HomeMy WebLinkAbout12-1484COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
American Express Centurion Bank
Plaintiff
V.
DIANE THIELEMANN
No. la - I48q
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Vi' N s
M r?'*7 Cpl -
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Defendant
12(,11-1n)1
NOTICE TO DEFEND
You have been sued in court. If you wish to defend against the claims set forth in the following
pages. you must take action within twenty (20) days after this complaint and notice are served, by
entering a written appearance personally or by attorney and filing in writing with the court your
defenses or objections to the claims set forth against you. You are warned that if you fail to do so
the case may proceed without you and a judgment may be entered against you by the court
without further notice for any money claimed in the complaint or for any other claim or relief
requested by the plaintiff. You may lose money or property or other rights important to you.
YOt1 SHOULD TAKE THIS PAPER. TO YOUR LAWYER AT ONCE. IF YOU DO NOT
HAVE A LAWYER. GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS
OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO
PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
Cumberland County Bar Association
34 S. Bedford Street
Carlisle, Pennsylvania -
telephone number 717-249-3166
?9
(03.75 Pp AT71/
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COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
American Express Centurion Bank,
Plaintiff
V.
DIANE THIELEMANN,
Defendant
: No.
120137 001,
COMPLAINT
Plaintiff, American Express Centurion Bank.. by and through its counsel, Demetrios H.
Tsarouhis.. files this Complaint and aver as follows:
1. Plaintiff, American Express Centurion Bank, ("Plaintiff') is a NY business
corporation having its corporate offices at 200 Vesey Street, New York NY 10285.
2. Defendant, DIANE THIELEMANN, is an adult individual resident of Pennsylvania
who maintains an address at 816 W TRINDLE ROAD, MECHANICSBURG PA 17055.
3. At all relevant times herein, Plaintiff was engaged in the business of extending credit
to potential clients.
4. Defendant applied for and received a credit card issued by Plaintiff with the account
number ending in * * * * * * * * * * * 2003.
5. Use of the credit card was subject to the terms and conditions of the Cardmember
Agreement (hereinafter -'Agreement"). Incorporated herein by reference as if set forth herein at
length and attached as Exhibit "A" is a true and correct copy of the Cardmember Agreement.
6. Defendant used the credit card with account number ending in * * * * * * * * * * *2003, for
2
purchases, cash advances and/or balance transfers. Use of the card in this manner constituted
acceptance of the terms and conditions and subjects the Defendant to the terms and conditions
contained therein.
7. The Defendant was mailed monthly account statements relative to the Defendant's
use of the subject credit card. Incorporated herein by reference as if set forth herein at length and
attached as Exhibit "B" is a true and correct copy of the most recent statement.
8. The Defendant defaulted under the terms of the Agreement by failing and refusing to
make monthly payments on the account as they became due.
9. The account became delinquent on or about and Defendant has failed pay any
amounts since that time.
10. The principal amount due at such time was $8,156.01.
11. Plaintiff is also entitled to receive interest on the above amount determined by
applying the statutory interest rate of 6° o per annum to the past due balance, which currently
totals $1.34 per diem.
12. Plaintiff is entitled to have 6% per annum interest charge continue to accrue as set
forth above, from the date of the filing of this Complaint until the date of judgment in this matter.
13. The total amount due and owing the Plaintiff including interest, is $8,156.01.
14. Pursuant to the terms of the Agreement. Defendant is liable to Plaintiff for court costs
and reasonable attorneys' fees, which currently total $2,039.00.
WHEREFORE, Plaintiff requests judgment in its favor and against Defendant as follows:
aj Judgment in the amount of $10,217.80 due on the account;
3
a) Interest at the per diem rate of $1.34 from the date of filing this Complaint
until the date of Judgment;
b) Costs of suit; and
0 Any other relief as the Court deems just and appropriate.
COUNT II
Alternative to Count I - Unjust Enrichment
15. Plaintiff incorporates the allegations of every paragraph enumerated above this
Complaint as if said paragraphs were fully set forth here at length.
16. At Defendant's request, Plaintiff conferred a benefit upon Defendant by providing the
credit described in the exhibits attached hereto.
17. Defendant received and accepted the benefit of said credit provided by Plaintiff.
18. At all times material hereto, Defendant was aware that Plaintiff was providing the
aforesaid credit to Defendant and that Plaintiff expected to be paid for such.
19. At all times material hereto, Defendant, with the aforesaid knowledge, permitted
Plaintiff to provide said credit and to incur damages.
20. At all times material hereto, Defendant was unjustly enriched by retaining the benefit
of receiving said credit without paying Plaintiff fair and reasonable compensation.
21. Allowing Defendant to retain the benefit of said credit without paying fair
compensation would be unjust.
22. By reason of the aforesaid unjust enrichment of Defendant at Plaintiffs expense, an
implied contract exists between Plaintiff and Defendant and Defendant is obligated to pay Plaintiff
4
the quantum meruit value of the credit described in the exhibits attached hereto in the amount of
$8156.01.
WHEREFORE, Plaintiff requests judgment in its favor and against Defendant as follows:
a) Judgment in the amount of $8,156.01 due on the account;
b) Costs of suit; and
c) Any other relief as the Court deems just and appropriate.
Respectfully Submitted,
DEMETRIOS H. TSAROUHIS
I.D. #88513
Attorney for Plaintiff
21 S. 9t" Street-Suite 200
Allentown, PA 18102
610-439-1500
Date: February 11, 2012
5
VERIFICATION
1. Demetrios H. Tsarouhis, Esquire, verify that the statements contained in the
aforementioned Complaint are true and correct based on my communications with my client. I make
this verification because my client is unavailable to sign this document at this time. I understand that
false statements herein are made subject to the penalties of 18 Pa.C.S.A. Sec. 4904 relating to
unsworn falsification to authorities.
By: L L? 61?/ , K -
Demetrios H. Tsarouhis, Esquire
Date: February 11, 2012
6
FDR 974965
Welcome to .Ain, icanFxpreufarihvurnbeT?slsip
This document and the accompanying supplement(s)
constitute your Agreement. Please read and keep this
Agreement. Abide by its terms. When you keep, sign or use the
Card issued to you (including any renewal or replacement
Cards), or you use the account associated with this Agreement
(your Account"), you agree to the terns of this Agreement.
The words ''you ' `your" and "yours" mean the person who
applied for the Atcollalt and the person to whom we address
billing statements, as well as any person who agrees to be liable
on the Account.'1'he "Basic Cardmember" is the person who
opened the Account. At your request, we may also issue a Card
on your Account to another' person (an `Additional
Cardmember'). I -lie term 'Card" refers to the American
Express` Card issued to you, all other Cards issued on your
Account, and arty other device (such as Account numbers and
convenience checks) with which you may access your Account,
"We," our` and us" refer to American Express PSB Bank, the
issuerofyomr Account
Iio thl. t.;?i'(',
You may use the Card to obtain goods and services from
any person who accepts the Card ("Purchase(s)")- You may
also use the Card to obtain loans ("Cash Advance(s)') through
various means we may make available (e.g., ATM machines)
up to the applicable limits on your Account. At our discretion,
we may permit you to transfer balances from other accounts to
your Account ("Balance'Fransfer(s)"). At our discretion, we
may issue convenience checks that you can use to access your
Account. Each convenience check may be used only by you.
You nay not use convenience checks to pay any amount you
owe under this Agreement or to pay any other account you
have with us or our affiliates. Transactions you make in
response to promotional oilers from its will be subject to the
terms of the promotion and this Agreement.
All amounts charged to your Account, including Purchases,
Cash Advances, Balance Transfers, convenience checks, annual
fee(s), if any, any amounts guaranteed by use of the Card, other
fees, and any Finance Charges, ;are "Charges." A convenience
check that we identify as having been made payable to cash, to
you, or to a bank, brokerage or similar asset account will be
treated as a Cash Advance. Any other convenience check
andior it Balance'Irarhsfer will be treated as a Purchase, except
as otherwise noted- If you make a Purchase or a Balance
Iranslir, or use a -n,cincnee check, that is governed by a
promotional offer li om us, the Charge will be included in a
Promotional Balan, e, unless we notify you otherwise. A
maximum of 3 Additional Cards is permitted on your Account.
You agree to use the Account only for legitimate purchases of
goods and services for personal, family or household purposes.
You agree not it: let any person use a Card except a
Cardmember whose name is on ii. You agree to notify us if the
Card is lost or stolen, or you sus7ecl that it is being used
without your penm.csinn. Ynu agree to use the Account on[), for
PUrchases, Cash Advances, or Balance Transfers that are lawful
and are permitted under this Agreernent We may issue you
renewal or replacement Cards before a previously issued Card
expires.
If you or an Additional Cardmember authorize a third
party to hill Charges on a rec using basis to your Account
(`Recurring Charge(s)"), we may (but are not required to)
provide such third party with your current Account status,
Card number andior expiration date to permit that third party
to continue billing your Account. We may take such steps even
if your account number changes or it we issue a renewal or
replacement Card to you or an Additional Cardmember To
withdraw authoriza'. ion ling l.,ccurring Charge, you must
notify the third party.
I. rl`r ?i`,he
I tic Card may be equipped with the F.xprosPay feature
("Expressltay'), which enables you to make Charges without
having the Card swiped or imprinted at a participating
merchant. ExpressPay, uses a computer chip that is built into
the Card and transfers encrypted payment information
wirelessly when you hold the Card to a contactless reader.
Charges made with ExpressPay are as secure as other Charges
you make with the Card. Fxpresstray generates a unique
cryptogram to further protect your account from fraudulent
transactions. L you notify us that the Card is lost, stolen or has
been fraudulently used, the Card and the Express Pay feature
will be deactivated and another may be reissued. You agree to
use E,xpresiPay only in accordance with our instructions, and
you agree not to 'attempt to get cash with I xpressPay from anv
,Source- You may cancel the Expres0ay feature on the Card or
any Additional Card at any ime upon noli,e to us by calling
the number tin the back of the Card.
4nnual Fee
There is no annual fee tor this Accowrt.
fteh,lte
Your Rebate is awarded annually for each Rebate Year (12
consecutive billing periods beginning with the billing period
during which your Card anniversary date occurs). For the first
$6,500 of Eligible Purchases (defined behnw) in a Rebate Year,
you will earn a 1% Rebate for Everyday Purchases (defined
below) and a 0.5rob Rebate for all other Eligible Purchases. After
the first $6,500 of Eligible Purchases in a Rebate Year, you will
begin earning a 5% Rebate lot Everyday Purchases and a 1 2590
Rebate for all other Eligible Purchases.
"Everyday Purchases" arc Eligible Purchases made it the
following categories of O.S. merchants that are not
departments of superstores or warehouse clubs: supermarkets.
drug stores, and automobile gasoline stations (for purchases of
automobile gasoline only, except that any purchase in excess of
$400 at an automobile gasoline station will not qualify as an
Everyday llcii&ase). A Charge qualifies as an Everyday
Purchase only if the merchant submits the Charge using the
appropriate industry code, merchant code, or product/service
code established by us. If Ilse merchant submits- a Charge using
a different code, it will only qualify as an Pligible. Purchase. fn
addition, merchants with rnultiple locations rnay Subnut
Chm' 'ges at different locations using different codes. ['his
means that you will receve a higher Rehate liter Charges at
some locations, but a lower Rebate at other locations of the
same merchant
"Eligible Purchases` are Charges to vour Account for goods
ur services that have not been returned or otherwise credited
to your Accoum. Eligible Purchases do not include Finance
Charges, fees, Cash Advances or other means of accessing your
Account, convenience checks, Balance Transfers, or the
purchase of American Express' Ti aveleis Cheques and
American Express' Gott Cheques of other , ask equivalents.
Eligible Purchases also do not include any charges posted to
your Account during any billing period for which payment of
the Minimum Amount Due is not credited to your Account by
the Payment Due Date shown on the statement for that billing
period. Eligible Purchases for any Rebate Year will be reduced
by any credits o-. adiusnnenis posted m your Account during
the applicable Rebate Year A credit for a Purchase posted to
)'our Account during any billing period for which the
Minimum Amount Due is not credited to your Account by the
Payment Due Date shown on the sratemem for that billing
period will reduce the arnount of the Rebate, if any. awarded
for the applicable Rebate Year. We reserve the right to exclude
(Toni Eligible Purchase's any Charges that yvu tle(cnninc are not
made for personal, family or household purposes, with the
good faith intention of consuming the item charged; or 'with
the intent to avoid a per-transaction rebate threshold.
The Rebate amount(,s,) that may appear tin your billing
statement under the heading "Cash Rewards Earnings
Summary" are for informational purposes only and arc not
intended to indicate the actual Rebate, if am-, That may be
awarded for a Rebate Year. Ifa credit posted to your Account
places your Renate in negative status, the Rebate will be
represented as zsro on your billing ttatemerc however, you
will have to accumulate a Rebatc equal to tit: negative Rebatc
balance before you can accumulate i positr, e Rebate balance.
You will receive the Rebate in the form of credit to your
Account approximately one month after the end of the
applicable Rebate Year. You will forfeit vow entire Rebate far
any Rebate Year if your Account is canceled hit run, reason
before the Rebate is posted to your Account You will also
CD 26199 (07/091
forfeit your entire Rebate for any Rebate Year if the Minimum
Amount Due on any statement for any billing period daring
the Rebate Year includes an amount that was previously
included in the Minimum Amount Due on three or more
previous billing statements (approximately 90 days or more
past due).
A portion ofyour credit line may lie available to you for
Cash Advances up to your Cash Advance limit. We may, at any
time and in our sole discretion, increase and/or decrease your
credit line and Cash Advance limit- We may limit Charges at an
automated teller machine ("ATM) to the lesser of (i) a total of
$1,000 in any seven-day period, or (ii) the remaining amount
of the Crash Advance limit on your Account; and we may
impose additional limits at our sole discretion (in addition to
any limits imposed by the ATM's owner). Your billing
statements will show vour credit line and Cash Advance limit
and the unused portions of such line and limit as of the
statement date. You agree to manage your Accnunt so that your
balance for Cash Advances (including fees and Finance
Charges) will not exceed the Cash Advance limit and your
overall balance (including fees and Finance Charges) will not
exceed you credit line. You agree to pay us, immediately upon
request, the amount of anv baltuce on your Account in excess
ufany applicable credit line or limit. We reserve the right to
decline any attempted Charge, even lithe Charge would not
cause you to exceed your credit line orlimil.
We are not responsible for any losses or other consequences
if a trans action on your Account is not approved for any
reason, even if you have sufficient credit available. Except as
otherwise required by applicable law, we will not be
responsible if any merchant refuses to honor the Card or tot
any other problem you may have with a merchant.
You promise to pay all Charges, including Charges incurred
by Additional Cardmembers, on your Acanmt. This promise
includes soy Charge for which your or an Additional
Cardmember indicated an intent to incur the Charge, even if
you or the Additional Cardmember have not signed a charge
form or presented the Card. You also promise to pay any
Charge incurred by anyone that you or an Additional
Cardmember let use the Card, even though you have agreed
not to let anyone else use the Card_
.. ?tdlF.+sronmbilits;rir:dddifitan,rlCardrnernlret:a
Additional Cardmenhers do not have accounts with us.
Ins' ead, they are authorized users on your Account, and the
Cards issued to them may be cancelled by you or its at any
time. You must notify us to revoke an Additional
Cardmembers permission to uxe your Accou it.'You are
responsible under this Agreement for all use ofyour Account
by the Additional Cardmembers, and by anyone else you or an
Additional Cardmember lets rise the Card, and the Charges
I hey incur will be trilled to yon. You have this responsibility
even if you did not intend for an Additional Cardmember, or
other person, to use the Card for any transactions.
