HomeMy WebLinkAbout13-1054COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION -LAW
American Express Bank FSB, a Federal
Savings Bank
Plaintiff
v.
CARLOS VAZQUEZ
Defendant
No. 13 -
130025.001
NOTICE TO DEFEND
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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.
YOU 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
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I do hereby certify that the within is a true and correct
copy of the original filed in this action.
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Demetrios H Tsarouhis
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION -LAW
American Express Bank FSB, a Federal
Savings Bank,
Plaintiff
v.
No.
CARLOS VAZQUEZ,
Defendant
• 130025.001/
COMPLAINT
Plaintiff, American Express Bank FSB, a Federal Savings Bank, by and through its counsel,
Demetrios H. Tsarouhis, files this Complaint and aver as follows:
1. Plaintiff, American Express Bank FSB, a Federal Savings Bank, ("Plaintiff') is a UT
business corporation having its corporate offices at 4315 S 2700 W, ,Salt Lake City UT 84184.
2. Defendant, CARLOS VAZQUEZ , is an adult individual resident of Pennsylvania
who maintains an address at 107 JUNE DR ,CAMP HILL PA 17011.
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 * * * * * * * * * * * 2009.
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 * * * * * * * * * * * 2009, 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 03/12/2012 and Defendant has failed to
pay any amounts since that time.
10. The principal amount due at such time was $5,318.78.
11. Pursuant to the terms of the Agreement, Defendant is liable to Plaintiff for court costs.
WHEREFORE, Plaintiff requests judgment in its favor and against Defendant as follows:
a) Judgment in the amount of $5,318.78 due on the account;
b) Costs of suit;
COUNT II
Alternative to Count I -Unjust Enrichment
12. Plaintiff incorporates the allegations of every paragraph enumerated above this
Complaint as if said paragraphs were fully set forth here at length.
13 . At Defendant's request, Plaintiff conferred a benefit upon Defendant by providing the
credit described in the exhibits attached hereto.
14. Defendant received and accepted the benefit of said credit provided by Plaintiff.
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15. 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.
16. At all times material hereto, Defendant, with the aforesaid knowledge, permitted
Plaintiff to provide said credit and to incur damages.
17. At all times material hereto, Defendant was unjustly enriched by retaining the benefit
of receiving said credit without paying Plaintiff fair and reasonable compensation.
18. Allowing Defendant to retain the benefit of said credit without paying fair
compensation would be unjust.
19. By reason of the aforesaid unjust enrichment of Defendant at Plaintiff s expense, an
implied contract exists between Plaintiff and Defendant and Defendant is obligated to pay Plaintiff
the quantum meruit value of the credit described in the exhibits attached hereto in the amount of
$5,318.78.
WHEREFORE, Plaintiff requests judgment in its favor and against Defendant as follows:
a) Judgment in the amount of $5,318.78 due on the account;
b) Costs of suit.
Respectfully Submitted,
DEMETRIOS H. TSAROUHIS
I.D. #88513
Attorney for Plaintiff
21 S. 9th Street-Suite 200
Allentown, PA 18102
610-439-1500
Date: February 18, 2013
130025.001
4
FDR 974883
CD 258
E
Welcome to American Express Cardmembership
This document and the aaompanying 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 amount associated with this Agreement
(your Aaounl"), you agree to the terms of this Agreement.
'fhe words °you;"`your" and "yours" mean the person who
applied for the Account and the person to whom we address
billing statements, as well as any person who agrees to be liable
on the Account. The "Basic Cardmember" is the person who
opened the Account. At your reyuest, we may also issue a Card
nn your Accnunl to another person (an "Additional
Cardmember").The term "Card" refers to the American
Express' Card issued to you, all other Cards issued on your
Account, and any other device (such as Aaount numbers and
convenience checks) with which }'ou may access your Account.
"We; "our" and "us" refer t.. American Express Bank, FSB, the
issuer of your Account.
Using the Card
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 iiom other accounts to
your Aaount ("Balance 'T'ransfer(s)"). At our discretion, we
may issue convenience checks that you can use to aaess your
Account Bach convenience check may be used only by you.
You may 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.l'ransactions ynu make fn
response to promotional offers from us will be subject to the
terms of the promotion and this Agreement.
All amounts charged to your Account, including }'urchases,
Cash Advances, Balance'lYansfers, convenience checks, annual
feels}, if any, any amounts guaranteed by use of the Card, other
tees, and any Finance Charges, are "(:barges:' 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 he
treated as a Cash Advance. Any other convenience check
andlor a Balance'liansfer will be treated as a Purchase, except
as otherwise noted. If you make a Purchase or a Balance
'transfer, ar use a convenience check, that is governed by a
promotional offer from us, the Charge will be included in a
Promotional Balance, unless we notify you otherwise.
You agree not to let any person use a Card except a
Cardmember whose name is on it. You agree to notify us if the
Card is lost or stolen, or you suspect that it is being used
without your permission. You agree to use the Account only for
Purchases, Cash Advances, or Ilalance'1'ransfers that are lawful
and are permitted under this Agreement. 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 bill Charges on a recurring basis to your Account
("Kecurring Charge(s)"), we may (but are not reyuired to)
provide such third party with your current Account status,
Cazd number andlor expiration date to permit that third party
to continue billing your Account. We may take such steps even
if your account number changes or if we issue a renewal or
replacement Gard to you or an Additional (ardmember'to
withdraw authorization for a Recurring Charge, you must
notify the third party.
Annual free
Classic'fhe annual fee for the Account is $55.
Gold: The annual fee for the Account is $95.
Platinum:l'he annual fee for the Account is $150.
Credit Line
A portion of your credit tine may be available to you for
(:ash Advances up to your Cash Advance limit. We may, at any
time and in our sole discretion, increase andlor decrease your
credit line and Cash Advance limit. We may limit Charges at an
Cardmembers, a total of $2,500 in any seven-day period for
Gold Credit Cardmembers, a total of $3,500 in any seven-day
period for Platinum Credit Cardmembers or (ii}the remaining
amount of the Cash Advance limit on your Account; and we
may impose additional limits at our sole discretion (in addition
to any limits imposed by the A`TM's owner). Your billing
statements will show your 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 Account so that your
balance for Cash Advances (including fees and Finance
Charges) w ill not exceed the Cash Advance limit and your
overall balance (including tees and Finance Charges) will oat
exceed your a~edit line. You agree to pay us, immediately upon
reyuest, the amount of any balance on your Account in excess
of any applicable credit line or limit. We reserve the right to
decline any attempted Charge, even it the Charge would not
cause you to exceed your credit line or limit.
We are not responsible for any losses or other conseyuences
it a trans action nn 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 he
responsible if any merchant refuses to honor the Card or for
any other problem you may have with a merchant.
Premise to Pay
You promise [o pay all Charges, including Charges incurred
by Additional Cardmembers, on your Account. This promise
includes any Charge for which you 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 anvone else use the Card.
Status of and Responsibility far Additional Cardmembers
Additional Cardmembers do not have amounts with us.
Instead, they are authorized users on your Account, and the
Cards issued to them may be cancelled by you or us at any
time. You must notify us to revoke an Additional
Cardmembers permission to use your Accnunl. You are
responsible under this Agreement for all use of your Account
hp the Additional Cardmembers, and by anyone else you or an
Additional Cardmember lets use the Card, and the Charges
they incur will be billed to you. 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 or by other Additional
Cardmembers. However, by each use of the Additional Card to
incur Charges, the Additional Cardmember indicates his or her
agreement to pay us For the Charge if you fail to or refuse to
pay i[, and we may, at our 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
or her in the same manner we do with information about you,
as described below in the Consumer Reports,'lelephone
Monitoring/ Recording, and Suspension! Cancellation sections
of this Agreement You agree. to notify each Additional
Cardmember that Additional Cardmembers are subject to all
applicable provisions of this Agreement.
Billing Statements
You must notify us immediately of any change in the
mailing or a-mail address to which we send billing statements
or notices that a billing statement has been posted ("Billing
Address"). If you wish a Billing Address change to apply to
more than one account you maintain with us, ynu 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.
1'he "Necv Balance" appears on your billing statement. 'lb
period, called the "Previous Balance' on the billing s1
We add any Charges, subtract any credits or payment
as of that billing period, and make other applicable
adjustments.
Minimum .Amount llue
F,ach billing statement will reflect a Minimum Ar
llue. Payment is due by the time and date shown anc
manner prescribed nn the statement. 1'he Minimum
I)ue will not exceed the New Balance. You may pay n
the Iviinimum Amount Due, up to the entire outstan<
balance, at any time. 1o calculate fhe Minimum Amc
we add together the following amounts, round there:
nearest whole dollaz, and then add any amount past c
(1) the greatest of:
(a) 29'° of the New Balance (excluding from the
Balance any late fees or over-limit Eees);
(b} the lesser of:
(i) current billed Finance Charges plus 1°~ o
Balance (excluding from fhe New Balanc
fees or over-limit fees and finance charge
(ii} ~}~, of the New Balance; or
(c} $15;
(2) any over-limit fees added during the billing pf
(3) any late fees added during the billing period.
Adjusted Minimum Amount Due
Summary: If you consistently pay more than the
Minimum Amount llue outlined above, we may rata
minimum payment without any late fees or the addit
of the balance referenced in (1)(b)(i). If we do this, a
finance charges are more than 2°jo of the balance, we
$15 to your minimum payment For information abc
this works, read the detailed description below.
Detailed Description: We may adjust the outline
calculation above by removing the late fees in (3}and
of the New Balance" in (1)(b)(i). In the adjusted calc
we will exclude only the over-limit fees from the New
in (1)(a). After [he adjustment, if (1) is eyual to the c
billed Finance Charges, we will increase your Minimt
Amount Due by $15.
