we cannot report you as delinquent or take any action to collect the amount you question.

Special Rule for Credit Card Purchases: If you have a problem with the quality of goods or services that you purchased with a credit card, and you have tried in

good faith to correct the problem with the merchant, you may not have to pay the remaining amount due on the goods or services. You have this protection only

when the purchase price was more than $50 and the purchase was made in your home state or within 100 miles of your mailing address. (If we own or operate the

merchant, or if we mailed you the advertisement for the property or services, all purchases are covered regardless of amount or location of purchase.)

Important Information Regarding the Computation of your Consumer Loan (may also apply to Credit Cards) Balance and Finance Charges:

We use the Average

Daily Balance Method (including current transactions) to figure a portion of the finance (interest) charge on your account by applying the periodic rate to the

"average daily balance" of your account (including current transactions). To calculate each "daily balance" we take the beginning balance of your account each

day, add any new purchases/advances/loans, and subtract any payments or credits, and unpaid finance charges. Then, we add up all the daily balances for the

billing (statement) cycle and divide the total by the number of days in the billing (statement) cycle. The finance charge is computed when you make a payment. For

each day since your last payment, the periodic rate is applied to each "average daily balance". The sum of these charges is the finance charge you currently owe

on the loan or credit card account. Q

InQCaseQofQErrorsQorQQuestionsQAboutQYourQElectronicQTransfers Call or write us at the phone number listed on the front of the first page of this statement as

soon as you can, if you think your statement or receipt is wrong or if you need more information about a transfer on the statement or receipt. We must hear from

you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared.

(1) Tell us your name and account number (if any).

(2) Describe the error or the transfer you are unsure about, and explain as clearly as you can why you believe it is an error or why you need more information.

(3) Tell us the dollar amount of the suspected error.

We will investigate your complaint and will correct any error promptly. If we take more than 10 business days (10 calendar days in MA) to do this, we will credit

your account for the amount you think is in error, so that you will have the use of the money during the time it takes us to complete our investigation.

You may call the designated phone number on the front of this statement to determine if pre-authorized transfers have occurred.

Certain exempt loans and accounts are not provided with customer protection under Regulation Z and Regulation E. Contact us for specific information, should

you have a question pertaining to your accounts.

Fiserv CU Solutions 06-2010

DRAFT NUMBER DRAFT NUMBER DRAFT NUMBER

DAY MONTH YEAR

TOTAL LIST DRAFTS OUTSTANDING NOT CHARGED TO YOUR DRAFT ACCOUNT

AMOUNTAMOUNTAMOUNT

2) ENTER DRAFT BALANCE SHOWN ON THIS

STATEMENT HERE1) SUBTRACT FROM YOUR DRAFT REGISTER ANY CHARGES LISTED ON THIS DRAFT STATEMENT WHICH YOU HAVE

NOT PREVIOUSLY DEDUCTED FROM YOUR BALANCE. ALSO, ADD ANY DIVIDENDS.4) IN YOUR DRAFT REGISTER, CHECK OFF ALL DRAFTS PAID AND, IN

AREA PROVIDED AT LEFT, LIST NUMBERS AND AMOUNTS OF ALL

UNPAID DRAFTS

5) SUBTRACT TOTAL DRAFTS OUTSTANDING6)

THIS AMOUNT SHOULD EQUAL YOUR DRAFT

REGISTER BALANCE

PERIOD ENDING

3) ENTER DEPOSITS MADE LATER THAN THE ENDING

DATE OF THIS STATEMENT

TOTAL (2 PLUS 3)

SHARE DRAFT RECONCILEMENT *** THIS FORM IS PROVIDED TO ASSIST YOU IN BALANCING YOUR DRAFT ACCOUNT

IF YOU DO NOT BALANCE

VERIFY ADDITIONS AND SUBTRACTIONS ABOVE AND IN YOUR DRAFT REGISTER. COMPARE THE DOLLAR AMOUNTS OF DRAFTS LISTED ON THIS STATEMENT WITH THE DRAFT AMOUNTS LISTED IN YOUR DRAFT REGISTER. COMPARE THE DOLLAR AMOUNTS OF

THE DEPOSITS LISTED ON THIS STATEMENT WITH THE DEPOSIT AMOUNTS RECORDED IN YOUR DRAFT REGISTER.