An Additional Cardmember is not liable for Charges
incurred by the Basic Cardmember nr by other Additional
Cardmembers. /however, by each rise of the Additional Card to
incur Charges, the Additional Cardmeniberindicates his or her
agreement to pay us for the Charge ifyou fail to or refuse to
pay it, and we may, at out discretion, pursue Additional
Cardmembers for payment of Charges they incur or authorize.
You authorize us to provide Account information to Additional
Cardmembers and to discuss the Account with them.
You agree to notify each Additional Cardmember, at the
time he or she becomes an Additional Cardmember, that we
may receive, record, exchange and use information about him
nr her in the same manner we do with information about you,
as described below in the Conscmer/Business Reports,
Telephone Communications, and Susp,:nsioniCancellation
sections of this .Agreement. You agree to notify cacti Additional
Cardmember that Additional Cardmembers are subject to all
applicable provisions of this Agreement
? ??
Exhibit "Li-I
i;iifina statenrtir,s
You must notify its immediately of any change in the
mailing or e-mail address to which we send billing statements
or notices that a billing staicmcnthasbeen posted ("Billing
Address"). Ifyou wish a Billing Address change to apply to
more than one account you maintain with us, you must tell us.
You agree that we may also update your Billing Address if we
receive information that your Billing Address has changed or is
incorrect.
The "New Balance" appears on your billing statement. To
determine the Net, Balance, we begin with the outstanding
balance on your Account at the beginning of cacti billing
period, called the'PR'evious Balance" on the billing statement.
We add any Charges, subtract any credits or payments credited
as of that billing pet led, and make other applicable
adjustments.
M illim;.ltn :'Sows 3.i {Pilo -
Each billing statement will reflect a Minimum Amount
Due. Payment is due by the time and date shown and in the
manner prescribed on the statement. The Minimum Amount
Due will not exceed the New Balance. You may pay more than
the Minimum Amount Due, up to the entire outstanding
balance, at any time. To calculate the Minimum Amount Due,
we add together the following amounts, round the result to the
nearest whole dollar, and then add any amount past due:
(1) the greatest of
(a) 24i, of the New Balance (excluding from the New
Balance any any late tees or over-limit fees);
b) the Icsscr of.
W current billed Finance Charges plus L"'o of the New
Balance (excluding from the New Balance any late
fees or over-limit fees and finance charges), or
(ii) 4% of the New Balance; or
(c) $15;
(2) any over-limit fees added during the billing period; and
(3) any late fees added during the billing period.
Adjusted Minimum Amount Due
Summary: If von consistently pay more than the
Minimum Amount Due outlined above. we may calculate your
minimum payment without any late fees or the additional I"6
ofthebalahce referenced in (0(b)(i). If we do this, and
finance charges are more than 29l) of the balance, we may add
S15 to your minimum payment. For information about how
this works, read the detailed description below.
Detailed Description: We nay adjust the outlined
calculation above by removing the late fees in (3) and "plus I%
of the New Balance" in (i)(b)(i) In tine adiusted calculation,
we will exclude only the over limit fees from the New Balance
in (1)(a). After the adjustment, if (l) is equal to the current
billed Finance Charges, we will ncrease your Minimum
Amount Duehy 51
N'e will appy dic adjusted calculation to your Account it
> tine sum of your payments (credited to your Account in
thesis consu, uhvc billing periods ending with the
Closing Date of the current billing period) is greater than
the sum of the Minimum Amounts Due (for the six
consecutive billing periods ending with the Closing Date
of the previous billing period, not using the adjusted
calculation acid including the amount past due in only
the first of those six periods);
the sum of the Minimum Amounts Due is equal to the
sum ofyout payments nod it is less than or equal to $90;
the sunk of the Min noun ! mounts Due is zero and we
used the adjusted calculation in the last billing period
when your,Mailmum Amount Due was not zero; or
if we adjust yoor Minimum Amount Due, we will do so for
at least six billing periods, and if we stop adjusting Your
Minimum Amount Due, we will not adjust it again for at least
six billing periods, regardless of your payment history.
Pcli inrut>
All payments roust be sent to the payment address shown
on your billing staument and nrast include the remittance
coupon from your billing statement. You must pay us in U.S.
currency, with a single draft w check drawn on a U.S. hank and
payable in U S. dollars, or with a negotiable instrument payable
in 1:,s, dollars and c.carablc through the U.S. banking system,
or through an elect ronic payment method clearable through
the U,S_ banking s)seein. Your Account number must be
included ern or with all payments. If we decide to accept a
payment made in a foreign currcncvs you authorize us to
choose a conversion rate that 6 acceptable to its to convert
your rcmritunce info U.S. avrcncc, unlec a particular rule rs
required by lair.
Payments conforming to the above requirements that we
receive no later than the hour specified on your billing
statement will',ie credited [u your Account as of the day
received; payments conforming to iheaboe'e requirements that
we receive after the hour specified em your billing statement
will be credited to your Account as of the following day,
Ifpayment does not conform to the requirements stated
above, craditin may be delayed. If this happens, additional
Charges may be imposed. We may accept late payments,
partial payments or any pavmcnts marked as being payment in
full or as being settlement of any dispute without losingany of
our rights under this Agreement On a ndei rile law. Our
acceptance of any such payments does not moan we agree to
change this Agreernent in any way. You agree ilia[ an
acceptance ofsuch payments will not operate as an ,accord and
satisfaction without Our prior express ivi itten approval.
Subject to applicable law we will appli' and allocate
payments and, redits among balances and Charges on VOW
Account in any order and manner determined by us in our sole
discretion. In most cases. we will apply and allocate payments
first to balances at lower Annual Percentage Rates ("APRs')
and then to higher APR balances. and apply Purchase credits
first to the balance from which the
corresponding debit originated. llowever, for sei vieng,
admhnistr Live, systems mother business r,usons, we may
apply and allocate payments and credits among balances and
to Charges on your Account in some other ardei or manner
that we may de ermine in our sole discretion. You agree that
we have the unconditional tight to exercise this discretion in a
way that is most favorable m ahnvenientio us.
'; l k loo!? .1 'Etft il= to, f f .nriE
.e..Jina
When you provide a :heck as payment, you authorize us to
use information from your (heck to make in electronic fund
transfer from your account or to process the payment as a
check transaclinn. If we process your cheer. electronically,
tunds may be witlidrawn Item you; bank of asset account as
soon as the sane clay we receive,, our Lilco, Also, if we process
your cheek electronically, you will not receive that cancelled
check with your bank or asset account statement.
r.:atnce CE:Mg,,
?9. Finance Charges begin to accrue for each Charge as of
the date the Charge is added to the daily balance, as described
below. 11 'payment in full for any New Balance shown on the
statement for a billing period is credited to your Account by
the Payment Due Date shown on that statement, then Finance
Charges will not accrue for Purchases front the date on which
payment in full of that New Balance is credited to your
Account Until the end of the billing period in which such
payment is credited to your Account. In addition, I'mance
Charges will not accrue [or Purchases during a billing period if
(a) the Previous Balance shown on the billing statement for
that billing period is zero or a credit balance, or (b) payment in
fall for' the New Balance, if any, shown on the statements
covering the two immediately preceding billing periods is
credited to your Account b}' tine respective Payment Due Dates
shown on those statements. For purposes 01'1111S paragraph,
Purchases do not include Balance Transfers or convenience
checks.
If, The Daily Periodic Rate (`DPk') fool Purchases and the
DPR for Cash Advances are rack based nn an APR, which may
vary. The APR for Cash Adva ccs is the tit :no: Rate plus
1799%. A DPR is 11365th of the APR. Your DPRs and APRs lint
Purchases appear on the accompanying supplement (.s). When
an APR changes. we apply it U, any existing Balance subject to
that rate.
Notwithstanding the foregoin un,css a higher rate
applies, the APR for all balances except Cash Advances will be
equal to Prime plus 14.99% if during an Review Period any
portion (if n kfinimum Amount Due is not credited to your
AM)=by its I ayincntDue Dale. The"taview Period" is the
period, constituting, appmximately one veal. of twelve
consecutive billing periods ending with the Closing Date of the
current billing period, whether or oil yon rr'Ceived a statement
for each such billing period.
I. Notwithstanding the foregoing, the DPR land
corresponding A PR) on all balances will inccase to tine Default
Rate if during the Review Period (i) payment ofyour
Minimum \motant Due is not credited to your Accountby the
Pavment Due Date in any two billing periods, (ii) a payment on
your Account is not honored by your bank or other financial
institution, or ('iii) you exceed any designated credit limit on
your Account three or more times. ['he "Review Period" is the
period, constituting approximately one year, of twelve
consecutive billing periods ending with the Closing Date of the
current billing period, whether or not you received a statement
for each such billing period. Ifthe Default Rate is applied, it
will apply to your Account for a minimum of twelve
consecutive billing periods, beginning with the current billing
period, The Default Rate is a DPR which corresponds to an
APR equal to the Prime Rate plus 23.99°i.
Fhe "Prime Rate" is determined once with respect to
each billing period. The Prime Rate for each billing period is
the Prime Rate published in the Moiicv Rates section (or
successor section) of Tiro Wall Street Journal on (a) the first day
of that billing period or (b) the day that k two days prior to the
Closing Date of that billing period, whichever is higher. In each
case, ifsuch a day is not a customary publication day for The
Wall Street Journal, we will substitute the closest preceding day
that is a customary publication day. If Tile tt'all Street Journal
ceases or suspends publication, we may refer to the Prime Rate
published in any other newspaper of general circulation in
New York, New York, or we may substitute a,similar reference
rate at our sole discretion. Any increase or decrease to an APR
resulting from a change in the prime Rate takes ullcct as of the
first day of the billing period. An increase in the Prime Rate
means that the variable APRs (and corresponding DPRs)
applicable to yon' Account will increase and you may incur
higher Finance Charges and may have a higher Minimum
Amount Due.
",ilv Balance Aletlaod ft x t&illation of Finance
We use the Average Daily Balance method to calculate
Finance Charges on your Account. Under this method, we
calculate the Finance Charges on your Account by applying the
DIPR uh the Average Daily Balance (as described below)
separately for each balance subject to Finance Charges.
Different periodic rates may be used for different balances. For
example, different DPRs may be applied to separate balances,
such as Purchase, Cash .Advance, and Promotional Balances. To
get the Average Daily Balance for each balance, we (1) take the
beginning balance for each day (including unpaid Finance
Charges from previous billing periods), (2) add any new
transactions, debits, or fees, (3) subtract any payments or
credits credited as of that day, and (4) make any appropriate
adjustments. For each day after the first day of the billing
period, eve also add au amount of interest equal to the previnus
day's daily balance multiplied by the DPR far the balance. This
gives us the daily balance for the particular balance for that day
and the beginning balance for that balance for the next day. If
this balance is negative, it is considered to be zero. Then, we
add up all the daily balances for each balance for the billing
period and divide the total by the number of days in the billing
period. This gives us the Average Daily Balance for that
balance.
Ifyou multiply the Average Daily Balance for each balance
by the number of days in the billing period and the DPR for
(flat balance, the result will he the Finance Charge assessed on
that balance, except for variations caused by rounding. The
total Finance Charge for the billing period is calculated by
adding the Finance Charges assessed oil all balances of the
Accumn. This method of calenlating the Ai-ange Daily Balance
and Finance Charge results in daily compounding ofFinance
Charges. We may use mathematical formulas which produce
equivalent results to calculate the Average Daily Balance,
Finance Charge, and related amounts. For example, Ave may
utilize computer programs or other computational methods
that are designed to produce mathematically equivalent results
while using fewer and/or simpler computational steps than are
described in this Agreement,
At our discretion, we may exclude certain categories of
debit transactions or Ices from the calculation of the daily
balances. unless we elect to use a later date, we add a Charge to
(he daily halance as follows We add a Cash Advance or
Purchase to the appropriate daily balance as of the date of
request or the transaction date on the billing statement. We
add a convenience check to the appropriate dailybalance as of
the date of first deposit. We add a Balance Transfer other than
through a convenience check to the appropriate daily balance
us of the date of the request. We add periodic Finance Charges
to the daily balance as described above.4Pe add another
FDR 974965
Charge to the appropriate daily balance as of the dale of the
transaction.
Periodic Finance Charges are added to the outstanding
balance at the end of thebilling period for which Finance
Charges are calculated. In any such billing period, we will
impose a minimum Finance Charge of $0.50, which will be
added to the balance with the highest APR unless, for our
convenience and in our sole discretion, we choose to add it to a
balance with a lower APR. In our sole discretion, we also may
round any calculations made in determining the Finance
Charges on your Account in any way that is convenient to us.
Any such rounding may apply to or cause variations in your
DPRs.
t ai-; Fees
We may assess a Tate Pee if a payment of at ]cast tile
Minimum Amour' Due is not credited to your Account by the
Payment Due Date. The amount of the Late Fee depends on the
amount of the Preytlns Balaot on the statement on which the
Late. Fee appears, is follows.
Previous Balance Late Fee
Less than $400 $19
5400 or greater $38
Other Fees
We may charge the follo:virg fees to your Account, subject
to applicable law_ Fxcept as otlin wise noted, these fees will be
added to the Purchase Balance.
t. Dishonored Payments, We may charge a fee of $ 38
whenever any check, similar instrument, or electronic
payment order that we receive as payment on your Account is
not honored upon first presentment.
If a Card is presented in connection with cashing a check at
an American Express Travel Service Office or other authorized
location and the check is not honored, we may charge a fee of
$38. (We will also add a Charge to the Cash Advance balance of
your Account in the amount of the check that was not
honored.)
L Copies of Statements: We may charge a fee of $5 for
each billing period for which a copy 4a billing statement is
requested. We will riot charge this fee for any request for a copy
of any of the billing statements [or the than billing periods
immediately prior to the reques t-
Account Re-opening Fee: We may charge o re-opening
fee of $25 if your -Account is cancelled for any reason and you
request reinstatement and such request is honored.
-1. Wire Transfers: We mar charge a fee of S I i each time a
wire transfer from your' Account is initiated and authorized.
Stop Payment Orders: lVe may charge a fee of $29
each time we receive a request to stop payment on a
convenience cheek drawn on vciir Account.
i,. Over-limit Fee: We may charge it lee of $33 in each
billing period the XcwBndancc :)it your statement exceeds your
credit line.
Convenience Check Usage/Balance Transfer
Transaction Feu We may assess a transaction fec Iirr cacti
Balance Transfer and each corm-micnce check drawn on your
Account, as disclosed in the applicable Promotional Offer, in
the materials accompanying the convenience check, or at the
time of the transaction. This fee is It Finance-Charge and, if
assessed, will be added to the same Purchase or Cash Advance
balance as the convenience check transaction or Balance
Transfer. For convenience checks made payable to cash or to
you, a bank, brokerage or.sintilar asset account, however,
unless otherwise disclosed in the applicable Promotional Offer,
in the materials accompanying the convenience check, or at the
time Of the transaction, there will be a transaction fee of 3%,
with a minimum rif $S.
S. ATM Fee: We will impose a fee each time a Card is used
to obtain cash or any other services from an AT? I. This fee will
be 3% of the amount of the cash withdrawn or other services
obtained (including any additional fee imposed for rise of [lie
ATM by its operatoi), with a tmmmum of$5.'Flits fee will be
added to the Cash lldvance ha':aIce_
'si; stcnew=r'4s `aiiitr
In addition to any other acuons we may take under this
Agreement, we men suspend or cancel your ,lccount or any
feature offered in connection wi.h your Account, we may
reduce your credit line or cash advance limit tinduding to a
level below yon outstanding balance), and/or we may suspend
or cancel the authorization of any Additional Cardinember to
make Charges to your Account, at out sole discretion
at anv time,-,viih or without cause, whether or not your
Account is in default, and without giving you notice, subject to
applicable law. Any such action on our pmt will not cancel your
obligation to pay all Charges due on your Account under the
terms of this Agreement in effect at the time of such action or
as subsequently amended, and you agree to pay us all such
Charges despite any such action. We may advise third parties
who accept the Card that the Card(s) issued to you and/iii
Additional Cardmembers have been cancelled- It we caned the
Card of it expires, you may no longer use it and you must
destroy it or return it to us or, if we'request, to a third party. If
you want to cancel the Account or any Additional Cards, you
most notify us and destroy the Curd( s).