We will apply the adjusted calculation to your An
• the sum of your payments (credited to your Acc
the six consecutive billing periods ending with
Closing Date of the current billing period) is gr
the sum of the Minimum Amounts Due (forth
consecutive billing periods ending with the Ch
of the previous billing period, not using the adj
calculation and including the amount past due
the first of those six periods);
. the sum of the Minimum Amounts Due is equal
sum of your payments and it is less than or eyu
• the sum of the Minimum Amounts Due is zero ;
used the adjusted calculation in the last billing
when your Minimum Amount Due was not zet
• it is the first billing period ending on or after Nc
16, 2007, and your Account was opened before
If we adjust your Minimum Amount Due, we will
at least six billing periods, and if we stop adjusting ye
Minimum Amount Due, we will not adjust it again fo
six billing periods, regardless of your payment histor
Payments
All payments must be sent to the payment addres
on your billing statement and must include the remit
coupon from your billing statement. You must pay us
currency; with a single draft or check drawn on a U.S
payable in U.S. dollars, or with a negotiable instrume
in U.S. dollars and clearable through the U.S. banking
or through an electronic payment method clearable t
the U.S. banking system. Your Account number must
included on or with all payments. If we decide to acct
payment e u
choose a at is ac • ble to us co
your rem' ula
reyuired bylaw.
statement will be credited to your Account as of the day
received; payments rnnforming to the above reyuirements that
we receive after the hour specilied nn your billing statement
will he credited to your Account as of the following day.
A delay in delivery of your billing statement does not
extend your grace period, if any. Regardless of when you
receive your billing statement, your payment must be received
by us by the Payment llue Uate and time shown on your billing
statement.
If payment does not conform Gt the reyuirements stated
above, crediting may be delayed. If this happens, additional
Charges maybe imposed. We may accept late payments,
partial payments or any payments marked as being payment in
full or as being settlement of any dispute without losing any of
our rights under this Agreement or under the law. Our
acceptance of any such payments does not mean we agree to
change this Agreement in any way. You agree that an
aaeptance of such payments will not operate as an accord and
satisfaction without our prior express written approval.
Subject to applicable law, we will apply and allocate
payments and credits umarh balances and Charges on your
Account in any order and manner deter mined by us in our sole
discretion. Inmost cases, we will apply and allocate payments
first to balances at lower Annual Percentage Rates ("APRs")
and then to higher AI'R balances, and apply purchase credits
first to the balance from which the corresponding debit
originated. However, tier servicing, administrative, systems or
other business reasons, we may apply and allocate payments
and credits among balances and to Charges on your Account in
some other order or manner that we may determine in our sole
discretion. You agree that we have the unconditional right to
exercise this discretion in a way that is most favorable or
convenient to us.
Authorization for EilectroniC Debit to Your Checking
Aaount
When you provide a check as payment, you authorize us to
use information from your check to make an electronic. fund
transfer from your aaounl or to process the payment as a
check transaction. If we process your check electronically,
funds may be withdrawn Irom your bank or asset amount as
soon as the same. day we receive your check. Also, if we process
your check electronically, you will not receive that cancelled
check with your bank or asset account statement.
finance Charges
A. Finance Chazges begin to accrue for each Charge as of
the date the Charge is added to the daily balance, as deuribed
below. If payment in full. for any New Balance shown nn the
statement for a billing period is credited to your Account by
the payment Uue Date shown on that statement, then finance
Charges will not aarue for Purchases from the date on which
payment in full of that New Balance is credited to your
Aaount until the end of the billing period in which such
payment is a'edited to your Aaount. In addition, finance
Charges will not accrue for Purchases during a billing period if
(a) the Previous Balance shown on the billing statement for
that billing period is zero m• a credit balance, or (b) payment in
full for the New Balance, if any, shown on the statements
covering the two immediately preceding billing periods is
credited to your Account by the respective Payment Due Dates
shown nn those statements. For purposes of this paragraph,
Purchases do not include 13alance'fransfers or convenience
checks.
13. The Daily Periodic Rate ("DPR') for Purchases and the
llPR for Cash Advances are each based on an APR, which may
vary.'I'he APR for Cash Advances is the Prime Ra[e plus
17.99"f,. A DPR is 11365th of the APR. Your DPRs and APRs for
Purchases appear on the accompanying supplement(s). When
an APR changes, we apply i t to any existing balance subject. to
that rate.
C. Notwithstanding the foregoing, unless a higher rate
applies under any other provision, the: APR for all balances
except Cash Advances will be equal to the Prime Rate plus
14.9996 if during any Review Period any portion of any
Minimum Amount Due is not aedited to your Account by its
Payment Due Date. The "Review Period" is the period,
constituting approximately one year, of twelve consecutive
billing periods ending with the Closing llate of the current
billing period, whether or not you received a statement for
each such billing period.
D. Notwithstandint*. the foret?oine, the DI'K (and
Rate if during the Review Period (i) payment of your
Minimum Amount Due is not credited to your Account by the
Payment Due Date in any two billing periods, {ii) a payment on
your Aaount is not honored by your bank or other financial
institution, or (iii) you exceed any designated aedit limit on
your Account three or more times. 'Che "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. if the lleiault 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 llPR which corresponds to an
APR equal to the Prime Rate plus 23.99%.
li. 'fhe "Prime Rate" is determined once with respect to
each billing period. T'he Prime Rate for each billing period is
the Prime Kate published in the Money Rates section (or
successor section) o(The WaII Street Journal on (a) the first day
of that billing period or (b) the day that is two days prior ur the
Closing Date of that billing period, whichever is higher. In each
case, if such 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 1 ke Wa![ 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, at' we may substitute a similar reference
rate at our sole discretion. Any increase or decrease to an AYR
resulting lrom a change in the Prime Rate lakes of feet as of the
lust day of the billing period. An increase in the Prime Rate
means that the variable APRs (and corresponding DPRs)
applicable to your Account will increase and you may incur
higher Finance (:barges and may have a higher Minimum
Amount Due.
,Yerage llaily Balance Method for Calculation of Finance
Charges
We use the Average Daily Balance method to calculate
Finance Charges nn your Account. Under this method, we
calculate the Finance Charges on your Aaount by applying the
I)PR to 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 he applied to sepazate balances,
such as Purchase, Cash Advance, and Promotional Balances. '1'0
get the Average Daily Balance for each balance, we (1) take the
beginning balance for each day (including unpaid Finance
Charges from pretrious billing periods), (2) add any new
transactions, debits, or tees, (3) subtract any payments or
credits credited as of that day, and (4) make any appropriate
adjustments. For each day alter the first day of the billing
period, we also add an amount of interest equal to the previous
day's daily balance multiplied by the DPR for 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.'1'hen, we
add up all the daily balances for each balance for the billing
period and divide the [Dial by the number of days in the billing
period. 'Phis gives us the Average Daily Balance for that
balance.
If you multiply the Average Uai1y Balance for each balance
by the number of days in the billing period and the DPR for
that balance, the result will be the Finance Chazge assessed on
that balance, except for variations caused by rounding.l'he
total Finance Charge for the billing period is calculated by
adding the finance Charges assessed on all balances of the
Account. 'This method of calculating the Average Daily Balance
and Finance Charge results in daily compounding of Finance
Charges. We may use mathematical formulas which produce
equivalent results to calculate the Average Daily Balance,
Finance Charge, and related amounts. For example, we may
utilize computer programs or other computational methods
that are designed [o produce mathematically equivalent results
while using fewer and/or simpler computational steps than aze
described in this Agreement.
At our discretion, we may exclude certain Categories of
debit transactions or fees from the calculation of the daily
balances. Unless we elect to use a later date, we add a Charge to
the daily balance as follows: We add a Cash Advance or
Purchase to the appropriate daily balance as of the date of
reyuest or the transaction date on the billing statement. We
add a convenience check to the appropriate daily balance as of
as of the date of the reyuest. We add periodic Finance
to the daily balance as described above. We add any c
Charge to the appropriate daily balance as of the date
transaction.
Periodic Finance Charges are added to the outstay
balance at the end of the billing period for which Fin:
Charges are calculated. In any such billing period, we
impose a minimum Finance Charge of $0.50, which
added to the balance with the highest APR unless, foy
convenience and in our sole discretion, we choose to
balance with a lower APR. In our sole discretion, we
round any calculations made in determining the Fins
Charges on your Account in any way that is convenie
Any such rounding may apply to or cause variations i
DPRs.
late Fees
We may assess a Late Pee if a payment of at least t
Minimum Amount Due is not credited to your Accot'
Payment Due Date.1'he amount of fhe Late Fee depe:
amount of the Previous Balance nn the statement on
bate Fee appears, as follows:
Previous Balance Late Fee
Less than $400 $19
$400 or greater $38
Other Pees
We may charge the following fees to your Accoun
to applicable law. Except as otherwise noted, these fee
added to the Purchase Balance.
l . Dishonored Payments: We may charge a fee
whenever any check, similar instrument, or electroni
payment order that we receive as payment nn your A~
not honored upon first presentment.
if a Card is presented in connection with cashing
an American L'xpress Travel Service Office or other a
location and the check is not honored, we may charge
$38. (We will also add a Charge to the Cash Advance
your Account in the amount of the check that was no
honored)
2. Copies of Statements: We may charge a fee o
each billing period for which a copy of a billing stater
requested. We will not charge this fee for any request
of any of the billing statements for the three billing py
immediately prior to the reyuest.
3. Account Re-opening Fee: We may charge a r
fee of $25 if your Ar;count is cancelled for any reason
reyuest reinstatement and such reyuest is honored.
4. Wire Transfers: We may charge a fee of $1 S e
wire transfer from your Account is initiated and auth
5. Stop Payment Orders: We may chazge a fee c
each time we receive a request to stop payment on a
convenience check drawn nn your Account.
6. Over-limit Fee: We may charge a fee of $35 it
billing period the New Balance on your statement exr
credit line.
7. Convenience Check Usage/Balance Transfe.
Transaction Fee: We may assess a transaction fee fot
Balance'Itansferancl each convenience check drawn
Aaount, as disclosed in the applicable Promotional
the materials accompanying the convenience check, r
time of the transaction. 'this fee is a Finance Charge
assessed, will he added to the same Purchase or Cash
balance as the convenience check transaction or Bala
'transfer. For convenience checks made payable to ca:
you, a bank, brokerage or similar asset account, howe
unless otherwise disclosed in the applicable Promotir
in the materials accompanying the convenience chec;
time of the transaction, there will be a transaction ter
with a minimum of $5.
8. ATM Fee: We will impose a fee each time a C:
to obtain cash or any other services from an A'I'M. '1'1
be 3%, of the amount of the cash withdrawn or other
obtained (including any additional fee imposed for u
Al'M by its operator), with a minimum of $5.'this fe,
added to the Cash Advance balance.
Suspension 1Cancellatimr
In addition to any other actions wr may take und~
Agreement, we may suspend or cancel your Account
feature offered in connection with your Account, we
reduce your credit line or cash advance limit (includi
or cancel the authorization of any Additional Cardmember to
make Charges to your Aaount, at our sole discretion at any
time, with or without cause, whether or not your Account is in
default, and without giving you notice, subject to applicable
law. Any such action nn our part will not cancel your obligation
to pay all Charges due on your Aaount 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 yott andlor
Additional Cardmembers have been cancelled. [f we cancel the
Card or 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. Il
you want to cancel the Account or any Additional Cards, you
must notify us and destroy the Card(s).
If we agree to reinstate your Account after a cancellation,
the new Agreement we send you (or, if we do not send you a
new Agreement, this Agreement as it may be amended) will
govern your reinstated Account. When we reinstate your
Account, we may- reinstate any Additional Cards issued in
connection with your Account, and bill you the applicable
annual fee(s).
Default
We may consider your Account to be in default at any time
if you fail to pay us any amount when i[ is due, or if you breach
any other promise or obligation under this Agreement:.
Subject to applicable law, we may also consider your
Aaount to be in default at any time if any statement made by
you to us in connection with this Account or any other credit
program was false or misleading, if you breach any promise or
obligation under any other agreement that you may have with
us or with any of our affiliates; if we receive information
indicating that you are bankrupt, intend to file bankruptcy, or
are unable to pay your debts as they become due; or we receive
information leading us [o 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 your credit characteristics, regardless of your performance
on this Account. 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 law, we may reyuire payment of a
portion of your outstanding balance greater (ban the
Minimum Amount Due, declare the entire amount of your
obligations to us immediately due and payable, andlor suspend
or cancel your Aaount andlor any feature that may be offered
in connection with the Account. You agree to pay all
reasonable costs,includfng reasonable attorneys fees, incurred
by us (1) in connection with the collection of any amount due
on your Account, whether or not any arbitration, litigation, or
similar proceedings are initiated; and (2) in reasonably
protecting ourselves from any loss, harm, or risk relating to any
default on your Account.
Transactions Made in Foreign Currencies
if you incur a Charge in a foreign currency, it will be
converted into U.S. dollars on the date it is processed by us or
our agents. Unless a particular rate is reyuired by applicable
law, you authorize us to choose a conversion rate that is
acceptable to us for that date. (:urrently, the conversion rate we
use for a Chazge in a foreign currency is no greater than (a) the
highest official conversion rate published by a government
agency, or (b) the highest interbank conversion rate identified
by us from customary banking sources, on the conversion date
or the prior business day, in each instance increased by 2.7%.
"Phis conversion 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.
Benefits and Services
Subject to applicable law, we have the right to add, modify
or delete any benefit, service, or Feature that may accompany
your Aaount at any time and without notice to you.
Arbitration
Purpose:'I'his Arbitration Provision sets forth the
circumstances and procedures under which Claims (as defined
below) may be arbitrated instead of litigated in court.
Definitions: As used in this Arbitration Provision, the
term "Claim" means any claim, dispute or Controversy between
and any other related or prior agreement that you may have
had with us, or the relationships resulting from any of the
above agreements ("Agreements"),except for the validity,
enforceability or scope of this Arbitration Provision or the
Agreements. I~or purposes of this Arbitration Provision, "you"
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 any of the litregoing, and other persons reierrrd to below in
the definition of "Claims" °Ctaim"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 eyuity. "Claim' also
includes claims by or against any third party using or providing
any 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) ifand 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.'I'Ite 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) any 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 srrvias financed under
any of the accounts or the. terms of financing, (c) the benefits
and services related to Cardmembership (including fee-haled
or 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 Yrovisivn for
any Claim that you properly file and pursue in a small claims
court of your stale or municipality so long as the Claim is
individual and pending only in that rnurt.
Initiation of Arbitration ProceedinglSelection 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 Claim is referred in effect
at the time the Claim is filed (the "(:ode"), except to the extent
the Code conflicts with this Agreement. Claims shall be
referred to either the National Arbitration Forum ("NAP") or
[he American Arbitration Association ("AAA'), 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 alter 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 infra mation about these organizations,
contact them as follows:
• NAP at 1?0. Box 50191, Minneapolis, MN 55.105;
website: www.azbitration-lorum.com.
• AAA at 335 Madison Avenue, New York, NY 10017;
website: www.adr.org.
Significance of Arbitration: IP ARBI'T'RATION IS
CHOSEN BY ANY PAR'T'Y WPfH RESPECT' TO A CLAIM,
Nfil'1'IiER YOU NOR Wli WILL, HAVE'I'Hli R[GH'I' TO
LI'1'[GA1'I:'1'I-IA1' C[,AIM IN COURT OR HAVI: A JURY'1'RIAI,
ON THAT CLAIM. FURTH1iR, YOU AND WE 1NILL NOT
HAVL' THii RIGHT TO PARTICIPACG [N A
RIiPRESI:N'1'A'fIV[: CAPACITY OR AS A MEMBER OP ANY
CLASS OP CLAIMANTS PIiR1'A[NING TO ANY CLAIM
SUBJIiC7" 1'0 AKBI'I'RA'L'R)N. EXC1iP'I' AS SL'1' POR1'Ii
BELOW,'1'HE ARBIT'RATOR'S DECISION WII,I. Eli FINAI.
AND BINDING. NO'fE'I'HA'f O'CHF,K RIGH'1'S'1'HAf YOU
OR WE WOULD FIAV"E IF YOU WEN'1" 1'O COURT ALSO
MAY NO'f Eli AVA[hABLI:IN AR13I'I'RA'I'[ON.
Restrictions on Arbitration: IP EI'C}IIiIt PAR'T`Y F,LI?C'1'S
l'O RESOLVE A CLAIM BY ARBITRATION, T'HA'f CLAIM
SHALI. Eli ARBIT'RAl'F.D ON AN IND[VIDUAI. BASIS.
'CHEAP. SHAI,h Bli NO RIGII'I' OR AU'l'HOR[1'Y POR ANY
CI,A[MS'I'0 BF. ARBPCRA'IED ON A CLASS ACTION BASIS
OR ON BAS1;S ]NVOIAING CLAIMS BROUGHT IN A
PUKPURT'I?D RIiPR£SIiN'1'A'1'IVIi CAI'ACI'1'Y ON BEFIALI~ OF
rrrr.~r_r:rn:nnr nrrvrrr n•rurvrnurinnr•sRUrucnv
authority to resolve Claims is limited to (,aims betwc
and us alone, and the azbitrator's authority to make a
limited to awards to you and us alone. Furthermore,
brought by you against us, or by us against you, may
joined or consolidated in azbftration with Claims bro
against someone other than you, unless agreed to in .
all parties. No arbitration award or decision will have
preclusive effect as to issues or claims in any dispute
anyone who is not a named party to the arbitration.
Notwithstanding any other provision in this Agreemc
(including but not limited to the Continuation provis
below) and without waiving either party's right to apt
decision, should any portion of this Restrictions nn A
provision be deemed invalid or unenforceable, then t
Arbitration Provision (other than this sentence) shall
apply.
Arbitration Procedures: 'Phis Arbitration Provis
made pursuant to a transaction involving interstate C
and shall be governed by the I~ederal Arbitration Act,
Sections 1-16, as it may be amended (the "FAA').'I'h<
arbitration shall be governed by the applicable (:ode,
that (to the extent enforceable under the FAA) this A
Provision shall control if it is inconsistent with the ap
Code. The arbitrator shall apply applicable substantit
consistent with the FAA and applicable statutes of tin
and shall honor claims of privilege recognized at law
the timely reyuest of either party, shall provide a brie
explanation of the basis for the decision. The azbitrat
proceeding shall not be governed by any Federal or s1
of civil procedure or rules of evidence. Either party rt
a reyuest to the arbitrator to expand the scope of disc
under the applicable Code.1'heparty submitting sod
reyuest must provide a copy to the other party, who r
submit objections to the arbitrator with a copy of the
objections provided to the requesting party, within fi
days of receiving the requesting party s notice. The gt
denial of such a request will be in the sole discretion
arbitrator, who shall notify the pazties of his/her deci
within twenty (20) days of the objecting partys subm
The arbitrator shall take reasonable steps to preserve
privacy of individuals, and of business matters. Judge
the award rendered by the arbitrator may be entered
court having jurisdiction.'I'he arbitrator's decision w.
and binding, except for any right of appeal provided 1
FAA. However, any party can appeal that award to a t
arbitrator panel administered by the same arbitratior
organization, which shall consider anew any aspect o
initial award objected to by the appealing pazty. The ;
party shall have thirty (30) days from the date of entr
written arbitration award to notify the arbitration orl
that it is exercising the right of appeal The appeal sh;
with the arbitration organization in the form of a daG
writing. l'he arbitration organization will then notify
party that the award has been appealed. The azbitrati
organization will appoint, three-arbitrator panel tha
conduct an arbitration pursuant to its Code and issue
decision within one hundred and twenty (120) days c
of the appellant's written notice. The decision of the I
be by majority vote and shall be final and binding.