If we agree to reinstate }Our Account after a cancellation,
the new Agreement Nye send you (nr, it We do not send you a
new Agrecmenu, this Agreement as it may be amended) will
govern your reinstated Account. When we reinstate your
Account, we may reinstate any AddiIionai Cards issued in
connection with your Account, and bill you the applicable
annual fec(s ).
ikfao It
We may consider your Account to be in default at any time
if you fail to pay us any amount when it is due, or if you breach
any other promise or obligation under this Agrecn nt
Subject to applicable law, we may also consider your
Account to he in default at any time if try statement [Wade by
you to us in connection with this Account or anv other credit
program was fz.lse or misleading; if you breach any promise to
obligation under any other agreement than, you may have with
its or with any of our affiliates if we reeelye information
indicating that you are bankrupt, intend I,, file hankruptcy, or
are unable to pay your debts as they become due; of we receive
information leading its to conclude that you are otherwise not
creditworthy. In evaluating your creditworthiness, you agree
that we may rely on information contained in consumer
reports, and in our discretion we may consider the amount of
debt you are carrying compared to your resources or any other
of youracdit characteristics, regardless ofyour performance
on this Accoun-_ We may also consider your Account in default
in the event of your death.
In the event of your default, and subject to any limitations
or requirements of applicable iaw, eve may Ieequtre payment of a
portion ofyour outstanding balance greatcrthan the
Minimum AnnountDue, declare the entire amount ofyour
obligations to us immediately due and payable, and/in suspend
or cancel your Account and/or any feature that may be offered
in connection with the Account. You agree to pay all
reasonable costs. including reasonable attorneys' fees, incorrect
by us (I ) in connection with the collection 'if any anottut due
on your Account, whether or not any arbitration, litigation, nr
similar proceedings arc initia(ed; and (2) in reasonably
protecting oursaves from any loss, liarm, or risk relating to any
default on your Account.
€n liv rut n .,_.,
If you incur a Charge in a foreign currency, it will be
converted into IT S. delta),, on the date it is processed by us or
our agents Unless a pa tratlar late is required by applicable
law, you authorize us to choose a conversion rate that is
acceptable to us for that date. Currently, tine conversion rate we
use for a Charge in a foreign currency is no greater than (a) the
highest official conversion rate published by a government
agency, o (b) the highest interbank conversion rate identified
by its from customary banking sources, on the conversion date
or the Frio; bus mess day. in each instance increased by 2.70.
'Plus conversion rate may differ front rate, in effect in the date
of your Charge. Charges converted by establislununs (such aA
airlines) hull be billed at the rates such establishments use.
Jubject to applicable law, we have the right to add, modify
or delete any benefit, set vice, or Feature that may accompany
your Account at any time and without notice to you
Purpose: This Arbitration Provision sets forth the
circumstances and procedures under which Claims (as defined
below) may be arbitrated instead ofifigateddin court.
Definitions: As used in this Arbitration Provision. the
term "Claim" means airy dainr, dispute or controversy between
you and us arising from or rclating to your Account, tits
Agreement, the Electronic Funds Transfer Services Agreement
and ally other related or prior agreement that you may have
had with us, or the relationships resulting from any of the
above agreements ("Agreements"). except Ibr the validity
enforceability or scope of this Arbitration Provision or the
Agreements. For pwposcs of this Arbitration Provision, "yon"
and "us" also includes any corporate parent, or wholly or
majority owned subsidiaries, affiliates, any licensees,
predecessors, successors, assigns, any purchaser of any
accounts, all agents, employees, directors and representatives
of arty of the foregoing, and other persons referred to below in
the definition of "Claims:' "Claim" includes claims of every
kind and nature, including but not limited to, initial claims,
counterclaims, cross-claims and third-party claims and claims
based upon contract, tort, fraud and other intentional torts,
statutes, regulations, common law and equity. "Claire" also
includes claims by or against any third party using or providing
anv product, service or benefit in connection with any account
(including, but not limited to, credit bureaus, third parties who
accept the Card, third parties who use, provide or participate in
fee based or free benefit programs, enrollment services and
rewards programs, credit insurance companies, debt collectors
and all of their agents, employees, directors and
representatives) if and only if, such third party is named as a
co party with you or us (or files a Claim with or against you or
us) in connection with a Claim asserted by you or us against
the other. The term "Claim" is to be given the broadest possible
meaning that will be enforced and includes, by way of example
and without limitation, any claim, dispute or controversy that
arises from or relates to (a) am, of the accounts created under
any of the Agreements, or any balances on any such accounts,
(b) advertisements, promotions or oral or written statements
related to any such accounts, goods or services financed under
any of the accounts or the terms offinancing, (c) the benefits
and services related to Cardmembership (including fee-based
of free benefit programs, enrollment services and rewards
programs), and (d) your application for any account. We shall
not elect to use arbitration under the Arbitration Provision for
any Claim that you properly file and pursue in a small claims
court of your state or municipality so long as the Claim is
individual and pending only in that court.
Initiation of Arbitration Proceeding/Selection of
Administrator: Any Claim shall be resolved, upon the election
by you or us, by arbitration pursuant to this Arbitration
provision and the code of procedures of the national
arbitration organization to which the Clain is referred in effect
at the time the Claim is filed (tine "Code"), except to the extent
the Code conflicts with this Agreement. Claims shall be
referred to either the National Arbitration Forum ("NAP") or
[lie American Arbitration Association ("A AA"), as selected by
the party electing to use arbitration. If a selection by us of
either of these organizations is unacceptable to you, you shall
have the right within 30 days after you receive notice Of our
election to select the other organization listed to serve as
arbitration administrator. For a copy of the procedures, to file a
Claim or for other information about these organizations,
contact them as follows;
NAF at P.O. Box 50191, Minneapolis, DIN 55405;
website: www.arbitration-forum.com.
AAA at 335 Madison Avenue, New York, NY 10017;
website: www.adr.org.
Significance of Arbitration: IF ARBITRATION IS
CHOSEN BY ANY PARTY WITII RESPECT TO A CLAIM,
NEITHER YOU NOR WT. WILE, ItAVE'1'HE RIGIF1 FO
LFTIGATE THAT CLAIM[ IN COURT OR HAVE A JURY TRML
ON THAT CLAIM. FURTHER, YOU AND WE WILL NOT
HAVE THE RIGHT TO PARTICIPATE IN A
ItFPRESENTATIV F CAPACITY OR AS A MEMBER OF ANY
CLASS OF CLAIMANTS PERTAINING TO ANY CLAIM
SUBJECT TO ARBITRATION. EXCEPT AS SET FORTH
BELOW, THE ARBITRATORS DECISION WILL BE FINAL
AND BINDING. NOTE THAT OTHER RICI TS THAT YOU
OR WE WOULD HAV, F, TI' YOU WENT TO COURT ALSO
MAY NOT BE AVAILABLE IN ARBITRATION.
Restrictions on Arbitration: IP F.LFIIER PARTY FIE..CfS
TO RESOLVE A CLAIM BY ARBITRATION, THAT CLAIM
SHALL BE ARBITRATED ON AN INDIVIDUAL BASIS.
THERE SHALL BE NO RIGHT OR AUTHORITY FOR ANY
CLAIMS TO BE ARBITRATED ON A CLASS ACTION BASIS
OR ON BASES IM'OLY'ING CLAIMS BROUGHT IN A
PURPORTED REPRESENTATIVE CAPACITY" ON BEHALF OF
THE GFNERAL PUBLIC, OTHER CARDMLMBERS OR
01 'HER PERSONS S1,tilILARLY" SITUATED. The arbitrator's
authority to resolve Claims is limited to Claims between you
and us alone, and the arbitrators authority to make awards is
limited to awards to you and us alone. I ortirennore, claims
FDR 974965
brought by you against us, or by us against you, may not be
joined or consolidated in arbitration with Claims brought by or
against someone other than yea, unless agreed to in writing by
all parties. No arbitration award or decision will have any
preclusive effect as to issues or claims in any dispute with
anyone who is not a named par ty to the arbitration.
Notwithstanding any other provision in this Agreement
(including but not limited to the Continuation provision
below) and without waiving either partys right to appeal such
decision, should any portion of this Restrictions on Arbitration
provision be deemed invalid or unenforceable, then the entire
Arbitration Provision (other than this sentence) shall not
apply.
Arbitration Procedures: This Arbitration Provision is
made pursuant to it transaction involving interstate commerce,
and shall be governed by the Federal Arbitration Act, 9 U.S.C.
Sections 1-16, as it may be amended (the "FAA°). The
arbitration shall be governed by the applicable Code, except
that (to the extent enforceable under the FAA) this Arbitration
Provision shall control if it is inconsistent with the applicable
Code. The arbitrator shall apply applicable substantive law
consistent with the FAA and applicable statutes of limitations
and shall honor claims of privilege recognized at law and, at
the timely request of either party, shall provide a brief written
explanation of the basis for the decision. The arbitration
proceeding shall not be governed by any Federal or state rules
of civil procedure or rules of evidence. Either party may submit
a request to the arbitrator to ex.nmd the scope of discovery
under the applicable Code. The party submitting such a
request must providea copy to the other party, who may
submit objections to the arbitrator with a copy of the
objections provided to the requesting part, within fifteen (15)
days of receiving the requesting party's notice. The granting or
denial of such a request will he in the sale discretion of the
arbitrator, who shall notify the aaties of hisiber decision
within twenty (2(t) days of the objecting Party's submission.
The arbitrator shall take reasonable steps to preserve the
privacy of individuals, and of business matters. Judgment upon
the award rendered by the arbitrator may be entered in any
court having jurisdiction. The arbitrator's decision will be final
and binding, except for any right of appeal provided by the
FAA. However, any party can appeal that award to a three
arbitrator panel administered by the same arbitration
organization, which shall consider anew any aspect of the
initial award objected to by the appealing party- l'he appealing
party shall have thirty (30) days from the date of entry of the
written arbitration award to notify the arbitration organization
that it is exercising the right of appeal, The appeal shall be filed
with the arbitration organization in the form of a dated
writing. The arbitration organization will then notify the other
party that the award has bear appealed. The arbitration
organization will appoint a three-arbitrator panel that will
conduct an arbitration pursuant to its Code and issue its
decision within one hundred and twenty (120) days of the date
of the appellant's written notice. The decision of the panel shall
he by majority vote and shall he final and binding-
Location of ArhitrationlPayment of Fees:.An-
arbitration hearing thatyou attend shall take place in the
federal judicial district of your residence- You will be
responsible for paying your share, if any of the arbitration ices
(including filing, administrative, hearingand/co fees)
provided by the Corle, to the e.etent that such fees do not
exceed the amount )fthe filing lees you would have incurred if
the Claim had been brought in the state or federal court closest
to your billing address that would have jurisdiction over the
Claim. We will be responsible for paying the remainder of any
arbitration fees- At vour written request. we will consider in
good faith making a temporary advance of all or part ofyour
share of the arbitration fees fir imy Claim ),oil initiate as to
which you or we seek arbitration. You will not be assessed any
arbitration fees m excess of ytmr share ifvou do not prevail in
any arbitration whit us.
Continuation: This Arbitration Provision shall survive
termination of your accounts as well as voluntary payment of
the Account balance in full by visit, any legal proceeding by you
or its to collect a debt owed by the other, any bankruptcy by
you or us,and any sale by us of your Account (and in the case
of sale, its tenors shall apply to the buyer of any of your
Account). Fxcept as otherwise p ovided in the Restrictions on
Arbitration provision above, ifany portion of this Arbitration
Provision (other than the Restrictions on Arbitration
provision) is deemed invalid of Unenforceable, it shall not
invalidate the remaining portions of this Arbitration Provision,
the Agreement or any predecessor agreement you may have
had with us, each of which shall be enforceable regardless of
such invalidity
1i.",
Our failure to exercise any of our rights under this
Agreement, our delay to enforcing any of our rights, or our
waiver of nur rights on any occasion, shall riot crosfini a
waiver of such rights on any other occasion.
Cortsuurer deports
You authorize us 10 request consume reports about you, to
make whatever credit investigations we deem appropriate, to
obtain and exchange any information we may receive from
consumer reports and other sow ces, and o) use such
information Co- any purposes, subject to applicable law
You authorize us to furnish information concerning your
Account to consumer reporting agencies, or others, suhiectto
applicable law. If you believe information we have furnished
about your Account to a consumer reporting agency is
inaccurate, you should write to us at: American Express Credit
Bureau Unit. PO. Box 7871, Ft. Lauderdale, FL 33329-78i 1 and
identify the specific information you believe is inaccurate
You are hereby notified that information about your
Account that may have a negative impact on your credit record
maybesubmitted to a credit reporting agency if you fail to
fulfill the terms of yonr credit obligations.
3,
We will want to communicate with you by telephone
periodically on matters ranging fiom servicing vour account to
alerting you to special marketing offers.
You authorize us to call or send a text message to you at any
number you give us or from which you call its, including
mobile phones.
You authorize us to make such calls using automatic
telephone dialing systems for any lawful purpose, including
but not Ifinned to: suspected fraud or identify theft: Account
transactions or servicing; offers of American Fxpress products
and services; and collecting on your Accost.
(f you do not want to receive marketi nrg offers from its you
may choose not to by logging onto amcric anexpress.corn!
communications to tell us your choices.
Unless you enroll to receive marketing offers via text
message, we will not send them to you.
Please note, we still may contact you for ezcoant ocrvicirig
by telephone or text message.
You authorize us to place prerecorded calls in connection
with the status ofyour account, of .security and identity theft
matters. You agree to pay any fees or charges you incur for
incoming calls or text messages from us without
reimbursement. You agree that from time ao tune ire may
monitor and/or record telephone calls hetween you (or
Additional Cardmembes on your AcCOUnt't and us to assure
the qualiti of our customer service nr as required by applicable
1 acv.
We take approprialcsteps to saIcguard the prryacy and
security of account information III all Ufour CVIIlm ullie'2 [ions
to you.
'r';Ia t.l' .AS I in i`?.-1 ,
Use of the Card. at Federal Government Agencies
Ameri£.air Express has entered into contracts that enable
the Card to be accepted at certain federal govermnent agencies
and departments (':Agencies"). As with Card transactions at
commercial establishments, when you choose to Ilse You]. Card
at an Agency, certain Charge information k necessarily
collected by us. Charge information from Card transactions at
Agencies may be used for routine uses, such as processing
Charges and payments, billing and collections activities and
may be aggregated for reporting, analysts and marketing
activities. ,Additional "routine uses" of Charge information by
Agencies are published periodically in the I edera) Register.
We identify utsurauce providers and products that maybe
of interest to von_ In this role we may act on behalf of the
insurance provider, as permitted by law. We receive
compensation from insurance providers that may vary by
provider and product 1lso,we may is eive additional
compensation or financial benefit when AMEX Assurance
Company or another Anteican Express entity acts as the
insurer or reinsure for these products The arrangements we
have with providers, including the potentiat to insure or
reinsure products, may also influence what product's and
providers we identify.
Any notice given by us shall he deemed given when
deposited in the U.S mail, postage prepaid, addressed to you at
the toast Billing Address shown out our records.
a{ this 1 n. on ?rocroofthisAgreement.
We may change the terms of or add new terms to this
Agreement at any time, in accurdancc with applicable law. We
may apply any changed or new tenor to any then-existing
balances cm your Account as well as to future balances. This
written Agreement is a final expression of the agreement
between the creditor and the debtor and the written
Agreement may not be contradicted by evidence of any alleged
oral agreement. We may also sell, transfer or assign this
Agreement and the Account at any time without notice to you.
You may not sell, assign or transfer your Account or any, of
your obligations under this Agreement.