Location of ArbitrationlPayment of Fees: Any
arbitration hearing that you attend shall take plate in
federal judicial district of your residence. You will be
responsible for paying your share, if any, of the arbitr
(including filing, administrative, hearing andlor o[he
provided by the Code, to the extent that such fees do
exceed the amount of the filing fees you would have i
the Claim had been brought in the state or federal cor
to your billing address that would have jurisdiction o
Claim. We will be responsible for paying the remaind
arbitration fees. At your written reyuest, we will cons
good faith making a temporary advance of all or part
share of the arbitration fees for any Claim you initiate
which you or we seek arbitration. You will not be asse
azbitration fees in excess of your share if you do not F
any azbitration wfth us.
Continuation: This Arbitration Provision shall sr
termination of your accounts as well as voluntary pal
the Account balance in full by you, any legal proceedi
or us to collect a debt owed by the other, any bankrttl
you or us, and any sale by us of your Account (and in
..F....L, :r.. ~e...... ~l...ll ......6. ,,. •l,e 1..,..e. ..r.,.,.. .,C..,..~
Arbitration provision above, it any portion of this Arbitration
Provision (other than the Restrictions on Arbitration
provision) is deemed invalid or 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 he enforceable regardless of
such invalidity.
Waiver
Our failure to exercise any of our rights under this
Agreement, our delay in enforcing any of our rights, or our
waiver of our rights on any oaasion, shall not constiuue a
waiver of such rights on am other occasion.
Consumer Reports
You authorize us to reyuesl consumer 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 sources, and to use such
information for any purposes, subject to applicable law.
You authorize us to furnish information concerning your
Account to consumer reporting agencies, or others, subject to
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 Iixpress Credit
Bureau Unit, PO. Box 7871, Pt. Lauderdale, FI, 33329-7871 and
identify the specific information you believe is inaccurate.
You are hereby notified that information about your
Accotmt that may have a negative impact on your credit record
may be submitted to a credit reporting agency if you fail to
fulfill the terms of your credit obligations.
Telephone Monitoring/Recording
You agree that from lime to lime we may monitor and/or
record telephone calls between you (or Additional
Cardmembers on your Aaount) and us to assure the quality of
our customer service or as required by applicable law.
You authorize us to call or send a text message to you at any
number you give us or from. which you call us, including
mobile phones.
You authorize us to make such calls using automatic
telephone dialing systems for any lawful purpose, including
but not limited to: suspected fraud or identity theft; Account
transactions or servicing; otters of American Express products
and services; and collecting nn your Account. You authorize us
to place prerecorded calls in connection with the status of your
account, or 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.
Privacy Act of 1974 Notification
Use of the Card at Federal Government Agencies
American Express has entered into contracts that enable
the Card to be accepted at certain Eederal government agencies
and deparimen[s ("Agencies"). As with Card transactions at
commercial establishments, when you choose to use your Card
at an Agency, certain Charge information is 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, analysis and marketing
activities. Additional "routine uses" of Charge information by
Agencies are published periodically in the Pederal Register.
Insurance Products Notroc
We identify insurance providers and products that maybe
of interest to you. ]n this role we may act on behalf of the
insurance provider, as permitted bylaw. We receive
compensation from insurance providers that may vary by
provider and product. Also, we may mceive additional
compensation or financial benefit when AMIiX Assurance
Company or another American L'xpress entity acts as the
insurer or reinsurer for these pmducts.'fhe arrangements we
have with providers, including the potential fo insure or
reinsure products, may also influence what products and
providers we identity.
Notices
Any notice given by us shall be deemed given when
deposited in the US. mail, postage prepaid, addressed to you at
the latest Billing Address shown on our records.
Changing this AgreementrAssignment of this Agreement
We may change the Terms of or add new terms to this
Agreement at any time, in accordance with applicable law. We
balances on 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
}'our obligations under this Agreement.
Assignment of Claims
In the event you dispute a Charge and we credit your
Account for all or part of such disputed Charge, we
automatically suaeed to, and you are automatically deemed to
assign 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 eyual 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 from 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 tier the amount credited.
.lpplicable Law
'Phis Agreement and your Account, and all yuestions about
their legality, enforceability and interpretation, are governed by
the taws of the State o[ Utah (without regard to internal
principles of conflicts of law), 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 BANK, FSB
To American L•xpress Cardmembers In The United States
and Its Territories
Your Billing Rights -keep This Notice for Future Llse
'this notice contains important information about your
rights and our responsibilities under the "Pair Credit Billing
Act:'
Notify Us in Case of Errors or Questions About Your
Account Statement
If you think your statement is wrong or if you need more
infitrmation about a transaction on your statement, write us on
a separate sheet of paper at the address for billing inyuiries
listed nn your statement. Write to us as soon as possible. We
must. hear from you no later than 60 days after we sent you the
first statement on which the error or 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 the suspected error.
• Describe the error and explain, if you can, why you
believe there. is an error. If you need more information,
describe the item you are not sure about.
If you have authorized us to pay your Account statement
automatically from your savings, checking or other account,
you can stop the payment on any amount you think is wrong.
'Po stop the payment, your letter must reach us three business
days before the automatic payment is scheduled to occur.
Your Rights and Our Responsibilities After We Receive
Your Written Notice
We must 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 correct.
After we receive your letter, we cannot try to collect any
amount you yuestion, or report you as delinyuent.lNe can
continue to bill you for the amount you yuestion, including
Finance Charges, and we can apply any unpaid amount against
your credit line. You donut have to pay any yuestioned amount
while we are investigating, but you are still obligated to pay the
parts of your statement that are not in yuestion.
If we find that we made a mistake on your statement, you
will not have to pay any Ginance Charges related to any
yuestioned 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 nn the yuestioned 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 delinyuent. However, if our explanation does not
satisfy you and you write to us within ten (lU) days telling us
that you still refuse to pay, we must tell anyone we report you
anyone we report you to that the matter has been sett
between us when it finally is.
If we do not follow these rules, we cannot collect
$5O of the yuestioned amount, even if your statement
correct.
Special Rule for Credit Cazd Pwchases
If you have a problem with the yualily of property
services that you purchased with the Card, and you h
in good faith to correct the problem with the mercha
may have the right not to pay the remaining amount
the properly or services.l'here are two limitations to
(a) You must have made the purchase in your home s
not within your home state, within 100 miles of your
mailing address; and (b) The purchase price must ha
more than $SU.
'Chew limitations do not apply if we own or opera
merchant, or if we mailed you the advertisement for t
properly or services.
Note for Ohio Residents: The Ohio laws against
disa•imirration require that a!1 creditors make credit ec
available to alt creditworthy customers, and that credi
agencies maintain separate credit histories on each inc
upon reduest. '1 he Ohio Civil Rights Commission admi
compliance with this law.
1'ou will receive one Delta SkyMile ("tulle") for ea
dollar of Eligible Spending (as defined below) on you
Air Lines SkyMiles• Credit Card from American L'xpi
°Card Aaount"), subject to the terms set forth below
will be credited to your SkyMiles Account after the bi
period in which the Iaigible Spending occurs.
[f you have a Classic Delta SkyMiles Credit Card,
receive one additional mile for each U.S. dollar of F,lif
Spending for Delta Purchases (as defined below) sub;
terms set firth below. Miles will not be awarded for E
Spending in excess of $60,000 for each year of Delta
Cardmembership (measured from your Card annivet
date), not including bonuses; however, one "bonus' r.
each U.S. dollar of Faigible Spending for Delta Purcha
continue to be awarded above this limit. If in any cab
your Eligible Spending on your Classic Delta SkyMile
Card is $10,000 or more, you will be awarded 2,5UU b
miles.
[f you. have a Gold Delta SkyMiles Credit Card, yo
receive one additional mile for each U.S. dollar of Elil
Spending for Delta Purchases, subject to the teens se
below. Miles will not be awarded for ligible Spendin
excess of $100,000 fur each year of llelta SkyMiles
Cardmembership (measured from your Card annivet
c{ate), not including bonuses; however, one "bonus" r,
each U.S. dollar of Eligible Spending for Delta Purcha
continue to be awarded above this limit. If in any cafe
your Iaigible Spending on your Gold Delta SkyMiles
Card is $15,000 or more, you will be awarded 5,000 b
miles, and if in that same calendar year your Eligible
on your Gold Delta SkyMiles Credit Card is $25,000 c
you wilt be awarded an additional S,OOU bonus miles.
[f you have a Platinum Delta SkyMiles Credit Can
receive one additional mile for each U.S. dollar of Elil
Spending for Delta Purchases, subject to the terms se
below. If in any calendar year your Eligible Spending
Platinum Delta SkyMiles Credit Card is $25,000 or m
will be awarded 10,000 Medallion Qualifying Miles ('
(as defined in the Delta SkyMiles Membership Guide
Program Rules), and if in that same calendar year yot
Spending on your Platinum Delta SkyMiles Credit Ca
$5(I,IN)0 or more, you will be awarded an additional 1
MQMs (Additional MQM").The Basic Cardmember
to receive only one 10,000 MQM award and only one
Additional MQM award for one Delta SkyMiles Preys
Account each calendar year.
For any Classic, Gold, or Platinum Delta SkyMile;
Card from American Express account that is opened
calendar year, for purposes of calculating your annua
the account is opened. This means that the first year maybe
less than twelve months. You may be permitted to have more
than one Classic, Gold, or Platinum llelta SkyMiles Credit Card
from American Express account; however, you are eligible to
receive annual liligible Spending bonus(es) for only one of each
type (i.e., Classic, Gold, or Platinum) of Delta SkyMiles Credit
Card from American Express account, and if you received
Welcome bonus miles for any such account, you are eligible to
receive only the incremental difference between the amount of
these Welcome bonus miles and the amount of Welcome bonus
miles you may be offered for any other sueh account.