Av."ooh rent nC Claim:i
In the event you dispute it Charge and we credit your
Account for all or part ofsuch disputed Charge, we
automatically succeed to, and you are automatically deemed to
sign and transfer to us, any rights and claims (excluding tort
claims) that you have, had or may have against any third party
for an amount equal to the amount we credited to your
Account. After we make such credit, you agree that without our
consent you will not pursue any claim against or
reimbursement Cront such third party for the amount that we
credited to your .Account, and that you will cooperate with us if
we decide to pursue the third party for the amount credited.
w
Tits Agreement and your Account, and all questions about
their legality, enforceability and interpretation, are governed by
the laws of the State of Utah (without regard to internal
principles of conflicts oflawl, and by applicable federal law. We
are located in Utah, hold your Account in Utah, and entered
into this Agreement with you in Utah.
AMERICAN EXPRESS FSB BANK
To American Express Cardmembers In The United States
and Its Territories
i'arir Billing Rubio - :iocj, I his NoYicc I,,- Future Use
• This notice contains important inhumation about v( or
rights and out responsihilitic.s under the 'Fair Credit Billing
Act '
Notify Us in Case of Errors or Questions About Your
Account Statement
if you think your statement is wrong or ifyou need more
nfurruation about a transaction on your statement, write us on
a separate sheet of paper at the address for billing inquiries
listed on your statement, Write to its as soon as possible. We
must hear front you no later than 60 days after we sent you the
first statement on which the error of problem appeared. You can
also telephone us, but doing so will not preserve your rights.
In your letter, give us the following information:
Your name and Account number.
The dollar amount of tlne suspected error.
Describe the error and explain, it you can, why you
believe there is an error. If you need more information,
describe the Acntyou are not sure about.
Ifyou have authorized us to pay your Account statement
automatically from your savings, checking or other account,
you can stop the payment on ary amount you think is wrong.
To stop the payment, your letter must reach us three business
days before the automatic paymtent is scheduled to occur.
Your Rights and Our Responsibilities After We Receive
Your Written Notice
We rrmst acknowledge your letter within thirty (30) days,
unless we have corrected the error by then. Within ninety (90)
days, we must either correct the error or explain why we
believe the statement Was cornet,
Afic we receive your letter, we cannot try to collect any
amount you question, or report you as delinquent. We can
continue to bill you for [lie amount you question, including
Finance Charges, and we car; apply any unpaid amount against
you credit line. You do not have to pay any questioned amount
while we are investigating, but you are still obligated to pay the
parts of your statement that are not in question.
'Ifwe find that we made a mistake on your statement, you
will not have to pay any Finance Charges related to any
FDR 974965
questioned amount. If we did not make a mistake, you may
have to pay Finance Charges, and you will have to make up any
missed payments on the questoned amounts. In either case,
we will send you a statement of the amount you owe and the
date that it is due.
If you fail to pay the amount that we think you owe, we may
report you as delinquent. However, it our explanation does not
satisfy you and you write to us within ten (10) days telling us
that you still refuse to pay, we must tell anyone we report you
to that you have a question about your statement, and we must
tell you the name of anyone we reported you to. We must tell
anyone we report you to that the matter has been settled
between us when it finally is
Ifwe do not follow these rules, we cannot collect the first
$50 of Lite questioned amount, even if your statement was
correct.
Special Rule for Credit Card Purchases
If you have a prohlern wish the quality of property or
services that you purchased with the 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 property or services. There are two limitations to this right-
(a) You must have made the purchase in your home state or, if
not within your home state, within 100 miles ofyour current
mailing address; and (b) The p rrcha,se price must have been
more than 550.
These limitations do not apply it we own or operate the
mcrchann, or it ive mailed you the advertisement for the
property or serviccs-
Note for Ohio Residents: The Ohio laws against
discrimination require that till creditors make credit equally
available to all creditworthy customers, and that credit reporting
agencies maintain separate credit histories on each individual
upon reque,t. The Ohio Civil Rights Commission administers
compliance with this law
Once you enroll in Pay By Computer, Pay By Phone or any
other American Express Electronic Funds Transfer service
(hereafter the "Progranh"), you will be subject to this Electronic
Funds Transfer Agreement (the "EFT Agreement"),
Snpc rat nt
rhis Eh i Agreement coven your participation in the
Program. In this I'.FT Agreement, the words "you" and'your"
refer to (lie Basic Cardmember and also include all Additional
Curdmembers who have enrolled in the Program. The words
"we;-'our" and "us" refer to Arr:erican Express "Gravel Related
Services Company. Inc The words "your American Express
Accounts' refer to your card account governed by );our
Cardmember Agreement ("Card Account") or any other
American Express Accounts that we permit you to enroll in the
Program. The words "your Bank Account" refer to the account
held by a bank, securities firm or other financial institution
from which payment will be made when you make
transactions under the Progr ir. The words "your bank" mean
the bank, securities firm or other financial institution that
holds your Bank ,-lccount.'File words "other options" refer to
electronic payment transfer opt-ons and!or other cash access
that American Lxpicss may matte ava lable from [tine to time,
including the optiuu to pay your Account bill electronically
using a computer, phone or other device.
Your Account is governed by the Cardmember Agreement
that is attached to this EFT Agreement. That agreement and
the capitalized terms in it also apply here
1'rxyrxeni far E_a,h €t%oraactt+ool
Each time you Initiate a transaction tinder the Program,
you instruct and authorize us or our agent to draw a check or
initiate an automated clearing house (ACH") debit to your
name on your Bank Account payable to us n' to our agent. in
the amount of the transactin i. The amount of the transaction
is the amount of the Aeeoura o t you paid or other finds
transfer you authonzed, plus i vi applicable Ices or charges,
lire may charge a fee of S38 for tad) check or ACH debit
drawn by us or our agent in comhedion with the Program that
is not honored upon first presentment, subject to applicable
law. YYour bank may also assess its cuglumary charge for such
items, if any.
?7is.I"no-eJ p .
It ;my cheek or AL I I debit drawn, by us or our agem in
connection wish the Program is not honored by your hank, we
haw the right it, charge the amount of any such transaction,
and the dishonored payment fee referred to above, to the Card
Account or to collect the amount boor you. If this happens, we
may cancel your right to participate in the Program.
For certain Bank Accounts, you may have a separat,
agreement with us or with a partidpaling'mnk, securities
firm, or other financial institution that allows a line of credit to
be accessed in the event that your Bark Account contains
insufficient funds to make payment to us. You should refer to
the appropriate agreement relating to tha, line of credit for the
ter ins and conditions that govern its use.
1. r<abilit} 'cis [nuunthaFe „s h ? .. .. <
S'ronrlrl. feepili'S E E;x+
You must tell its AT ONCE, if you believe a transaction
under the Program has been made without your authorization.
Telephoning is the best way of minimizing possible losses. If a
transaction was unauthorized, and within two clays at'ter you
learn about it you notify us that the transaction was
unauthorized, nve will not hold you liable for that transaction.
In any event, even ifyou fail to notify us, your liability for any
unauthorized transaction or series ofrelated unauthorized
transactions shall not exceed $50. If you believe that someone
has transferred or may transfer money from your Bank
Account without permission, call: l-800 328,4800 (within
U1S.) or 1-336-39.1-1111 (outside II.S,) any^.tmc•, or write.
American Express Credit Department, PO Box 53830.
Phoenix, Arizona 85072-3830-
Our Liability for [rnp r3 per I nul o mt-
If a transaction is not completed as you have directed or if
we do not complete a transfer to or front vur Bank Account on
time in the correct amount, we will research and correct it as
necessary, once you advise us. We will also rein- huuse vuu for
your actual lasses or dainages, if arty, caused by Our error
I-Iowever, there are some exceptions. We will not be liable to
you in the following instances.
if, through no fault of ours, your Bank Account does not
or did not contain enough money to complete the
transaction or lire transfer would exceed an Cslahhshcd
credit limit;
if the funds in your Bank Account are or were at tine time
of the attempted transaction subject to legal process or
other encumbrance restricting the transaction;
if crcumsrance beyond our control (such as fire or
flood) prevent or prevented the transaction, despite
reasonable precautions that we have taken;
if atechnical malfunction known to you prevented the
transaction',
or any other exceptions slated in this EFT Agreement.
I U.if.eas For purposes Of this EFT Agreement, our 1 usmess days arc
Monday through Friday. holidays arc not included.
lrhii raUus
The Card Account is govcrncd by Lite ( ardmcmber
Agreemcn.comained herein. 'I he Arbitration provision
contained within that agreement applies to this F,FT
Agreement. Please refer to that provision as you read this EFT
Agreemen
P ri 4aL,.
Electronic funds transfers you initiate pursuant to this F,TI
Agreement are covered by the American Express Privacy
Policy, a copy of which was given to you together with your
American Express Card. TO view our Privacy Policy online,
please visit americanexpresscoin
niac.I
If for any reason you wish to contact us about the program,
abou[your participation to the Program, or about transactions
relating to the Program, write or all its as follows.
Address: American Express Travel Rclatcd Services
Company Inc F.lectn ni - Funds Scryucs P.0 Box 297815, D.
I.auderdalc FL 33329-7815 or e-ru nil us b, Anking on the
Customer Service link online a wnvwameri.auexpresscom.
Telephone: 1-800-CASH-NOW, 24 hours a day, seven days
a week,
Irv i'ese « f Errors or 4?€resttr,?hs ;bout Yon' Transactions
Write or call its at the number or address given above as
soon as you can if you think youtr statement or receipt is wrong
or if you need more information about a transaction listed on
your statement or receipt. We must hear from you no later than
60 days after we sent you the FIRST statement on which the
problem or error appeared. If you are delayed in contacting us
due to extenuating circumstances (such as a hospital stay), we
may extend this 60 days for a reasonable time,
I. Tell as your name and Account number.
Describe the error or the transaction you are unsure
about, and explain as clearly as you can why you believe it is an
error or why you need more information.
Tell us the dollar amount of the suspected error.
11 you tell us orally, we may require that you send us your
complaint or question in writing within 10 business days' from
the date you notified us.
We will tell you the results of our investigation within 10
business days' after we hear from you and we will correct any
error promptly. if we need more time, however, we may take up
to 45 calendar days to investigate your complaint or question.
Ifwe decide to do this we will assure that your bank recredits
your Bank Account within to business days' for the amount
you think is in cirri, so that you will have the rise of the money
during the time it takes us to complete our investigation. Ifwe
ask you to put your complaint or question in writing and we do
not receive it within 10 business days' following your oral
notification, we may not reaedit your Banta Account.
If notification of an error is received within 30 calendar
days after your Bank Account is opened, we will have 20
business days to provide you with the results of our
investigation and correct any, error, and 90 days to complete
the investigation,
Ifwe determine that there was no error, we will send you a
written explanation within three business days after we finish
mfr investigation. Upon your request we will provide you with
copies of the documents that we used in our investigation. If
we have provisionally recredited your Bank Account during the
investigation and determine that there was no error, we will
notify you of the date on which we will redebit your Batik
Account, and the anwunt to be debited. You authorize us or an
agent to debit your Bank Account for this amount. You should
make certain that your Bank Account contains sufficient funds
to cover this debit. If it does not, we have the right to charge
such amount to the Account or to collect the amount from you.
If this happens, we may cancel your right to participate in the
Program.
We, or any bank or financial institution participating in the
Program, may add to or remove from the Program any or all
ATMs or extend or limit the scrvicrs provided at any location
without notifying you beforehand fu addition, we may
discontinue the Program at any time.
Your right to participate in tine Program will be terminated
or suspended if the Card Account is cancelled or suspended, if
you cancel the authorization you have given your bank to
directly charge checks to your Bank Account, if the Batik
Account lcorn which payment will be made when you make
transact ions tinder the Program is closed to withdrawal
transactions by its or our agents, ifyour participation in the
Program is inactive for 18 consecutive months or more, or if
the Card Account is no longer in good standing.
ht addition to the foregoing, we may revoke your right to
participate in the Program, at any time, at our sole discretion,
with or without cause, subject to applicable law, Ifwe do so, we
will send you written notice, but we may not send you the
notice until after the revocation. We also have the right to deny
authorization for any requested transaction, at any time, at our
sole discretion, with or without cause, and without giving you
notice, subject to applicable law. You may terminate your
pan Iicipation to the Program but you must tlo so by writing to
us at the address disclosed 9n the Section of this EFT
Agreement entitled flow to Contact Os
This LET Agreement ruff Grades all prior agreements you
may have with us relating to the Program. We have the right to
assign this FPC Agreement to a subsidiary or affiliate company
at any time.
FDR 974965
AMERICAN EXPRESS T'RANEI. RELATED SERVICES
COMPANY, INC.
S! ;ee Iitr Lt avsasl:uSetr4 Rt silt nts
General Disclosure Statement: Any documentation
provided to you which indicates that an electronic finds
transfer was made shall be admissible as evidence of such
transfer and shall constitute prima facie proof that such
transfer was made.
The initiation by you of certain electronic funds transfers
from your Bank Account will, except as otherwise provided in
this EFT Agreement, effectively eliminate your ability to stop
payment of the transfer.
UNLESS OTHERWISE PROVIDED IN THIS EFT
AGREEMENT, YOU MAY NOT STOP PAYMENT OF
ELECTRONIC FUNDS TRANSFERS: TI IERFFCIRF., YOU
SHOULD NOT EMPLOY ELECTRONIC ACCESS FOR
PURCHASES OR SERVICES UNLESS YOU ARE SATISFIED
THAI YOU WILL NOT NEF.D'PO STOP PAYMENT
Disclosure of Account Information to Third Parties: If
you give us your written authorization to disclose information
about you, your Account or the transactions that you make to
any person, that authorization shall automatically expire 45
days after we receive it.
Optional Limit on Obtaining Cash: You have the option
to request that we limit the totsl amount of cash that you may
obtain from A[TIs in a single day to $50. Ifyou elect this
option we will take all reasonable steps to comply with your
request.
'For,yfassachusec's residents: 10 calendar days instead or
basics days.
Extended lVarranty
The information below summarizes the terms and
conditions of the Extended Warranty plan (formerly the
Buyer's Assurance Plan). Exterded Warranty is underwritten
by AMEX Assurance Company Administrative Office, Green
Bay, WI. Coverage is determined by the terms, conditions, acrd
exclusions of Policy AX0953 and is subject to change with
notice. This document does nct supplement or replace the
Policy. Please call us at the number on back of your
American Express Card for a complete copy of your terms
and conditions. Extended Warranty will extend the terms of
the original manufacturer's warranty for a period of time equal
to the duration of the original manufacturer's warranty, up to
one (1) additional year (Centurion Cardmunbers up to three
(3) additional years) on warranties of five (5) rears or less Ilia,
are eligible in the United Staics of America.
D1 ,, riprion of hraefits
Where alms has occurred coming this plan's extended
warranty time period of up it) one (1) additional year
(Cen(urion Cardmembers up to three (3) additional years), we
will provide a benefit equal to the coverage of the original
manufacturer's warranty on warranties of up to five (5) years.
'We will pay up to the actual amount charged to your account
for the product for which a loss is claimed, but not to exceed
S 10,000. If the product also is covered by a purchased service
contract, this plan's extended warranty time period begins at
the end of the service contract and extends the original
manufacturer's warranty fora period of time equal to that
warranty, up to one (1) additimr,al year (Centurion Card
members tip to three (3) idcfftional years). If the combined
covcrage of the original manufacturer's warranty and the
purchased service contrad exceed five (5) years, the product
purchased is not eligible under his plan and no coverage
applies. Extended Warranty does not reimburse for shipping
and handling expenses or installation, assembly, professional
advice, maintenance or other service charges. If you experi-
ence more than one loss in a calendar year, we will pay an
amount riot to exceed $50,000 for all losses in a calendar year.
Our benefit payment will not include any product rebates,
discounts or money received from the lowest price comparison
programs that reduced the or iginal cost of the property.
F,zctusioo,
Benefits are riot payable it the loss for which coverage is
sought was directly or indirectly, wholly of partially,
contributed to or caused by 'I. :my physical damage.
including, but riot limited ;o, damage as a direct result of
natural disaster or a power surge, except to the extent the
original manufacturer's warranty covers such damage; 2.
mechanical failure covered tinder product recall; or 3. fraud or ippli,able for Residents o€ the Star. of South Dakota
abuse or illegal activity of any kind by the :rardmemher. I'm no Number: PP/RWr-RT)R 1-SD OS107
Purcha,, Noi L ovc'red
The following are not covered: I. products covcnd by an
unconditional satisfaction gnaranryt; 2. motorized vehicles
(including, but -lotlimited to, passenger gars, trucks,
motorcycles, boats, airplanes) and their parts, subject to high
risk, combustible, wear and fear or mileage stipulations
(including, but not limited to, batteries, carburetors, pipes,
hoses, pistons, brakes, tires, or mufflers); 3. motorized devices
and their parts used for agricullure, landscaping, demolition or
construction; 5. motorized devices and their parts which are
permanent additions or fixtures to a residential or commercial
building; 5. business fixtures, including, but not !united to, all
conditioners, refrigerators, heaters; 6, land or buildings; i.
consumable or perishable items; 8. animals or living plants; 9,
more than one article in a pair or set. Coverage will be limited
to no more than the value ofany particular part or parts,
unless the arlides are unusable individually and cannot be
replaced individually, regardless of any special value they may
have had as part ofa set or collection; 10. items still under
installment biking; 11. additional .-service contract ur extended
warranty coverage fora computer, computer component or
part that you buy which already comes with an original United
States of America manufaci orer's warranty, unless such
coverage is provided and administered by the o iginal manu-
facturer, and 12. u(n S purchased Cot- resale, professional, 01
commercial use (this does not apply to OPEN Cardmembers).
Crcneml Pro. isu>r,s
Excess Coverage
If any loss tinder this policy is insured under any other
valid and collectible policy, then this poll( v shall cover such
loss, subject to its exclusions, conditions, provisions and other
terms herein, only to the extent that the amount of such loss is
in excess ofthe amount ol'such other insurance which is
payable of paid.
Termination or Cancellation
Coverage will cease on the earliest of the tollowing !.the
date you no longer maintain a permanent residence in the 50
United States of America, the Disney of Columbia, Puerto Rico
or the US Virgin islands; 2 the date we determine that you or
some0uc on your behalf intentionally misrepresented or fraud
occurred; 3. the date the policy is cancelled; 4, the date you are
no longer a cardmember; 5. the date your account ceases to be
current and in good standing; or 6 the date the plan is not
available in the location where 1011 maintain a permanent
residence. 'Termination or cancellation of coverage will not
prejudice any claim originating prior to termination or
cancellation subject to all other terms of the policy The
company has the right to cancel the policy at ally time by
sending a wi ill,-nn notice at least forty five ( 15) days in advance
to you at your last known address. The not ice will include ]lie
reason for cancellation.
EW-DOC-CCSG1 0210, EWDOC CCSG7 02)01:W-
DOC-OSBNl 02;07, EW-DOC-OSBN202/07
pLhc ( i Fenno Numhcr: PPA, %`x RDRI Al, u6/07
111,It. '
tndia:-.a
Form Numbers: EW'-IND-CCSG1 07107, EW-IND-C(,SG2
07/07, EW-IND-OSBNl 0710', EW-IND-OSBN2 07(07
,lpplicallt•lot Alc,lds:nt,. ,
Form Number: PP/ErV-RDRI KY 0.;!07-In the
Termination or Cancellation section. The company has tine
right to cancel the policy at any time by sending a written
notice at least Seventy-file (75) days in advance to you at your
last known address.
)7_hi 11M,;
Form Number: PP/EW-RDRI OK 07/07-The following is
added to your Description of Coverage: WARNING: Any
person who knowingly, and with intent to injure, defraud or
deceive any insurer, makes any claim for tlu proceeds of an
insurance polio; containing, any false, incomplete or
misleading into-ination is guilty of a Mom.
_ti _,ac.tlsk i ,: viz*ider=.t .,; -cr ?a>xa
Form Number F-W-RDRI-OR t15/h--In the Exclusions
section the following is removed: 3_ fraud or abuse or Illegal
activity of any kind by the cardmember,
A .able nir Residents of the State r,l 1 exai
Form Number: EW-IND-1'X 0710
1 -+: aiile4nts i,f the Stout: ore 1'e1'nnoht
Form Number: PP/EW-RDRI-VT 05,/07
J?se Protection
x? ,31aj t!iaitthF 4)tt.£'k,4;i
Underwritten by AMEX Assurance Company,
Administrative Office, 480 Pilgrim Way, Suite 1400, Green Bay,
W1 54304
Purchase Protection provides coverage for Your purchases
for ninety (90) days from the date of purchase when You
charge any portion of the price of the purchased item to Your
Account. You will be reimbursed only for the amount charged
to Your Account. (See Description of Benefits section.)
I) t -
Certain words used in this Des iiption of Coverage are
capitalized throughout and have special meanings. Wherever
used herein, the singular shall include the plural, the plural
shall include the singular, as the context requires.
Account means Your American Express Card Account.
Cardmember means a person who has been issued a
United States ofAmerica based proprietary American Express
Card, which is Current and in Good Standing, and who has a
Permanent Residence in the 50 United States of America, the
District of Columbia, Puerto Rico or theU.S. Virgin Islands.
Covered Incident means the theft of', or damage, whether
by accident or vandalism, to any one item of properly
purchased worldwide as a gift or for personal or business use
and charged to Your Account.
Company means AMEX Assurance Company, and its duly
authorized agents.
Current and in Good Standing means a Cardmember
Account for which the monthly minimum requirement has
been paid prior to the date in which the claim is payable.
Master Policyholder means American Express Travel
Related Services Company, hic-
Permanent Residence means the one primary dwelling
place where tire Cardmember resides,md to which they intend
to return.
Plan means the Policy and the benefits described therein.
Platinum Cardmember means a Cardmember who has a
Platinum Charge Card (required to he paid in full monthly), a
Corporate Platinum Card, or a Fidelity American Express
Plaiinum Card. Any other Card which may reference the
Platinum name or has Platinum colored plastic will not receive
higher coverage limits or benefits.
Policy means the Group Insurance Master Policy (AX0951
issued to American Fxpicss 'Travel Related Services Company,
.
Inc.)
We, Lis, Our meatus the Company_
You, Your means the Cardmember.
!>ex e:iCroon of lienely,
We will pay You the expense charged to Your Account up to
$1,000 lit any one Covered Incident and up to $50,000 for all
Covered Incidents during a calendar year. Purchase Protection
provides benefits, for ninety (90) days from the date of
purchase, if a Covered Incident occurs with respect to property
You purchased and charged to Your Account. Our benefit
payment will not include shipping and handling expenses or
installation, assembly, professional advice, maintenance or
other service chat ges or any product rebates, discounts or
money received from lowest price comparison programs that
reduced the original cost of the property.
Our payment of any eligible benett amount is further
Lon(ingenl upon Your Account being ('or rent and in Good
Standing.
Only a Cardmember has a legal and equitable right to any
insurance benefit that may be available under this Plan.
l:xt.lcani0nns
Benefits are not payable it the loss fit which coverage is
sought was directly or indirectly, wholly or partially,
contributed to or caused by.
t . war or any act of war, whether declared or undeclared;
any activity directly related to and occurring while in
the service of any armed military force of any nation state
recognized by the United N'snaas;
FDR 974965
.i. participation in a not. civil disturbance, protest or
msun ecI ion;
1, violation ofa criminal law, offense or infraction;
natural disasters, including, but not limited lo,
hurricanes, floods, tornados, earthquakes or any other event in
the course of nature, that occurs at the same time or in separate
instances;
6, fraud or abuse or illegal activity of any kind by the
Cardmember:
`. confiscation by any govermnental authority, public
authority, or customs official;
8, negligent txiluic ofa duty to care by any third party in
whose possession the property purchased by a Cardmember
has been temporarily placed;
it, not hemp reasonably safeguarded by You;
11J. theft from baggage not carried by hand and under Your
personal stipervisnon or tinder the supervision of a traveling
companion known by You;
1 L damage through alteration (including, but not limited
to, cutting, sawing and shaping;);
12. normal wear and tear, nlherent product defect or
manufacturer's deleets or normal course of play;
n3, damage or theft. while under the care and control of a
common cu'rier.
t 1, food spoilage; or
i 5, leaving property at an unoccupied construction site.
For residents of Washmgtun, the first paragraph of this
section is removed and replaced with the following: We will
not pay for loss caused by arry of the excluded events described
below. Loss will be considered to have been caused by an
excluded event if the occurrences of that event directly aid
solely results in loss, or mitiates a sequence of events that result
in loss, regardless of the nature of any intermediate or final
event in that sequence.
The following purchases are not covered:
i. travelers checks, tickets of any kind, negotiable
instruments (including,butnotlunited to,giftceinh ates,gift
cards and gift diecks), cash or its equivalent;
animals or living plants.
rare stamps or coins;
4. consumable or perishable items with limited life spans
(including, but not limited to, perfume, light bulbs, batteries);
antique or previously owned items;
6 motorized vehicles and watercraft, aircraft, and
motorcycles or their motors, equipment, parts or accessories;
'. stolen or damaged property consisting of articles in a
pair or set. Coverage will he limited to no more than the value
of any particular part or parts, unless the articles arc unusable
individually and cannot be replaced individually, regardless of
any special value, licy mey have had as part ofa set or
collection;
ti, items purchased for resale, protessional, or commercial
use;
permanent household and/or business fixtures,
including, but not limited to, carpeting, flooring and/or tile;
nil. business fixtures, including, but not limited to, air
conditioners, refiigerators, heaters; and
1 1, hospital, medical and dental equipment and devices.
Cjairns 11ros i....,: -
ifYou experience a loss fnnvhich You believe a benefit is
payable tinder this plan. You must provide both Notice of
Claim and Proof of Loss.
To insure pioinpt processing ofYour damn, report any theft
or damage immediately following the date of the Covered
Incident, including for gifts purchased with the Card. Retain
Your receipts and Your damaged property (if applicable) until
the claim process is complete
Notice of Claim
Notice of Claim should be provided to Us within thirty (30)
days of the loss. You may contact Us by calling toll-free
stateside 1-800-322-1277 or, if from overseas, by calling collect
1-303-273-6498. )on may also write to Us at Purchase
Protection, PO Box 402, Golden, CO 80402-0402.
failure to provide Notice of,.aaim within thirty 1301 days
will not invalidate,: claim or recuce any benefit payment that
may be found to be eligible, if it can be shown that it was
provided as soon as reasonably possible. At the time You
provide Us with Noi ice of Claim, We will assist You with Your
Proof of Loss by providing You with instructions and/or
documents, which 'You may have to complete and return to Us.
You are required to cooperate with Us and provide
documentation as requested by Us which is required and
necessar) to lirocess Your claim and determine if benefits are
payable.
For residents of Missouri, no daim will be denied based
upon Your failure to provide notice within, such specified time,
unless this failure operates to prejudice the right of his.
Proof of Loss
Proof of Loss requires You to send Us all the information
We request, at Your expense, in order that your claim may be
evaluated and that We may make a determination as to
whether the claim may be paid. You must provide Us with
satisfactory Proof of Loss within thirty (30) days (for residents
ofNorth Dakota sixty (60) days) after We have provided You
with instructions and/or a claim fivm in response to Your
Notice of Claim or Your claim may he denied four Proof of
Loss documentation may be rnailed to Us at the same address
provided above for mailing Your Notice of Claim. We reserve
the right to request all the information We deem necessarv to
determine that Your claim is payable, and We will not consider
that We have received complete Proof of Loss until the
information We have requested is received.
Proof of Loss may require documentation consisting of, but
not necessarily limited to, the following
a Purchase Protection Claim Forrn;
_'. the original itemized store receipt;
>. the insurance declaration forms for Yonr other sources
of ins rance or indemnity (cg..liorncowner's or renter's
insurance);
't. a photograph of and/or repair estimate for the damaged
property; and
5 for theft and vandalism claims, a report regarding the
stolen or vandalized property must be filed with the
appropriaie authority before You ,all to file a claim under
Purchase Protection
No pavmert will he made nn claims not substantiated in
the manner required by Us.
It all required documentation is lint received within thirty
(30) days ;for residents of North Dakota sixty (60) days) of the
date of the Covered Incident (except for documentation which
has not been furnished for reasons bevond Your control),
coverage maybe denied. it isYour responsibility to provide all
required documentation We request.
You may be required to send in the damaged property at
Your expense for further evaluation of Your claim. If
requested, You must send in the damaged property within
thirty (30; days for residents of North Dakota sixty (60) days)
from the hate of Our request to remain eligible for coverage.
Payment of Claim
A claim for benefits provided by this Plan will lie paid upon
Our receipt and review of Your compete Proof of Loss
docunnrntalion and Our determination that a claim is payable
according to the terms of the Plan.
Any payment made by US in good faith pursuant to this or
any other provision of this Plan will fully discharge Us to the
extent of such payment.
If other insurance is available to You which provides the
same or similar coverage as that provided by this Plan, this
Plan becomes excess and We will pay only that portion of the
Covered Incident benefit which is not reimuursed by other
insurance up to Our limits, as provided under the Description
ofBenow sect-on.
Change of Permanent Residence
if the change is to a different stare, Your Policy provisions
may be adjusted to conform to the requirements of that state.
Clerical Error
A clerical error made by the Company will not invalidate
insurance otherwise validly in force nor continue insurance
not validly in force
Conformity with State and Federal Law
Il a Plan provision does not conform to applicable
provisions of Stalc or Federal law, the Plan is hereby aincnded
to comply with such law.
Entire Contract; Representation; Change
]'his Descript ion of Coverage, the Policy and any
applications, endorsements or riders make up the entire
contract Aiiy statement Yoti make is a representation and not
a warranty. This Description of Coverage may be changed at
any time by written agreement between the Master
Policyholder and the Company. Only the President, Vice-
President or Secretary of AMLN Assurance Company may
change or waive the provisions of the Description of Coverage.
No agent or other person may change the Description of
Coverage or waive any of its terms. 'this Description of
Coverage may be changed at any time by providing notice to
You. A copy of the Policy will be maintained and kept by the
Master Policyholder and may be examined at any time.
Excess Coverage
If any loss under this Policy is insured under any other
valid and collectible policy, then this Policy shall cover such
loss, subject to its exclusions, conditions, provisions and other
terns herein, only to the extent that the amount of such loss is
in excess of the amount of such other insurance which is
payable or paid.
Fraud
it any request for benefits made under the Plan is
determined to be hatrdtilent, or if any fraudulent means or
devices are used by You or by anyone acting on Your behalf to
obtain benefits, all benefits will be forfeited.
We do not provide coverage to a Cardmember who,
whether before or after a loss, has: 1. concealed or
misrepresented any fact upon which we rely, if the
concealment or misrepresentation is material and is made with
the intent to deceive; or 2. concealed or misrepresented any
tact if the fad misrepresented contributes to the loss.
Legal Actions
No legal action may be brought to recover against this Plan
until sixty (60) days after Proof of Loss has been received by
Us. No such action may be brought after three (3) years (for
residents of Arkansas five (5) years and residents of Missouri
ten (10) years) from the time written Proof Of LOSS is required
in be given.
If a time limit of this Plan is less than allowed by the laws of
the statewhere You live, the limit is extended to meet the
minimum time allowed by such law.
Right of Recovery
If We make a payment to You under this Plan and You
recover an amount from another, equal to or less than Our
payment, You shall hold in bust for ITS the proceeds of the
recovery and reimburse Us to the extent of Our payment. If
Our payments exceed the maximum amount payable under the
benefits of this Plan, We have the right to recover from You any
amount exceeding the nnaximurn amount payable.