Miles are subject to the Delta SkyMiles Iviembership Guide
and Program Rules, and you should refer to that document for
details on redemption of miles, Delta's right to change program
terms, and other conditions which may apply. We assume no
responsibility for and we have no liability fa~ miles credited to
your SkyMiles Account or for the actions of Delta in
connection with your SkyMiles Account or otherwise.
Yonr Account must be active (i.e., not cancelled) for any
given billing period to earn miles charged on your Card
Account.
"Eligible Spending' includes purchases of goods or
services, which purchases have not been returned or otherwise
rescinded, and are not subject to a credit; i[ does NO1' include
fees, Finance Charges, Cash Advances (including the use of
checks, line activators, automated teller machines, or other
means of accessing your Account), Balance'1'ransfers, or
adjustments to your Acount or the purchase of American
F:xpress'Cravelers Cheyues and American Express Gift Cheyues
or other cash equivalents. We reserve the right not to award
any miles for transactions we determine aze no[ Charges made
with the good faith intention of wnsuming the item charged.
For the purpose of this Agreement, "Delta Purchases"
means purchases charged on your Card Account for Delta",
Delta Connection carrier, Delta Shuttle, llelta codeshare (lights
sold under the DL code, Delta Vacation packages and other
Delta services and submitted under a Delta merchant code,
excluding Delta air travel purchases which are part of an all-
inclusive airlseatour package.
We reserve the right to change these terms and conditions
at any time, suhjed to applicable law.'Cerms used have the
meanings assigned to them in the Agreement Between Delta
5kymiles Credit Cardmember and American Express Bank,
FSB.
Once you enroll in Pay By Computer, I'ay ISy Phone or any
other American Iixpress lilectmnic Funds Transfer service
(hereafter the "Program"), you will be subject to this l-aectmnic
Ponds Transfer Agreement. (the "IiFT Agreement').
Scope of Agreement
'this EFT' Agreement covers your participation in the
Program. In this EI"I' Agreement, the words "you" and "your"
refer to the Basic Cardmember and also include all Additional
Cardmembers who have enrolled in the Program. "I'he words
"we; "our" and "us" refer to American Express'fravel Related
Services Company, Inc. The words "your American Express
Accounts' refer to your card aaount governed by your
Cardmember Agreement ("Card Account") or any other
American Express Accounts that we permit you to enroll in the
Program.'fhe words "your Bank Account" refer to the account
held by a bank, securities firm or other financial institution
from which payment will he made when you make
transactions under the I'rogram.'1'he words "your bank" mean
the bank, securities firm or other financial institution that
holds your Bank Aaount.'fhe words "other options" refer to
electronic payment transfer options and/or other cash access
that American Iixpress may make available from time to time,
including the option 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 El~ L' Agreement'Chat agmement and
the capitalized terms in it also apply here.
Payment for Cash Transactions
Gash time you initiate a transaction under the Program,
you instruct and authorize us or our agent to draw a check or
initiate an automated clearing house (ACH") debit in your
name on your Bank Account, payable to us or to our agent, in
the amount of the transaction.'Cheamount ofthe transaction
is the amount of the Account bill you paid or other funds
transfer you authorized, plus any applicable lees or charges.
We may charge a fee of $3R for each check or ACH debit
drawn by us or our agent in connection with the Program that
is not honored upon first presentment, subject to applicable
law. Your bank may also assess its customary charge for such
items, if any.
llishonored Requests for Payments
If any check or ACI I debit drawn by us or our agent in
connection with the Program is not honored by your bank, we
have the right to charge the amount of any such transaction,
and the dishonored payment fee referred to above, to the Card
Account or to collect the amount from you. If this happens, we
may cancel your right to participate in the Program.
For certain Bank Accounts, you may have a separate
agreement with us or with a participating bank, securities
firm, or other financial institution that allows a line of credit to
he accessed in the event that your bank Account contains
insufficient funds to make payment to us. You should refer to
the appropriate agreement relating Io that line of credit for the
terms and conditions that govern its use.
Liability for Unauthorized Transactions and Advisability of
Prompt Reporting
You must tell us Al' UNCE 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 days after you
learn about it you notify us that the transaction was
unauthorized, we will not hold you liable for that transaction.
In any event, even if you fail to notify us, your liabilkty for any
unauthorized transaction or series of related unauthorized
transactions shall not exceed $50. If you believe that someone
has transferred or may transfer money from your Bank
Account without permission, calla-800-528-4800 (within U.S.)
or 1-336-393-1111 (outside U.SJ anytime, or write: rUnerican
Iixpress Credit Department }'.O. Box 53830, Phoenix, Arizona
85072-3830.
Our liability for Improper Transactions or Payments
Il a transaction is not completed as you have directed or if
we do not complete a transfer to or from your Bank Account on
lime in the correct amount, we will research and correct it as
necessary, once you advise us. We will also reimburse you for
your actual losses or damages, if any, caused by our error.
However, there are some exceptions. We will not he liable to
you in the follmving instances:
• if, through no fault of ours, your Bank Account does not
or did not contain enough money to complete the
transaction or the transfer would exceed an established
credit limit;
ii the funds in your Bank Account are or were at the time
of the. attempted transaction subject to legal processor
other encumbrance restricting the transaction;
if circumstances beyond our control (such as fire or
flood) prevent or prevented the transaction, despite
reasonable precautions that we have taken;
if a technical malfunction known to you prevented the
transaction;
or any other exceptions slated in this IJ''1' Agreement.
Business Day
For purposes of this lit f Agreement our business days are
Monday through Friday. Elolidays are not included.
Arbitration
'the Card Aaount is governed by the Cardmember
Agreement contained herein. T'he Arbitration provision
contained within that agreement applies to this EI~1'
Agreement Please refer to that provision as you read this EFT
Agreement.
Privacy
Electronic fiords transfers you initiate pursuant to this F:FT'
Agreement are covered by the American Iixpress Privacy
Policy a copy of which was given to you together with your
American Iixpress Cazd.'I'o view our Privacy Policy online,
How to Contact Us
If for any reason you wish to contact us about the
about your participation in the Program, or about tea
relating to the Program, write or call us as follows:
Address: American L•xpress Tiavel Related Servic
Company, loc., Electronic Funds Services, P.O. Box 2'
Lauderdale, Ph 33329-7815 ore-mail us by clicking o
Customer Service link online at www.americanexpre:
Telephone: 1-800-CASH-NOW, 24 hours a day, Sr
a week.
In Case of Errors or Questions About Your'Cransar
Write or call us at the number or address given at
soon as you can if you think your statement or receip
or it you need more information about a transaction
your statement or receipt. We must hear from you no
60 days after we sent you the FIRST statement on wh
problem or error appeared. ]f you aze delayed in cool
due to extenuating circumstances (such as a hospital
may extend this 60 days for a reasonable time.
I. 'Cell us your name and Account number.
2. Describe the error or the transaction you are r
about, and explain as clearly as you can why you belie
error or why you need more information.
3. "Cell us the dollar amount of the suspected err
If you tell us orally, we may require that you send
complaint or yuestion in writing within 10 business c
the date you notified us.
We will tell you the results of our investigation wi
business days" after we hear from you and we will ca
error promptly if we need more time, however, we m
to 45 calendar days to investigate your complaint or c
If we decide to do this we will assure that your bank r
your Bank Account within 10 business days* for the s
you think is in error, so that you will have the use of t
during the time it takes us to complete our investigat
ask you to put your complaint or question in writing
not receive it within 10 business days* following yow
notification, we may not recredit your Bank Account.
If notification of an error is received within 30 cal
days after your Bank Account is opened, we will have
business days to provide you with the results of our
investigation and correct any error, and 90 days to co
the investigation.
If we determine that there was no error, we will s<
written explanation within three business days after
our investigation. Upon your request we will provide
copies of the documents that we used in our investigs
we have provisionally recredited your Bank Account
investigation and determine that there was no error,
notify you of the date on whie;h we will redebit your I
Aaounl, and the amount to be debited. You authoriz
agent to debit your Bank Account for this amount. Yc
make certain that your Bank Acount rnntains suffic.
to cover this debit. If it does not, we have the right to
such amount to the Account or to collect the amount
If this happens, we may cancel your right to participa
Program..
Termination
We, or any bank or financial institution pazticipai
Program, may add to or remove from the Program ar
ATMs or extend or limit the services provided at any
without notifying you beforehand. In addition, we m:
discontinue the Program of any time.
Your right to participate in the Program will be to
or suspended if the Card Account is cancelled or cusp
you cancel the authorization you have given your bar.
directly charge checks to your Bank Account, if the B
Account. from which payment will be made when yot
transactions under the Program is dosed to withdrav
transactions by us or our agents, if your participation
Program is inactive for 1R consecutive months or mo
the Card Account is no longer in good standing.
In addition to the foregoing, we may revoke your
participate in the Program, at any time, at our sole di
with or without cause, subject to applicable law. If we
will send you written notice, but we may not send yoi
notice until after the revocation. We also have the rig.
authorization for any requested transaction, at any tit
sole discretion, with or without cause, and without gi
notice, subiect to applicable law. You may terminate )
us at the address disclosed in the Section of this L'P'I'
Agreement entitled How m Contact Us.
Prior Agreements and Assignments
`Chic I:PT Agreement supercedes all prior agreements you
may have with us relating to the Program. We have the right to
assign this E1~1' Agreement to a subsidiary or affiliate company
at any time.
AMERICAN EXPRESS TRAV EI. RELATED SERVICES
COMPANY, INC.
Note for Massachusetts Residents
General Disclosure Statement: Any documentation
provided to you which indicates that an electronic [unds
transfer was made shall be admissible as rvidence of such
transfer and shall constitute prima facie proof that such
transfer was made.