Subrogation
in the event of any payment under this Policy, We shall be
subrugated to the extent of such payment to all Your rights of
recovery. You shall execute all papers required and shall do
everything necessary to secure and preserve such rights,
inducting the execution of such documents necessary to enable
Us to effectively bring suit or otherwise pursue subrogation
rights in Your name. You shall do nothing to prejudice such
subrogation rights.
We shall be entitled to a recovery as stated in these
provisions only after You have been fully compensated for
damages by another party
For residents oft oulsiana, the Right of Recovery,
Subrogation and Excess Coverage sections;re revised to
reflect: If Une Company makes any payment under this Policy
and the Cardmember has the right to recover damages from
another, the Company shall be subrogated to that right.
However, the Company's right to recover is subordinate to the
Cardmcmbers right to he fully compensated.
Termination or Cancellation
Coverage will cease on the earliest of the following: 1. the
date You no longer maintain a permanent Residence in the 50
United States ofAmerica, the District of Columbia, Puerto Rico
or the U.S. Virgin islands; 2. the date We determine that You or
someone on Your behalf intenhnnally misrepresented or fraud
occurred; 3. the date the Policy is cancelled; 4. the date You
are no longer a Cardmember. the date Your Account ceases
to remain Current and in Good Standing; of 6. the date the
Plan is not available in the Iocmionwhere You maintain a
Permanent Residence.
Termination or Cancellation of coverage will not prejudice
any claim originating prior to termination or cancellation
subject to all other terms of the Policy
The Companyhas the right to cancel the Policy at any time
by sending a written notice at least forty five (45) days in
FUR 974965
advance to You at Your last known address- The notice will
include the reason for cancellation.
lm portant Acid tit onal I n fora ni do , t or You
For those eligible and enniiled in the Membership
Rewards' program, benefits are also paid when the purchased
properly is received through the redemption of a Membership
Rewards redemption certificate. Payment or credit will not
exceed the original assigned value of the properly received
through redemption of a A4eniiership Rewards redemption
certificate up to true stated limits, excluding shipping and
handling expenses. Benefits will not be paid when a
Membership Rewards redemption certificate has been
transferred to a non-eligible Cardmember or non-
Cardmembers.
This Description of Coverage replaces any other
Description of Coverage that You may have previously received
for Purchase Protection.
This Description of Coverage is an important
document. Please read it and keep it in a safe place.
IN WITNESS WHEREOF, We have caused this Description
of Coverage to be signed by Our officers
-?'?J?+f4 'its,-_ ,, t ' I•M .
Joy A. Hanson, President joint "M. Collins, Secretary
.AME;XAssurance Company AMEX Assurance Company
PP-DOC-CCSG 102/07
Applicabie €iur Pe"•iclents w il:c State airI<eniuck,
In the Termination or Cancellation section the following
is removed
The Company has the right 11) cancel the Policy at any time
by sending a written notice at least forty five (45) days in
advance to You at Your last known address, The notice will
include the reason for cancellation.
And replaced with the following:
The Company has Lite right to cancel the Policy at any time
by sending awrftten notice at least seventy-five (75) days in
advance to You at Four last known address. The notice will
include the reason for cancellation.
PP/P.W-RDRI KY 05!0-
Applicabie sin k? .ic9z°rtU> it oI a3t
In the Exclusions section the following are removed: 4.
violation of a criminal law, offense or infraction; 6. fraud or
abuse or illegal activity, of any kind by the Cardmember;
The Proofof Loss section is hereby removed in its entirety
and replaced with the following.
Proofof Loss
Proof of Loss requires You t:i send Us all the information
We request, at Yout expense, to order that Your daim may be
evaluated and that We may make a determination as to
whether the claim may be paid. You must provide Us with
saustactory Proof of Loss within ninety (90) days after We have
provided You wish instructions and/or a claim form in
response to Your Notice of Claire or Your claim may be denied.
Your Proofof Loss documentation may be mailed to Us at the
same address provided above (cr mailing Your Notice of Claim.
We reserve the right to requestall the information We deem
necessary to determine that )'role slain is payable, and We will
not consider that We have received complete Proof of Loss
until file nfoi matron We have requested is received.
Proof of Loss may require documentation consisting of, but
not necessarily limited to, the following: I. Purchase
Protcction Claim Form:. 2. the original itemized store receipt;
3, the insurance declaration forms for Your olher sources of
insurance or indenmity (e.g, homeowner's or renter's
insurance), 4. a photograph of and/or repair estimate for the
damaged property; and 5- or theft and vandalism claims, a
report regarding the stolen or vandalized property must be
filed with the appropriate authority before You call to file a
claim under Purchase Protection.
No payment will he made our claims not substantiated in
the manner required by Us-
Ifall required documentation is not received within ninety
(90) dtrys of the date of the Cnvcred Incident (except lbr
documentation which has not bden furnished for reasons
beyond Yotn' contr(il), coverage!naybe denied. It k Your
responsibility to provide all requh'ed doctrmetitatinn We
request.
You maybe required to send in the damaged property at
Your expense for further evaluation of Your claim. If
requested, You must send in the damaged property within
ninety (90) davc from the date of Our regv st to remain eligible
for coverage.
PP-RDRI-OR 05/07
The Legal Actions section is hereby removed in its entirety
and replaced with the following:
Legal Actions
No legal action may be brought to recover against this plan
until sixty (60) days after Proof of Loss has been received by
Us. No such action may be brought after six (6) wars from the
time Proofo(Lossis required to be given
PP/EW-RDRI-SD 051U"
AppL,ah,c fio i-,sii
In the Termination or Cancellation section the following
is removed:
The Company has the right to cancel the Policy at any time
by sending a written notice at least forty five (45) davs in
advance to You at Your last known address. The notice will
include the reason for cancellation.
And replaced with the following:
The Company has the right to cancel the Policy by sending
a written notice at least lorry live (45) days in advance to You at
Your last known address. Tile notice will include the reasuu
for cancellation
PR,IFW-RDRI-VT o,/0'7
Apphcab?,Iot {esir ioa ,t.kt
'title opening paragraph in the Exclusion section is
removed in its entirety and replaced with due following which
is added and trade part of the Description of Coverage:
These exclusions do not apply if the dominate cause of a
loss is a risk or peril that is not otherwise excluded. Benefits
are not payable if the loss for which coverage is sought was
directly or indirectly, wholly or partially, contributed to of
caused be
The Legal Actions section is hereby removed in its entirety
and replaced with the following which is added and made part
of the Description of Coverage:
Legal Actions
No legal action may be brought to recove against this Plan
until sixty (60) days after Proof of Loss has been received by
Us. No such action may be brought after three (3) years from
the time Proofof Loss is required to be given. if there arc any
claims the three year thneframe does not begin in nn until
after the claim ias been denied
-
PIVEW-RD R I -Ak 0610-
The follow rug is added to your Description of Coverage:
WARNING: Any person who knowmgly, and with intent to
injure, defraud or deceive any insurer, makes any claim for the
proceeds of an mourance policy containing any false,
incomplete or misleading information is guilty of a felony.
PP/L1% RDRI-0k07/07
Arizona and Indiana, norm Numbers. PP IND-CCSGI
07/07, PP-IND-CCSC2 0"/07, PP IND-CISBNI 07'07, PRIND-
OSBN2 0'T'07
'texas, Form Number: PP-IND-TR 07/07
f t
1-111---l-w- llulislnllt?
Travel Accident Insurance is underwritten by AMEX
Assurance Company, Administrative Office, Green Bay, WI.
Coverage is determined by the terms, conditions, and
exclusions of Policy AX0948 and is subject to change with
notice to you. This document does not supplement or replace
the Policy. Please call us at the number at 1-800-437-9209
for a complete copy of your terms and conditions or if you
need to file a claim.
Travel Accident husarance provides accidental death and
dismemberment insurance while traveling (,it a Common
Carrier Convey.mce (plane, train, helicopter, ship, or bus)
when the entire fare has been charged to the Card. Asa benefit
of Cardmenbership, the Covered Person will receive a benefit
level of coverage depending on the type of lmencan Express
Card account to which the entire tare fill the Common Carrier
Conveyanc, was diarged for the covered trip. Covered Persons
include the basic Cardrnernber, each additional Cardmember,
and each of these Cardmember's spouses or domestic partners
and dependent children tinder 23 years of , gc. All Covered
Persons must have a permanent residence within the 50 United
States of American or the District of Columbia. All other
persons are not Covered Persons under the Policy.
The capitalized terms used herein shall have the meaning
assigned to such terms in the Policy. Please note that certain
terms contained in this summary are defined within the full
policy document.
Ocscrip(om of Benefits
Accidental Death and Accidental Dismemberment. The
Plan provides coverage for accidental death and
dismemberment due to a loss from an injury while coverage is
in tierce under the Policy, but only if such loss occurs within
100 days after the date of the accident which caused the injury.
If more than one loss is sustained, benefits will be paid for the
greatcstlnss.
Benefits are paid according to the following schedule:
• Loss of Life - 100%
Loss of both hands or both feet - 100.
Loss of one. hand and one foot 100%
• toss of entire sight of both eyes - 100%
Loss of entire sight of one eye and one hand or one foot -
100%
Loss of one hand or one toot - 50%
Loss of the entire sight of one eye - 50%.
Common Carrier Benefit. This benefit is payable if the
Covered Person sustains accidental death or dismemberment
as a result of an accident which occurs while riding solely as a
passenger in, or boarding, or alighting from, or being struck by
a Common Carrier Conveyance on a covered trip.
Exposure and Disappearance. If the Covered Person is
unavoidably exposed to the elements because of an accident on
a covered trip which results in the disappearance, sinking or
wrecking of the common carrier conveyance, and if as a result
of such exposure, the Covered Person suffers a loss for which
benefits are otherwise payable under the Policy, such loss will
he covered under the Policy; if the Covered Person's body has
not been found within 52 weeks after the date of such accident,
it will be presumed, subject to there bring no evidence to the
contrary: that the Covered Person suffered loss oflife as a result
of mjury covered by the Policy
The Basic Cardmember may designate a beneficiary or
change a previously designated beneficiary for himself or
herself and his or her spouse or domestic partner and
dependent children who are not Additional Cardmembers. An
Additional Cardmember may designate a beneficiary or
change a previously designated beneficiary for himself or
herself and his or her spouse nr domestic partner and
dependent children who are not also the Basic Cardmember,
the Basic Cardmember~ spouse or domestic partner or
children, or Additional Cardmembers. If no beneficiary is
designated benefits will be paid to the surviving person or
equally to the surviving persons in the first of the following
classes: spouse or domestic partner; children, equally per
stirpes; and the estate.
i'1tti3?i?F:ts
'The Policy contains the following exclusions:
• suicide or self-destruction or any attempt thereat, while
sane or insane; intentionally self-inflicted injury, suicide or any
attempt thereat, while sane
• war or any act of war whether declared or undeclared;
however, any act committed by an agent of any government,
party, or faction engaged in war, hostilities, or other warlike
operations provided such agent is acting secretly and not in
connection with any operation of armed forces (whether
military, naval or air forces) in the country where the injury
occurs stall not be deemed an act of war
• injury to which a contributory cause was the commission
"for attempt to commit an illegal act by or on behalf of the
Covered Person or his/her beneficiaries
• injury received while serving as an operator or crew
member of any conveyance
injury received while driving, riding as a passenger in,
boarding of alighting from a rental vehicle
njury received during or its, it result of commutation
sickness, physical or mental infirmity, pregnancy, or any
medical or surgical treatment for such conditions, unless
treatment of the condition is required as the direct result of an
injury.
FDR 974965
T'erminathrn or ( anccllatimr
Coverage under the Polity will cease on the earliest of the
following:
• the date the Covered Person no longer maintains a
permanent residence in the 50 United States of America or the
District of Columbia
the date we determine that the Covered Person or
someone on the Covered Personti behalf intentionally
misrepresented or fraud occurred
the date the policy is cancelled
the date the basic Cardmemhers account ceases to remain
current and in good standing
• the date the Plan is not available in the location where the
Covered Person maintains a permanent residence.
The Company has the right to cancel the Policy at any time
by sending aivr tennoticeatleastfurryfive(45)daysin
advance to you at your last known address. The notice will
include [lie reason for cancellation.
Farm Numbers: TAI-DOC 0310:'
Forms in addition to those listed above are also
applicable to residents in the following states:
Connecticut, ]'arm Nurnber: T41-RDRI-CT 03/07
Illinois, Form Number'I-AI-RDR I -TL 03/07
Kansas, Form Number: TAT -RDR I -KS 03/07
Maine, Form Number: TAT -RDRi -ME 03/07
Minnesota, Form Number: TAI-RDRI-MN 03/07. In the
Exclusions section the 10110w ng replaces the exclusion
regarding illegal acts: injury in which a contributory cause was
the commission of or attempt to commit a felony by or on
behalf of the Covered Person or his beneficiaries.
Nevada, Form Number: 'Al RDRI -NV 03107. In the
Termination and Cancellation section the forty five (45) day
advance written notice is replaced by a sixty (60) day advance
written notice.
New York, Fnrill Number 1 AT-RDRI-NY 03/07. Covered
Persons does not include language requiring a permanent
residence within the 50 United States of American or the
District of Columbia. 'I he li licvving replaces the exclusions
found in the Exclusion section:
• suicide, attenipted suicide or intentionally self-inflicted
injury
• war or any act of war, whether declared or undeclared;
participation in a felony, riot br insurrection; service in the
Armed Forces or units auxiliary thereto
• injury ht which a contributing cause was the Covered
person's commission of of anempt to commit a felony or to
which a eotrthutmg cause was the Covered Person's being
engaged in an illegal occupation
• sickness, except for an iuf:chon that was the result often
injury
mental or emotional disorder
pregnancy, except complical ions of pregnancy and except
to the extent coverage is regtcred pursuant to Section 3221 of
the New York Insurance haw
• the consequence of the Ccvered Person's being
intoxicated or under the influence of any narcotic unless
administered on ill, advice 4 a physician.
In the Termination and Caecellation section the following
is removed au its entirely: the date the Covered person no
longer maintains a permanent residence in the 50 United
States of America or the District of Columbia.
ht [lie Termination arid cancellation section the following
replaces the language regardint, misrepresenfafion or fraud:
the date we determine that the Covered Person or someone on
the Covered Persoi;s' behalf intentionally misrepresented or
fraud occurred in a written instrument signed by the Covered
Person_
North Carolina, Dorm Number: TAT-RDRI-NC 03107
Oklahoma, Form Number: TAT-RDRI-OK 03/07. In the
Exclusions section the following replaces the exclusion
regarding war: war or act of war, declared or undeclared, while
serving in tine military service cr any auxiliary unit. attached
thereto
Texas, Form Number TAl-RDRi TX 03/07. Covered
Persons include dependent children under 25 years of age who
are stepchildren; adopted or a party to a suit to be adopted
children; grandchildren who are unmarried and dependent on
the Cardmember for tax purposes at the time the application
for coverage is made; and plnv.sically of mentally handicapped
children who are unmarried, cannot self-support themselves,
and are beyond ill" terrninau--n age.
Vermont, Form Number TAi-RDR I V'1`03/07. In the
Exclusions section the following replaces the exclusion
regarding suicide. suicide or self-destruction or any attempt
thereat, while sane; intentionally self-inflicted injury, suicide
or any attempt thereat, while sane. in the Exclusionssection
the following replaces the exclusion regarding specific
conditions: sickness, physical infirmity, pregnancy, ur any
medical or surgical treatment tin such cur.ditions, unless
treatment of the condition is required as : he direct result of an
injury.
atriC'nv ae
Car Rental loss and Damage insurance provides the
Cardmember, if the Cardmember is the primary renter, (as
defined bdowl with insurance coverage tin damage to or theft
of most Rental Autos when the Cardmember uses the Card (as
described below) to reserve and pay fur an auto rental from
any Commercial Car Rental Company ("Rental Company")
other than those located to Australia, Ireland, Israel, Italy,
Janhaica, and New Zealand ` 'Ibis coverage is always excess
insurance.
Rental Auto means a four wheeled, two axle passenger
type motor vehicle, designed for and sold to accommodate
private passenger transport on public roads.
t#ltoisi igibl' for s'ralc
You arc eligible for coverage if:
i, You are a Basic of Additional Cardmember and an
American Express' Card or Optima' Card in association with
that Card (the `Card") has been issued to you in your name;
You are of an account status and class that is provided
Car Rental Loss and Damage Insurance as a benefit of
Cardmembership ("Cardmember" );
3. Your Card account is billed from a J.S. operating center
in U.S. dollars; and
4., You maintain your permanent Residence within the 50
United Sides of America, the District ofColunbia. Puerto Rico
or the U.S Virgin lslands_
Permanent Residence means the Covered Person's one
primary dwelling place where the Covered Person permanently
resides and intends to return.
A Personal, Gold, or Rewards Plus Gold Cardmember who
is enrolled at an accredited four-year college, university of
graduate school in the United States and is receiving student
benefits provided as a benefit of Cardmembership is not
eligible fo, benefits under this Policy.
Commercial Car Rental Company or Car Rental
Company means any commercial car rental agency which
rents Rental Autos.' For the purposes of this Description of
Coverage, Commercial (:at Rental company means "Rental
Company"'
{t, ;et
Covcr igc for ihcft ui ur damage to a Rental Auto is
activated when tile Cardimanbei:'
present:; his or her eligible Card to the Rental Company
to reserve the Rental Auto by making a reservation; or by
placing a hold nr deposit at the time the Rental Auto is checked
out;
2, decline;. the full Collision Damage Waiver or similar
option (CDW), or pays for a partial collision damage waiver,
offered by the Rental Company;
3. is the primary renter, which is defined as the
Cardmember, who is named on the written agreement with the
Rental Company as the person renting and taking control and
possession of the Rental Auto ("PrinnaryRenter "); and
1. uses tine Card to pay for the entire auto rental fioin the
Rental Company at the time of vehicle return.
Coverage continues in effect while the Cardmember
remains in control and possession of the Rental Auto. A
Cardmember, who is physically challenged and unable to
operate the Rental Auto, may be the Primary Renter it helshe is
the Cardmember entering into the rental transaction.
When C;on erage 1'eriruiwtCs
Coverage for theft of or damage to tine fIentxl Auto
terminates when:
the Rental Company resumes control of the Rental
Auto, or 30 consecutive days after the Rental Auto was checked
out, whichever is earlier, or
the Policy is cancelled
Length of Coverage
Car Rental Loss and Damage insurance covers eligible
Rental Autos when rented tinder a written rental agreement
from a Rental Company for no more than 30 consecutive days.
Note: In no event shall coverage be provided when the
Cardmember rents a Rental Auto beyond 30 consecutive days
front the some Rental Companni regardless ofwhether the
original agreement is extended. or it new written agreement is
entered into, or a new vehicle is rented.
Additionally, no coverage will be provided when the
Primary Renter rents a Rental Auto for more than 30
consecutive days out of a 45-day period within the same
geographic market/location (75 mile radius)-
ii That is Covered
Car Rental Loss and Damage insurance reimburses a
(:ardmember for payments for damage to or theft of a Rental
Auto that the Cardmember is required to make, tip to the lesscr
of: 1) the actual cost to repair the Rental Auto, 2) the wholesale
Book value minus salvage and depreciation costs, or 3) the
purchase invoice price of the Rental Auto minus salvage and
depreciation costs. The coverage also reimburses the
Cardmember for reasonable charges (those charges incurred at
the closest facility that are usual and customary in the vicinity
in which the loss or disablement took place) imposed by the
Rental Company, such as towing or storage and Loss o£Use.
Loss of Use means the unavailability of a Rental Auto and
consequent loss of revenue by the Rental Company due to
damage or theft. Unless otherwise required bylaw, the Rental
Company must submit a tree, utilization log indicating that
du ing such time:
I, no other Rental Auto was available; and
there was a demand fir-- a Rental Auto.
Car Rental Loss and Darnage Insurance covers no other
type of loss. For example, in the event of a collision involving
the Cardmember s Rental Auto, damage to any other driver's
car or the injury of anyone or anything is not covered.
Note: This policy does not provide liability or any other
coverage such as Uninsured Motnrim, beneHfs under any
Worker's Compensation law, Disability- benefits law or other
mandated Govermneot Plans
S4 Yuan i _,r ,,, Co, el ago Ve.raa,
Car Rental Loss and Damage Insurarice is an excess
insurance plan. This means that [his excess coverage will
reimburse the Cardmember only for losses/expenses not
covered by plans, such as a partial collision damage waiver, any
personal auto insurance, employer's auto insurance or
reimbursement plan or other sources ofinsurance. When these
other plans apply, a Cardmember must first seek payment or
reimbursement and receive a determination based on the
stated terms of such other Plans, that any such Plans do not
provide coverage before flits excess coverage will reimburse the
Cardmember.
t'ei"clr s Net 0"ereti
Car Rental Loss and Damagc insurance does not cover
rentals of.
I. expensive cars, which means cars with an original
manufacturer's suggested retail price of $.50,000 or more when
new,
, exotic cars regardless of year or value, including but not
limited to Chevrolet Corvette, 'Toyota Supra, Mazda RX-7,
Dodge Viper and Stealth, Plymouth Prowler, Mitsubishi 3000
GT, Nissan 300 7,X, Jaguar XJS, Acura NSX, Mercedes ST., SIX,
S Coupe and E320 Coupe arid Convertible, BMW M3, Z3 and R
Series. Cadillac Allante and all Porsche, Ferrari, Land o -ghini,
Mascraii, Aston Martin. Lotus, flugatu, Vector, Shelby Cobra,
Bentley. Rolls Royce;
i, trucks, pick-ups, cargo vans, custom vans;
L full-sized vans, including but not limited to, Ford
Econoline or Club Wagon, Chevy Van or Sportvan, GMC
Vandura and Rally, Dodge Ram Vans and Ram Wagon;
_. vehicles which have been customized or modified from
the manufacturer's factory specifications except for driver's
assistance equipment for the physically challenged;
vehicles used for hire rn commercial purposes;
?, mini-vans used for commercial hire;
Note: llasscnSerMini-Vans (nol Cargo illini-Vita) with
actory;pectfied seating rapacity of' 8 passengers or less,
including but not limited to, Dodge Caravan, Plymouth Voyager,
Ford Winds/fir and Nissan Quad, are covered when rented for
personal or business use only.
FDR 974961
S. antique cars, which means cars that are 20 years old or
have not been manufactured for 10 or more years:
'J. limousines;
tit, full-sized sport utility vehicles, including but not
limited to, Chevrolet /GMC Submban, 'i'ahoe and Fulton, Ford
Expedition, Lincoln Navigator, Toyota Land Cruiser, Lextts
LX450, Range Rover or full-sized Ford Bronco;
11. spore/etility vehicles wren driven "off-road"; and
Note: Cornpac sport/utility vehicles, including but not
limited to Ford E.eplorer, Jeep Grand Cherokee, Nissan
Pathfinder; Toyota Four Rwme, Chevrolet Blazer and Isuzu
Trooper arid Rodeo are covered when driven on paved roads.
t1 off-road --lides, motorcycles, mopeds, recreational
vehicles, golf or motorized carts, campers, trailers and any
outer vchide whicli is not a Re:rtal Auto.
l .o"c'
Car Rental L, and Da nage Insurance does not ,over
losses caused by ur contributed to by.
L operiliun of the Rental Auto in violation of the terms
and conditions of the Rental Company agreement (including
but not limited to losses occurring when: a person not
permitted to operate the vehicle pursuant to terms of the rental
agreement was in possession or control of the vehicle; or,
driving the vehicle outside of the authorized rental territory);
3. leased or mint-leased vehicles;
i, costs attributed io the Commercial Car Rental
Company's normal coarse of doing business;
'I, intentional damage;
illegal activity, such as losses where the Rental Ault) was
used for, or involved in illegal activity or felony;
pre-existing conditions, damage or defect;
7. alcohol intoxication on the part of file driver, as defined
in the state where the Accident occurred;
3. voluntarily taking any chug or acting under the
influence or effect ofthat drug (unless taken as prescribed or
administered by a Doctor);
i. war or military activity;
In. radioactivi tv;
11. confiscation by authority;
12, wear and scar, including gradual dciertora(ion;
I ;, damage which is due and confined to freezing,
mechanical or electrical breakdown or failure unless such
damage results from a theft coicred by the Policy;
l 1, failure to return keys to the Rental Company when the
vehicle is stolen;
1 .3, theft or damage to unsecured vehicles;
l6. theft of m damage to tires (flats or blowouts), unless
damaged by fire, malicious mischief, vandalism, or stolen,
unless the loss is,mncident with and from the sannc cause as
other loss covered by the policy; and
(7, oil-road operation of (ID_ vehicle
Car Rental Los_. and Damage insurance does not cover, and
benefits will not be paid for
i, sales tax related to repair of darnages, unless
reimbursement of such sales lax is required by law;
damage to any vehicle other than the Rental Auto;
damage to any property other than the Rental Auto,
owner's property, or items not (ermanendy attached to the
Rental Atilt";
1 the injury of anyone (it anything;
expenses assurned, waived or paid for by the Rental
Company or its insurer,
3. expenses covered by the Cardmember s personal auto
insurer, employer nr employers insurer, or authorized driver's
insurer;
value added tax ur similar tax, unless reimbursement of
such tax is required by law:
Ei- diminishment of value;
any Rental Auto used for hire or commercial purposes;
and
10. depreciation, unless reimbursement tit depreciation is
required by law
Bevy to hiic a i
Notification of damage, including vandalism, theft, Oran
accident must be reported to the appropriate law criforcement
agency as soon as o-axmably pessfble.'Fhis requirement
applies regardless of whether thx Rem at Auto is froolved with
other vehicles. Fair:re to notify. nay result in denial of benefits.
if a loss occurs, a Cardmember should promptly notify the
Car Rental Loss and Damage Claims Unit tall free at
(800) 338-1670 in the U.S. only or call (440) 914-2950 from
other locations worldwide. If the failure of a (Cardmember to
promptly report a loss prejudices the rights of the insurer, the
claim may be denied.
A representative will answer any questions a Cardmembcr
may have and will send the Cardmember a claim form with
instructions. Complete and sign the claim form, Nvritten proof
of loss, which includes the claim form and all other requested
documentation (listed below), must be received within 60 days
following the date of the damage or theft by: American Express
Car Rental Loss and Damage Claims Unit, PO Rox, 94729,
Cleveland, Ohio 44101-4729. It the proof of loss and other
documentation is not recencd within 69 days of the date of
loss, coverage may be denied.
Required documentation may consist of, hilt is riot limited
t, our signed and completeddaimin-m;
an itemized repair bilk
;. a copy of charge slip lit the rental of the Rental Auto,
Rental Ault) contract or machine generated receipt to show,
rental was charged and paid for with an American Express
Card;
4. a police report (if applicable);
3, photos ofthe damaged vehicle, if avaflable;
6, a copy of the Cardmentbei's, authorized driver's or
employer's auto insurance coverage, or e, notarized letter
stating no insurance;
*_ a copy of all claim documents and correspondence,
provided by (lie Car Rental Company;
S. a copy of the Rental Company ;s utilization log;
9. a copy of the drivers license of the Cardmember and/or
authorized driver, unless the driver'-, license. ntunbex shows on
the rental agreement;
10. a copy of the written rental agreement, Trent and back,
which documents when the Rental Auto was checked out and
checked in; and
€ 1. information pertaining to other available insurance
coverage(s).
Cardmember cooperation with issues related to their
benefits is required. Wall required documentation is not
received within 180 days of the date it loss (except for
documentation which has not been furnished for reasons
beyond the Caidmeurber's control), coverage may be dented-
1.. are Paid
All Car Rental Loss and Damage Insurance payments
reimbursable under the policy are payable to the Cardmember;
except that payment may be made. at the discretion of the
Insurer, jointly to the Cardmember and the Commercial Car
Rental Company when the Car Rental Company has not been
reimbursed for the covered loss or damage, or the
Cardmember has not validly assigned his/her payments to the
Rental Company or any other party
Note: Renellt will not be paid f on the date of loss, on the
date of claim filing, or on the date of potential daini payment,
ant, amount do on }bur Card account is 1, ist due or Your Card
is cancelled.'
ttig#d:saf Reco,- Y:
In the event of a payment under this Policy, the Insurer is
entitled to all the rights of recovery that the Cardmember, to
whom payment was made, has against another. That
Cardmember must sign and deliver to the Insurer any legal
papers relating to that recovery, do whatever else is necessary
to help the insurer exercise those rights and do nothing after
loss to harm the insurer's rights.
When a Cardmember or Commeraal Car Rental Company
has been paid damages under policy No. A X0925, and also
recovers from another, the amount recovered from the other
shall be held by that Cardmember nt' Commercial Car Rental
Company in trust for the Insurer and reimbursed to the extent
of the Insurers payment.
As a condition precedent to coverage, the Cardmember is
required, and has a duty to fully cooperate with the insurer fn
any Investigations, .subrogation matters or legal proceedings by
providing copies of any and all legal notices and any and all
statements, including sworn statements and contributing; any
other papers art,,] documents to reasonably assist tit tire
disposition, of the legal matter
h
/then a Car /member is served ivitli sot and/or summons
papers relating to a Car Rental Loss and Damage claim, the
Cardmember must notify (see address and phone number
under Claims Notice section) and provide copies of the suit or
summons papers to the Car Rental Lugs and Damage claims
unit within 15 days of when the Cardmemher is served. Failure
to comply, may result in denial of benefits.
,,.:. Lrfihrntati(n i", You
This coverage is underwritten by AMEX Assurance
Company ('Insurer') through insurance Policy AX0925 (tire
I'ulicy°) issued to American Express'fravel Related Services
Company, Inc. and its participating subsidiaries, affiliates and
licensees. The Policy may be changed or terminated.
This Description of Cuverage is an important document.
Please keep it in a sale place. Although it describes the present
form of insurance as it exists at the time of printing, this
document is not the Policy or contract of insurance. The
benefits described in this document are subject to all of the
terms, conditions and exclusions of the policy issued by the
underwriter. This document replaces any prior Description of
Coverage under the Polies which may have been furnished to
the Cardmember.
Y (tvzl:- 1
V ?
Joy .A fianson, President john M. Collins, Secretary
AMEX Assurance Company AWX Assurance Company
CRLDI-DOC-CCSG 11105
1. For those eligible and enrolled in Membership Rewards; fa
Membership Rewards redernption certificate is used, coverage is
provided only to Rental Autos rented in the United States.
2. When used in conjunction with it Alembership, Rewards
redemption certificate, the participating Cap Rental Companies
are limited to Hertz, National and Budget.
3. Ifeligible uand enrolled in Membership Rewards, coverage is
also activated when the Cardmember (1) presents a Membership
Rewards redemption certificate and (2) uses a Membership
Rewards redemption certificate at a participating Commercial
Car Rental Company. Important note !,it those enrolled in
Membership Rewards: A Membership Rewards redemption
certilicate can only be redeemed by eligible Cardmembers.
Benefits will riot be paid when a Akinbershrp Rewards
redemption certificate has been transferred to non-eligible
Canlinernbers and/or non-Cardmembers.
4. 1)nes not apply, tv New Ytrk State resident.
"gal iniormv .f E.tauisiana
The Rights of Recovery sect ion is replaced with the
following:
if the Company makes any payment under this Policy and
the Cardmember has the right to recover damages from
another, the Company shall be subrogated to that right.