The initiation by you of certain electronic !unds transfers
imm your Bank Account will, except as otherwise provided in
this E1~1' Agreement, effectively eliminate your ability to stop
payment of the transfer.
UNLIiSS OTHERW[Sti PROVIDED IN THIS I:F`C
AGREEMIiN'f, YOU MAY NO'f S'L'OP PAYMENT' OF
ELIi(°CRONIC FUNDS TRANSPERS;'I'HERF:FORIi, YOU
SHOULD A'0'C EMPLOY Ei1.F:CCRON[C ACCESS FOR
PURCFLASI'sS OR SERVICES UNhIiSS YOU ARF. SA'CISPIEll
1'HA'f Y(lU WlLI. NOT NIiL'D'1'O STOP PAYMENT.
Disclosure of Aaount 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 95
days after we receive it.
Optional Limit on Obtaining Cash: You have the option
to request that we limit the total amount of cash that you may
obtain from ATMs in a single day to $50. If you elect this
option we will take all reasonable steps to comply with your
request.
*Pnr Massachusetts residents: 10 calendar days instead of
business days.
The information below summarizes the terms and
conditions of the lixtended Warranty plan (formerly the
Buyer's Assurance Plan). lixtended Warranty is underwritten
by AMEX Assurance Company, Administrative Office, Green
Bay, WI. Coverage is determined by the terms, conditions, and
exclusions of Policy AX0953 and is subject to change with
notice. 'this document dues not 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. lixtended Warranty will extend the terms of
the original manufacturer's warranty ti)r a period of time equal
to the duration of the original manufacturer's warranty, up to
one (1) additional year (Centurion Cardmembers up to three
(3) additional years) nn warranties of five (5) years or less that
are eligible in the United States of America.
Description pf Benefits
Where a loss has occurred during this plan s extended
warranty time period of up to one (1 }additional year
(Centurion Cardmembers up to three (3) additional years), we
will provide a benefit equal to the coverage of the original
manufactures s warranty nn warranties of up to five (5) yeazs.
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
$10,000. ICthe product also is covered by a purchased service
contract, this plans extended warranty time period begins at
the end of the service contract and extends the original
manufacturer's warranty for a period of lime equal to that
warranty, up to one (1) additional year (Centurion
Cardmembers up to three (3) additional years). Il the
combined coverage of the original manufacturers warranty
and the purchased service contract exceed five (5) years, the
product purchased is not eligible under this 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 experience more than one loss in a calendar year, we will
pay an amount not to exceed 550,0(1(1 for all losses in a
calendar year. Our benefit payment will not include any
product rebates, discounts or money received from the lowest
Iixclusions
Benefits are not payable if the loss for which coverage is
sought was directly or indirectly, wholly or partially,
contributed to or caused by: 1. any physical damage,
including, but not limited to, damage as a direct result of
natural disaster or a power surge, except to the extent [he
original manufacturer's warranty covers such damage; 2.
mechanical failure covered under product recall; or 3. fraud or
abuse or illegal activity of any kind by the cardmember.
Purcfiases Not Covered
'1 he following are not covered: 1. products covered by an
unconditional satisfaction guarantee; 2. motorized vehicles
(including, but not limited to, passenger cars, trucks,
motorcycles, boats, airplanes) and their parts, subject to high
risk, combustible, wear and tear or mileage stipulations
(including, but not limited to, batteries, carburetors, pipes,
hoses, pistons, brakes, tires, or mulRers); 3. motorized devices
:rod their parts used for agriculture, landscaping, demolition or
construction; 4. motorized devices and their parts which are
permanent additions or fixtures to a residential or commercial
building; 5. business fixtures, including, but not Limited to, air
conditioners, refrigerators, heaters; 6. land or buildings; 7.
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 of any particular part or parts,
unless the articles are unusable individually and cannot be
replaced individually, regardless of any special value they may
have had as part of a set or collection; 10. items still under
installment billing; l 1. additional service contract or extended
warranty coverage for a computer, computer component or
part that you buy which already comes with an original United
States of America manufacturer's warranty, unless such
coverage is provided and administered by the original
manu[acturer; and 12. items purchased for resale, professional,
nr commercial use (this does not apply to OPIiN
Cardmembers).
General Provisions
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
terms 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.
Termination or Cancellation
Coverage will cease on the earliest of the following: 1. the
dale you no longer maintain a permanent residence in the 50
United States of America, the District of Columbia, Puerto Kico
or the U.S. Virgin Islands; 2. the date we determine that you or
someone 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 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
company has the right to 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.
Form Numbers
EW-DOC-CCSG102107, I:W-DOC-CCSG2 02/07, F:W-
DOC-OSI1N1 02!07, EW-DOC-OSBN2 02/07
Applicable for Residents of the State of Alaska
Form Number: PP/EW-RDRI-AK (16/(17
Applicable for Residents in the States of Arizona and
Indiana
Poem Numbers:l;W-IND-CCSG1 07107, EW-IND-CCSG2
07/07, EW-IND-OSBNI (17107, FW-[ND-OSBN2 07/07
Appticahlr for Residents of the State of Kentucky
Form Number: PP/F.W-RDRI-Kl' OS/(17-In the
Termination or Cancellation section: 'the company has the
right to cancel the policy at any time by sending a written
notice at least seventy-five (75) days in advance to you at your
last known address.
Applicable for Residents of the State of Oklahoma
t:nr,,, N,,,,,h~r• PPltiW-RTIR 1 _t1K !17107-T'he fnllnwina is
person who knowingly, and with intent to injure, deb
deceive any insurer, makes any claim for the proceed
insurance policy containing any false, incomplete or
misleading information is guilty of a felony.
Applicable for Residents of the State of Oregon
Form Number EW-RDRI-OR 05!07-In the Exclu:
section the following is removed: 3. fraud or abuse c
activity of any kind by the cardmember;
Applicable fnr Residents of the State of South Dak~
Poem Number: I'P/I:W-RI)Rl-SD 05107
Appticahle for Residents of the State of Texas
Form Number: F.W-IND-TX 071117
Applicable for Residents of the State of Vermont
Form Number: PP/fiW-RDRI-VT 05/07
Description of Coverage
Underwritten by AMEX Assurance Company,
Administrative Office, 480 Pilgrim Way, Suite 1400,
W 154304
Purchase Protection provides coverage for Your p
for ninety (90) days from the date of purchase when'
charge any portion of the price of the purchased item
Account. You will be reimbursed only for the amoun
to Your Aaount. (See Description of Benefits sectic
Definitions
Certain words used in this Description of Coveral
capitalized throughout and have special meanings. V
used herein, the singular shag include the plural, the
shall include the singular, as the context requires.
Account means Your American Express Card Au
cardmember means a person who has been issue
United States of America based proprietary American
Card, which is Current and in Good Standing, and wl
Permanent Residence in the 50 United States of Ame
District of Columbia, Puerto Rico or the U.S. Virgin I:
Covered Incident means the theft of, or damage,
by accident or vandalism, to any one item of propert}
purchased worldwide as a gift or for personal or bust:
and charged to Your Account.
Company means AMIiX Assurance Company, an
authorized agents.
Current and in Good Standing means a Cardmc
Account for which the monthly minimum requireme
been paid prior to the date in which the claim is paya
Master Policyholder means American Ezpress'I
Related Services Company, Inc.
Permanent Residence means the one primary d~
place where the cardmember resides and to which tr
to return.
Plan means the Policy and the benefits described
Platinum cardmember means a Cazdmember e
Platinum Charge Card (required to be paid in full me
Corporate Platinum Card, or a Fidelity American Exl
Platinum Card. Any other Card which may reference
Platinum name or has Platinum colored plastic will n
higher coverage limits or benefits.
Policy means the Group Insurance Master Policy
issued to American Express travel Related Services
Inc.).
We, Us, Our means the Company.
You, Your means the (:azdmember.
Description of Benefits
We will pay You the expense charged to Your Aa,
$1,000 for any one Covered Incident and up to $SO,Oi
Covered Incidents during a calendar year. Purchase 1
provides benefits, for ninety (90) days from the date ,
purchase, if a Covered Incident occurs with respect G
You purchased and charged to Your Account Our be
payment will not include shipping and handling expo
installation, assembly, professional advice, maintena,
other service charges or any product rebates, discoun
money received from lowest price compazison prigr:
reduced the original cost of [he property.
Our payment of any eligible benefit amount is fur
contingent upon Your Account being Current and in
Standing.
(1„Lr ~ !'~rd.,,c~,,,h,.r h~. ~ !root and rnuirahlr riot
Iixclusiars
Benefits are not payable if the loss for which coverage is
sought was directly or indirectly, wholly or partially,
contributed to or caused by:
1. war or any act of war.. whether declazed or undeclared;
2. any activity directly re]ated to and oaurring while in
the service of any armed military force of any nation state
recognized by the United Nations;
3. participation in a riot, civil disturbance, protestor
insurrection;
4. violation of a criminal law, offenu or infraction;
5. natural disasters, including, but not limited to,
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;
7. confiscation by' any governmental authority public
authority or customs official;
8. negligent failure of a duty to care by any third party in
whose possession the properly purchased by a Cardmember
has been temporarily placed;
9. not being reasonably safeguarded by You;
10. theft from baggage not carried by hand and under Your
personal supervision ar under the supervision of a traveling
companion known by You;
I1. damage through alteration (including, but nut limited
to, cutting, sawing and shaping);
12. normal wear and tear, inherent product defector
manufacturers defects or normal course nl play;
13. damage or theft while under the care and control of a
common carrier;
14. food spoilage; or
I S. leaving property at an unoccupied construction site.
For residents of Washington, the first paragraph of this
section is removed and replaced with the following: We will
not pay for loss caused by any of the excluded events described
below. boss will be considered to have been caused by an
excluded event if the occurrences of that event directly and
solely results in loss, or initiates a sequence of events that result
in loss, regardless of the nature of any intermediate or final
event in that sequence.