However, the Companys right to recover is subordinate to the
Caidnremben's right to be /idly compensated.
CRLDI-RDRI-LA 11105
',dktitiaancl (noonurithm ti k ^rdeni,,A stmuth lyakola
Under Losses Not Covered, item number 5. is replaced
with the following:
Car Rental Loss and Damage Insurance does not cover
losses caused by or contributed to by:
5. violation of criminal law, or commission of a criminal
act, whether cited or charged.
Under Losses Not Covered. item number 7, is replaced
with the following:
Car Rental Loss and Damage Insurance does not cover
losses caused by or contributed to by'.
or sumption of alcohol at or fn excess of the legal blood
alcohol level for a felonry c nvi, tion tit the state or locality in
which the Accident occurred;
CRLDI-RDRI-SD 11105
sootier°cr te'ldearts of S: errnomt
under Losses Not Covered, the following item is hereby
emoved.
alcohol intoxication our the part of the driver, as defined
in the state where the Accident occurred;
CRLDi-RDRI-VT 11105
=riattional /nit i mailer, ? 2 ?^iderzts k t `.4?issotasin
Under Losses Not Covered. the following items are hereby
emoved:
illegal activity, such as losses where the Rental Auto was
used for, or Involved in illegal activity or felony;
11 alcohol intoxication on the part of the driver, as defined
in the state where the Accident oc(urred;
S. voluntarily taking any drug or acting tinder the
influence or effect of that drug !unless taken as prescribed or
administered by a Doctor),
FDR 974W,
Under Losses Not Covered, the following item is added
18. The use of the Rental Auto for unlawful purposes, or for
transportation of liquor in violation of law, or while the driver
is under the influence of an intoxicant or a controlled
substance or controlled subsea ice analog, or it combination
thereof, or under the influence of any other drug to a degree
which renders hum or her incapable of safely driving, or under'
the combined influence of an intoxicant and any other drug to
a degree which renders him or her incapable of safely driving,
or any use of the motor vehicle in a reckless manner
CRLDI -RDR 1-WI 11105
Additional Into: o.ttiorr t i a I'C"; Vu."'Inia
Under How Benefits are Paid, the Footnote, to the note
that reads
Note: Benefits will not be paid if, on the date aJ loss, on the
date of claim jiliug or on the dole of potential i lairn payment,
any amount due un Your Card account is past due or Your Card
is cancelled, is her eby revised to read as /ollotvs:
Does not apply to West Virginia and New Fork State
residents.
CRLDI-RDRI %4' 11105
t elditwnctt Lstc F.a,;ttoa, is R'-c - t'.obria
A portion of the fees associated with this Card are applied
to the insurance )cnefit
CRLDI-RIV NC 11105
1'I hrl it 3' I
s„
the, ft ,
Arizona and Indiana, Form Numbers: CRLDI-IND-CCSG
11105; CRLDI IND-OSBN 1 U05; CRLDI-IND-PLAT 11105;
CRLDI-IND-CEN i 1105; CR1.T>I-IND-OSBN-Pi.AT 11 /05;
CRI-DI-IND-End 110!08
Texas, Form Numbers: CRLDI-IND-CCSG=TX 11/05;
CW,DI-IND-OSBN'-'IX 11/05; CRLDI-IND-PLAT-TX 11/05;
CRLDI-IND-CEN-TX 11;05: CRLDI-IND-OSBN-PLAT-TX
11(115.
The followingis added to the polity: This policy only
provides coverage hfyou decline the hill Collision Damage
Waiver offered by the Rental Company This policy is not
automobile liability insurance and does not comply with any
financial responsibility law. Your personal automobile
insurance policy may or may not provide coverage for your
responsibility for the loss of or damage to it rented vehicle
during the rental term. Before deciding whether to purchase a
damage waiver, you may wish to determine whether your
automobile insurance policy provides you coverage for renal
vehicle damage or toss, If you file a claim under your personal
automobile insurance policy, your insurance company may
choose to no rene,.,, your policy at your renewal date, but may
do so only if you arc at fault br the claim.
A Termination and Cancellation section is added:
Coverage will cease on the earliest of the following the date
you no longer maintain it permanent residence in the 50
United States of America or'he District of Columbia; the date
we determine that you or someone on your behalf intentionally
misrepresented or fraud occurred; tire date we cancel the
Policy; the date you are no longer a Cardmernber; or the date
the Policy is not available in the location where you maintain a
Permanent Residence. If the Policy is cancelled, we will send
written notice at least forty five (45) days in advance. We may
not cancel or non-renew this Policy based solely on the fact
that voa are an elated olfici,J.
FDR 974965
"- Blue Cash® from American Express
" ,.....ry DIANE M THIELEMANN
Closing Date 01/03/12
New Balance $8,156.01
Minimum Payment Due $727.00
Includes the past due amount of $564.00
Payment Due Date 01/28/12
Late Payment Warning: If we do not receive your Minimum Payment Due by
the Payment Due Date listed above, you may have to pay a late fee of up to
$35.00 and your Purchase APR may be increased to the Penalty APR of 27.24%.
Minimum Payment Warning: If you make only the minimum payment each period,
you will pay more in interest and it will take you longer to pay off your balance. For
example:
If you make no additional You will pay off the balance And you will pay an
charges and each month you shown on this statement in estimated total of...
pay... about...
Only the
Minimum Payment Due 21 years
22,163
If you would like information about credit counseling services, call 1-888-733-4139
q See page 2 for important information about your account.
O This statement is for information purposes only. This is not a bill. Please
contact your collections agency for account information. Disregard the
Minimum Payment Due, your account is in default and the balance is due
in full.
i Pleasefold on the perforation below, detach and return with your payment i
p. 1/3
Account Ending 5-82003
Get cash back virtually
everywhere you use the Card.
Account Summary
r
Previous Balance
$8,256.01
Payments/Credits -$100.00
New Charges +$0.00
Fees +$0.00
Interest Charged
i +$0.00
New Balance $8,156.01
- -
Minimum Payment Due -
$727.00
Credit Limit $10,200.00
Available Credit $2,043.99
Cash Advance Limit $0.00
Available Cash $0.00
Days in Billing Period: 32
Customer Care
PaybyComputer
americanexpress.com/pbc
Customer Care Pay byCustomer Care Pay by Phone
1-888-258-3741 1-800-472-9297
I-J See Page 2 for additional information.
® Payment Coupon Pay by Computer Pay by Phone
Do not staple or use paper clips americanexpress.com/pbc 1-800-472-9297
I?rll??l?lrlrl?l?l'11?1?1?1?1'IIIrr?IrllJl?l'I?IIIII???II11111??
DIANE M THIELEMANN
816 W TRINDLE RD
MECHANICSBURG PA 17055-4057
Account Ending 5-82003
Enter account number on all documents.
Make check payable to American Express.
Payment Due Date
01/28/12
New Balance
$8,156.01
Minimum Payment Due
$727.00
Ill?lllllrl?ll'I?III'11111"III?III???I??I???IIII'I'III?IIII'?I?I
AMERICAN EXPRESS
? Check here if b your your has chaaddressngedor P.O. BOX 1270 Amount Enclosed
phone numb $ •
.
Note changes on reverse side. NEWARK NJ 07101-1270
Exhibit
0000349990958473151 000815601000072700 02 H
DIANE M THIELEMANN Account Ending 5-82003 p. 2/3
Payments: Your payment must be sent to the payment address shown on your statement and must be received by S p.m. local time at that address to
be credited as of the day it is received. Payments we receive after 5 p.m. will not be credited to your Account until the next day. Payments must also:
(1) include the remittance coupon from your statement; (2) be made with a single check drawn on a US bank and payable in US dollars, or with a
negotiable instrument payable in US dollars and clearable through the US banking system; and (3) include your Account number. If your payment does
not meet all of the above requirements, crediting may be delayed and you may incur late payment fees and additional interest charges. Electronic
payments must be made through an electronic payment method payable in US dollars and clearable through the US banking system. If we accept
payment in a foreign currency, we will convert it into US dollars at a conversion rate that is acceptable to us, unlessa particular rate is required by law.
Pleasedo not send post-dated checks as they will be deposited upon receipt. Any restrictive language on a payment we accept will have no effect on
us without our express prior written approval. We will re-present to your financial institution any payment that is returned unpaid.
Permission for Electronic Withdrawal: (1) When you send a check for payment, you give us permission to electronically withdraw your payment from
your deposit or other asset account. We will process checks electronically by transmitting the amount of the check, routing number, account number
and check serial number to your financial institution, unless the check is not processable electronically or a less costly process is available. When we
process your check electronically, your payment may be withdrawn from your deposit or other asset account as soon as the same day we receive your
check, and you will not receive that cancelled check with your deposit or other asset account statement. If we cannot collect the funds electronically
we may issue a draft against your depositor other asset account for the amount of the check. (2) By using Pay By Computer, Pay By Phone or any other
electronic payment service of ours, you give us permission to electronically withdraw funds from the depositor other asset account you specify in the
amount you request. Payments using such services of ours received after 8:00 p.m. MST may not be credited until the next day.
How We CalculateYour Balance: We use the Average Daily Balance (ADB) method (including new transactions) to calculate the balance on which we
charge interest on your Account. Call the Customer Service number listed below for more information about this balance computation method and
how resulting interest charges are determined. The method we use to figure the ADB and interest results in dailycompounding of interest.
Paying Interest: Your due date is at least 25 days after the close of each billing period. We will not charge you interest on your purchases if you pay the
New Balance by the due date each month. We will charge you interest on cash advances and (unless otherwise disclosed) balance transfers beginning
on the transaction date.
Foreign Currency Charges: If you make a Charge in a foreign currency, we will convert it into US dollars on the date we or our agents process it.
We will charge a fee of 2.7% of the converted US dollaramount. We will choose a conversion rate that is acceptable to us for that date, unless a
particular rate is required by law. The conversion rate we use is no more than the highest official rate published by a government agency or the highest
interbank rate we identify from customary banking sources on the conversion date or the prior business day. This rate may differ from rates in effect on
the date of your charge. Charges converted by establishments (such as airlines) will be billed at the rates such establishments use.
Credit Balance: A credit balance (designated CR) shown on this statement represents money owed to you. If within the six-month period following the
date of the first statement indicating the credit balance you do not request a refund or charge enough to use up the credit balance, we will send you a
check for the credit ba'iance within 30 days if the amount is $ 1.00 or more.
Credit Reporting: We may report information about your Account to credit bureaus. Late payments, missed payments, or other defaults on your
Account may be reflected in your credit report.
New York residents may contact the New York Banking Department to obtain a comparative listing of credit card rates, fees and grace periods by
calling 1-800-518-886E..
Customer Care & Billing Inquiries 1-888-258-3741 Hearing Impaired
International Collect 1-336-393-1111 TTY: 1-800-221-9950
Large Print & Braille Statements 1-888-258-3741 FAX: 1-800-695-9090
Express Cash 1-800-CASH-NOW In NY: 1-800-522-1897
Change of Address
If correct on front, do not us,e.
• To change your address online, visit www.americanexpress.com/updatecontactinfo
• For Name, Company Name, and Foreign Address or Phone changes, please call Customer Care.
• Please print clearly in blue or black ink only in the boxes provided.
Street Address
City, State
Zip Code
Area Code and
Home Phone
Area Code and
Work Phone
Email
Website: americanexpress.com
Mobile Site: amexmobile.com
Customer Care
& Billing Inquiries Payments
j P.O. BOX 981535 P.O. BOX 1270
EL PASO, TX NEWARK NJ
79998-1535 07101-1270
I
Pay Your Bill with AutoPay
Avoid late fees
Save time
Deduct your payment from your bank
account automatically each month
visit americanexpress.com/autopay
today to enroll.
For information on how we protect your
privacy and to set your communication
and privacy choices, please visit
www.americanexpress.com/privacy.
%4-16; Blue Cash' from American Express DIANE M THIELEMANN
Closing Date 01/03/12
p. 3/3
Account Ending 5-82003
Payments and Credits
Summary
Total
Payments -$100.00
Credits $0.00
Total Paymentsand Credits -$100.00
Detail *Indicates posting date
Payments Amount
12/15/11 * PAYMENT RECEIVED ACH - THANK YOU -$100.00
Fees
Amount
Total Fees for this Period $0.00
Interest Charged
Amount
Total Interest Charged for this Period $0.00
2012 Fees and Interest Totals Year-to-Date
Amount
Total Fees in 2012 $25.00
Total Interest in 2012 $0.00
Interest Charge Calculation
Your Annual Percentage Rate (APR) is the annual interest rate on your account.
Annual Balance Subject Interest
Percentage Rate to Interest Rate Charge
Purchases 17.24% (v) $0.00
- -- $0.00
-
Cash Advances 25.24% (v)
----- $0.00 $0.00
Total $0.00
(v) Variable Rate
SHERIFF'S OFFICE OF CUMBERLAND COUNTY
Ronny R Anderson
Sheriff
Jody S Smith
Chief Deputy
Richard W Stewart
Solicitor
CA cumt),
111
?? f 2 MAR 16 PM 3: 3 5
UMBBLACVD LciUN T y
PENNSYLVANIA
American Express Centurion Bank
vs.
Diane Thielemann
Case Number
2012-1484
SHERIFF'S RETURN OF SERVICE
03/08/2012 03:26 PM - Ryan Burgett, Deputy Sheriff, who being duly sworn according to law, states that on March 8,
2012 at 1526 hours, he served a true copy of the within Complaint and Notice, upon the within named
defendant, to wit: Diane Thielemann, by making known unto herself personally, at 816 W. Trindle Road,
Mechanicsburg, Cumberland County, Pennsylvania 17055 its contents and at the same time handing to
her personally the said true and correct copy of the same.
SHERIFF COST: $38.00
March 12, 2012
RYAN BURGETT, DEP
SO ANSWERS,
RON R ANDERSON, SHERIFF
y
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
CIVIL ACTION - LAW
American Express Centurion Bank
Plaintiff . raw
.° 7n b r~,_
- ?'
"
.)
z C.
V. ;'
No. 2012-01484
-70 --;
DIANE THIELEMANN
7
5
Defendant e..?
1^_0137 001
ORDER FOR JUDGMENT
Now on this _/(\*- day of __ M,#Y . 2017-, Plaintiff, American Express Centurion
Bank. "Plaintiff") by and through its attorney. Demetrios Tsarouhis, Esq., and DIANE
THIELEMANN ("Defendant"), and upon consideration of the parties Stipulation for Judgment,
it is
THEREFORE ORDERED, ADJUDGED AND DECREED that judgment is hereby
entered in favor of Plaintiff and against Defendant for the principal sum of $10,398.76 together
with interest at the statutory rate per annum from and after 02/20/2012 together with the costs
of this action: It is FURTHER
ORDERED. ADJUDGED AND DECREED that execution on the judgment shall be
stayed against Defendant provided Defendant pays $500.00 by March 30, 2012, $700.00 by
April 30, 2012, and $150 per month until the amount of $10,398.76 is paid in full. The initial
payment shall be paid immediately and each additional monthly payment shall be due by the
twentieth (20) day of each month thereafter. As long as timely payments are made, the paw
shall apply to the sum of $10,398.76 and all remaining principal, interest and attorneys' fees
shall be waived. All payments should be made payable and forwarded to: "Demetrios
Tsarouhis, IOLTA-COLLECTIONS" 21 South Ninth Street, Allentown, PA 18102. Should
the Defendant default in any provision of this Agreement or default in the repayment of the debt
at any time, then the full amount of the judgment, $10.398.76, court costs of $350.00 including
all interest at the statutory rate per annum from and after 02/20/2012 plus attorneys fees of
$1,500.00 shall become immediately due and owing, and LET EXECUTION ISSUE
THEREFORE.
BY THE COURT:
i
1to.5o PA ATTY
it 533
e
N Ace Mai 6J-