Purchases Not Covered
'the following purchases are not covered:
1. travelers checks, tickets of any kind, negotiable
instruments (including, but not limited to, gift certificates, gift
cards and gift checks), rash or its equivalent
2. animals or living plants;
3. rare stamps or coins;
4. consumable or perishable items with limited file spans
(including, but not limited to, perfume, light bulbs, batteries);
5. antique or previously owned items;
6. motorized vehicles and watercraft, aircraft and
motorcycles or [heir motors, equipment, parts or accessories;
7. stolen or damaged property consisting of articles in a
pair or set. Coverage will be limited to no more than the value
of any particular part or parts, unless the articles aze unusable
individually and cannot be replaced individually, regardless of
any special value they may have had as part of a set or
collection;
8. items purchased far resale, professional, or commercial
use;
9. permanent household andlor business fixtures,
including, but not limited to, carpeting, (louring andlor tile;
10. business fixtures, including, but not limited to, air
conditioners, refrigerators, heaters; and
11. hospital, medical and dental equipment and devi<:es.
Claims Previsions
if You experience a Inss for which You believe a benefit is
payable under this Plan, l5tu must provide both Notice of
Claim and Proof of boss.
'I'o insure prompt processing of Your claim, report any- theft
or damage immediately fallowing 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
I -303-273-fi498. You may also write to Us al Purchase
Protection, P(1 Box 4(12, Golden, CU 80402-0402.
Failure to provide Notice of Claim within thirty (30) days
will not invalidate a claim or reduce any benefit payment that
maybe 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 Notice 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 reyuired and
necessary to process Your claim and determine if benefits are
payable.
For residents of Missouri, no claim will be denied based
upon Your failure to provide notice within such specified time,
unless this failure operates to prejudice the right of Us.
Proof of Loss
Proof of [.oss requires You to send Us all the information
We request, at Your expense, in order that Your claim maybe
evaluated and that We may make a determination as to
whether the claim may be paid. You must provide Us with
satisfactory Yrool of boss within thirty (30) days (for residents
of North Dakota sixty (fi0) days) after We have provided You
with instructions and/or a claim form in response to Your
;votive of Claim or Your claim may be denied. Your Proof of
Loss documentation maybe mailed to Us at the same address
provided above for mailing Your Notice of Claim. We reserve
the right to reyuesl all the information We deem necessary 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 reyuested is received.
Proof of Loss may require documentation consisting of, but
not necessarily limited to, the following:
I. a Purchase Protection Claim Form;
2. the original itemized store receipt;
3. the insurance declaration forms for Your other sources
of insurance or indemnity (e.g., homeowner's or rentei s
insurance);
4. a photograph of andlor repair estimate [or the damaged.
property; and
5. for 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 be made on claims not substantiated in
the manner required by Us.
If alt required documentation is not received within thirty
(30) days (for residents of North Dakota sixty (fi(1) days) of the
date of the Covered Incident (except for documentation which
has not been furnished for reasons beyond Your control),
coverage may he denied. It is Your responsibility to provide all
reyuired documentation We reyuesl.
You ma}' he reyuired to send in the damaged property at
Your expense for further evaluation of Your claim. If
reyuested, You must send in the damaged property within
thirty (30) days (for residents of North Dakota sixty (fi0) days)
from the dale of Our request to remain eligible for coverage.
Payment of Claim
A claim for benefits provided by this Plan will he paid upon
Our receipt and review of Your complete Proof of Loss
documentation and Our determination that a claim is payable
according u> the terms of the Plan.
Any payment made by Us in goad 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 [ncident benefit which is not reimbursed by other
insurance up to Our limits, as provided under the Description
of Benefits .,ection.
General Provisions
Change of Permanent Residence
if the change is to a different state, Your Policy provisions
maybe. 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 rnnform to applicable
provisions of State or Federal law, the Plan is hereby s
to comply with such law.
Entire Contract; Representation; Change
This Description of Coverage, the Policy and any
applications, endorsements or riders make up the eni
contract. Any statement You make is a representatia
a warranty. 'this Description of Coverage may be cha
any time by written agreement between the Master
Policyholder and the Company Only the President, ~
President or Secretary of AMEX Assurance Compan}
change or waive the provisions of the Description of (
No agent or other person may change the Descriptiot
Coverage or waive any of its terms. 'this Description
Coverage may be changed at any time by providing n
You. A copy of the Policy will be maintained and kep
Master Policyholder and may be examined at any tin
Excess Coverage
If any loss under this Policy is insured under any
valid and collectible policy, then this Policy shall cove
loss, subject to its exclusions, conditions, provisions <
terms herein, only to the extent that the amount of sr
in excess of the amount of such other insurance whit
payable or paid.
Fraud
If any reyuesl for benefits made under the Plan is
determined to he fraudulent or if any fraudulent me:
devices are used 6y You or by anyone acting nn Your 1
obtain benefits, all benefits will be forfeited.
We do not provide coverage to a Cardmember wh
whether before or after a loss, has: I . concealed or
misrepresented any (act upon which we rely, if the
concealment or misrepresentation is material and is t
the intent to deceive; or 2. concealed or misrepresent
Cact if the fact misrepresented contributes to the loss.
Legal Actions
No legal action may be brought to recover against
until sixty (fi0) days after Proof of boss has been rece
Us. No such action may be brought after three (3) ye
residents of Arkansas five (5) years and residents of D
ten (111) years) from the time written Proof of boss is
to he given.
if a time limit of this Plan is less than allowed by I
the state where You live, the limit is extended to meet
minimum time allowed by such law.
Right of Recovery
If We make a payment to You under this Plan and
recover an amount from another, equal to or less that
payment, You shall hold intrust for Us the proceeds c
recovery and reimburse Us to the extent of Our paym
Our payments exceed the maximum amount payable
benefits of this Plan, We have the right to recover fro
amount exceeding the maximum amount payable.
Subrogation
In the event of any payment under this Policy, We
subrogated to the extent of such payment to all Your t
recovery. You shall execute all papers required and sl
everything necessary to secure and preserve such rig.
including the execution of such documents necessar}
Us to elfeclively bring suitor otherwise pursue subro
rights in Your name. You shall do nothing to prejudi~
subrogation rights.
We shall be entitled to a recovery as stated in then
provisions only after You have been fully compensate
damages by another party.
For residents of Louisiana, the Right of Recovery,
Subrogation and Excess Coverage sections are revise<
reflecC ll the Company makes any payment under tt
and the Cardmember has the right to recover damage
another, the Company shall be subrogated to that rigl
However, the Company's right to recover is subordina
Cardmember. right to be fully compensated.
Termination or Cancellation
Coverage will cease on the earliest of the followin
date You no longer maintain a Permanent Residence
United States of America, the District of Columbia, P
or the ti.S. Virgin Islands; Z. the date We determine t
are no longer a Cardmember; 5. the date Your Account ceases
to remain Current and in Good Standing; or 6. the date the
Plan is not available in the location where You maintain a
Permanent Residence.
'T'ermination or Cancellation of coverage will not prejudice
any claim originating prior to termination or cancellation
subject to all other terms of the Polity.
The Company has the right to 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.
Important Additional Information For You
For those eligible and enrolled in the Membership
Rewazds"program, benefits are also paid when the purchased
property is received through the redemption of a Membership
Rewards redemption certificate. Payment or credit will not
exceed the original assigned value of the property received
through redemption of a lviembership Rewards redemption
certifit:ate up to the stated limits, excluding shipping and
handling expenses. Benefits will not be paid when a
Membership Kewards redemption certificate has been
transferred to anon-eligible Cardmember or non-
Cazdmembers.
'Phis Description of (:average replaces any other
Description of Coverage that 1'ou 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 Wl'1'NL'SS W HEREOF, We have caused this Description
of Coverage to be signed h}' Om• officers:
~'~-' ~,.-1~ cam,..,
Joy A. Hanson, President )oho M. Collins, Secretary
AMEX Assurance Company Aiv[1:X Assurance Company
PP-DOGCCSGI 02/07
Applicable for Residents <af the State of Kentucky
In the Termination or Cancellation section the following
is removed:
'fhe Company has the right to cancel the Policy at any time
by sending a written notice at least linty live (45) days in
advance to You al Your last known address. The notice will
include the reason for cancellation.
And replaced with the following:
'The Company ha, the right to cancel the Policy at any time
by sending a written notice at least seventy-five (75) days in
advance to You at Your last known address. The notice will
include the reason for cancellation.
PP/L'W-RDRI -KY 05/07
Applicable for Residents of the State of Oregon
In the Exclusions section the following are removed: 4.
violation of a criminal law, oftense or infraction; N. fraud or
abuse or illegal activity of any kind by the Cardmember;
'Phe Proof of Loss section is hereby removed in its entirety
and replaced with the following:
Proof of Loss
Proof of Loss reyuires You to send Us all the information
We reyuest, al Your expense, in order that Your claim maybe
evaluated and that We may make a determination as to
whether the claim maybe paid. 1'ou must provide Us with
satisfactory Proof o[ Loss within ninety (90) days alter We have
provided You with instructions andlor a claim form in
response to Your Notice oC Claim or Your claim may br denied.
Your Proof of loss documentation maybe mailed to Us at the
same address provided above for mailing Your Notice of Claim.
We reserve the right to reyuest all the information We deem
necessary 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 reyuested is received.
Proof of Loss may reyuire documentation consisting of, but
not necessarily limited to, the following: 1. Purchase
Protection Claim Form; 2. the original itemized store receiph,
3. the insurance declaration forms for Your other sources of
insurance or indemnity (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.
If all reyuired documentation is not received within ninety
(90} days o[ the date of the Covered Incident (except for
documentation which has not been furnished for reasons
beyond Your Control), coverage may be denied. It is Your
responsibility to provide all reyuired documentation We
request.
You may he reyuired to send in the damaged property at
Your expense Cor further evaluation of Your claim. If
reyuested, You mull send in the damaged property within
ninety (90) days from the date of Our request to remain eligible
for coverage.
PP-RDRI -OA OS/07
Applicable for Residents of the State of South Dakota
'The Legal Aetfons 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 a4er Proof of Loss has been received by
L's. No such action may be brought alter six (ti) years from the
time Proof of Loss is reyuired to be given.
PPlEW-RDRI-Sll 05/07
Applicable for Residents of the State of Vermont
In the Termination or Cancellation section the following
is removed:
1'he Company has the right to cancel the Policy at any time
by sending a written notice at least forty five (45) days in
advance to You a[ Your last known address. 1'he notice will
include the reason for cancellation.
And replaced with the following:
`T'he Company has the right to cancel the Policy 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.
PP/IiW-RDRI-V'1' 05/07
Applicable for Residents of the State of Alaska
The opening paragraph in the Exclusion section is
removed in its entirety and replaced with the following which
is added and made 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 or
caused by:
'fhe 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 recover against this Plan
until sixty (GO) days after Proo[ of Loss has been received by
Us. No such action may he brought after three (3) years from
the lime Proof of Loss is reyuired fo he given. If there are any
Claims the three year timeframe does not begin to run until
alter the claim has been denied.
PP11iW-RDRI ~AK 06/07
Applicable for Residents of the State of Oklahoma
The following is added to your Description of Coverage:
WARNING: Any person who knowingly, and with intent to
injure, defiaud or deceive any insurer, makes any claim for the
proceeds of an insurance policy containing any false,
incomplete or misleading information is guilty of a felony.
PPlEW-RDKI-OK 07/07
The following form numbers are applicable to residents cut
the following states:
Arizona and Indiana, Porm Numbers: PP-IND-CCSGI
07/07, PP-[ND-CCSG2 07/07, PP-IND-OS13N107/07, PP-IND-
OSBN2 07/07
Texas, Form Number: PP-IND-'I'X 07/07
Travel Accident ]nsurance is underwritten by AMEX
Assurance Company, Administrative Office, Green 13ay, W [.
Coverage is determined by the terms, Conditions, and
exclusions of Policy AX094R and is subject to Change with
notice to you. 'Phis document does not supplement or replace
the Policy. Please call us at the number at I-800-437-9209
for a complete copy of your terms and conditions or if you
need to file a claim.
Carrier Conveyance (plane, train, helicopter, ship, or
when the entire (are has been charged to the Card. A
of Cardmembership, the Covered Person will receive
level o[ coverage depending on the type of American
Card account to which the entire faze for the Commo
Conveyance was charged for the covered trip. Covers
include the basic Cardmember, each additional Cards
and each of these Cardmember', spouses or domestic
and dependent Children under 23 years of age. All G
Persons must have a permanent residence within the
States of American or the District of Columbia. All n
persons are not Covered Persons under the Policy.
'T'he capitalized terms used herein shall have the t
assigned to such terms in the Policy. Please note that
terms Contained in this summary are defined within
policy document.
Description of Benefits
Accidental Death and Accidental Dismembers
Plan provides coverage for accidental death and
dismemberment due to a loss from an injury while u
in Torte under the Policy, but only if such loss oaurs
1 Ml days after the date of the accident which caused t
If more than one loss is sustained, benefits will be pa
greatest loss.
Benefits are paid according to the following schec
• Loss of Life - I UO%
. Loss of both hands or both feet -100'Yo
• Loss of one hand and one foot -100%
• Loss of entire sight of both eyes -100%
• Loss of entire sight of one eye and one hand or t
100%
• Loss of one hand or one fool - 50%
• [,oss of the entire sight of one eye - 50%.
Common Cartier Benefit. This benefit is payab
Covered Person sustains accidental death or dismem
as a result of an accident which occurs while riding sr
passenger in, or boarding, or alighting from, or being
a Common Carrier Conveyance on a covered trip.
Exposure and Disappearance. If the Covered Pt
unavoidably exposed to the elements because of an a.
a covered trip which results in fhe disappearance, sin
rvrecking of the common cazrier conveyance, and if a
of such exposure, the Covered Person suffers a loss [n
benefits are otherwise payable under the Policy, such
be Covered under the Policy; if the Covered Person's h
not been found within 52 weeks after the date of sod
it will be presumed, subject to there being no evident
contrary, that the Covered Person suffered loss of life
of injury covered by the Polity
Bcnefrciary
The Basic Cardmember may designate a beneficii
change a previously designated beneficiary for himse
herself and his or her spouse or domestic partner anc
dependent children who are not Additional Cazdmer.
Additional Cardmember may designate a beneficiary
change a previously designated beneficiazy for himse
herself and his or her spouse or domestic partner anc
dependent children who are not also [he Basic Cardn
the Basic. Cardmember ~ spouse or domestic partner .
children, or Additional Cardmember,. If no benefici
designated benefits will be paid to the surviving pees
equally to the surviving persons in the first of the full
classes: spouse or domestic partner; children, equally
stirpes; and the estate,
Exclusions
The Yohcy Contains the following exclusions:
• suicide orself-destruction or any attempt theret
sane or insane; intentionally self-inflicted injury, suit
attempt thereat, while sane
• war or any act of waz whether declared or uncles
however, any act committed by an agent of any gover
party, or faction engaged in waz, hostilities, or other ~
operations provided such agent is acting secretly and
connection with any operation of armed forces (whet
military, naval or air forces) in the country where the
occurs shall not be deemed an act of war
• injury to which a contributory cause was the cos
of or attempt to commit an illegal act by or on behalf
Covered Person or hislher beneficiaries
- ,n,i,r.. rN. P,ond ..r6;1,. iarvino ac an nnrratnr nr ,
• injury received while driving, riding as a passenger in,
boarding or alighting from a rental vehicle
• injury received during or as a 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.
Termination or Cancellation
Coverage under the Policy 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 dale we determine that the Covered Person or
someone on the Covered Persons behalf intentionally
misrepresented nr fraud occurred
• the date the policy is cancelled
• the date the basic Cardmember ti account ceases to remain
current and in good standing
• the date the Plan is oat available in the location where the
Covered Person maintains a permanent residence.
'Che Company has the right to 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.'I'he notice will
include the reason for cancellation.
Form Numbers:l'AI-DOC 03/07
Forms [n addition to those listed above are also
applicable to residents in the following states:
Connecticut, Form Number:l'AI-RDRI-Ct' 03107
Illinois, Form Numbec'I'AI-RDRI-[1.03/07
Kansas, Form Number:'TAI-RDRI-KS 03!07
Maine, Form Number'CAI-RDKl-ME 03/07
Mirmesota, Porm Number:l'AI-RDRI-MN 03/07. In the
Exclusions section the following 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, Norm Number.'I'AI-RDRI-NV 03!(17. In the
'Termination and Cancellation section the forty five (45) day
ad vance written notice is replaced by a sixty (60) day advance
written notice.
New York, Dorm Number 1'AI-KDRI -NY (13/07. Covered
Persons does not include language requiring a permanent
residence within the 50 United States oCAmerican or the
District of Columbia. 'Che following replaces the exclusions
found in the Exclusion section:
• suicide, attempted suicide or intentionally self-inflicted
injury.
• war or any act of war, whether declared or undeclared;
participation in a felony, riot or insurrection; service in the
Armed Forces or units auxiliary thereto
• injury in which a contributing cause was [he Covered
Person`s commission of or attempt to commit a felony or to
which a contributing cause was the Covered Person's being
engaged in an illegal occupation
• sickness, except for an infection that was the result of an
Injury
• mental or emotional disorder
• pregnanq•, except complications of pregnancy and except
to the extent coverage is required pursuant to Section 3221 of
the New York Insurance Law
• the consequence of [he Covered Person's being
intoxicated or under the influence ol'any narcotic unless
administered on the advice of a physician.
In the termination and Cancellation section the following
is removed in ifs entirety: the date the Covered Person no
longer maintains a permanent residence in the 50 United
States of America or the District of Columbia.
In the'1'ermination and Cancellation section the following
replaces the language regarding misrepresentation or fraud:
the date we determine that the Covered Person or someone on
the fovered Persons' behalf intentionally misrepresented or
fraud occurred in a written instrument signed by the Covered
Person.
North Carolina, Eorm Number.'I'AI-KDRI-NC U31U7
Oklahoma, Eorm Number.'1'AI-KDRI-OK 03/07. In the
Fxclusions section the following replaces the exclusion
regazding war: war or act crf war, drdared or undeclared, while
serving in the military service or any auxiliary unit attached
thereto.
are stepchildren; adopted or a pazty 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 physically or mentally handicapped
children who are unmazried, cannot self-support themselves,
and are beyond the termination age.
Vermont, Porm Number'CAI-RDRI -V'I' 03/07. In the
Exclusions section the following replaces the exclusion
regarding suicide: suicide or selldeslruction or any attempt
thereat, while sane; intentionally self-inflicted injury, suicide
or any attempt thereat, while sane. In the Exclusions section
the following replaces the exclusion regarding specific
conditions: sickness, physical infirmity, pregnancy, or any
medical or surgical treatment iitt such conditions, unless
treatment oC the condition is nyuired as the direct resuh of an
injury.
Description of Coverage
Car Rental Loss and Damage Insurance provides the
(:ardmember, if the Cardmember is the primary renter, (as
defined below) with insurance coverage for damage to or theft
of most Rental Autos when the Cardmember uses the Card (as
described below) to reserve and pa}' for an auto rental from
any Commercial Car Rental Company ("Rental Company")
other than those located in Australia, Ireland, Israel, Italy,
Jamaica, and New 7.ealand.' Phis coverage is always excess
insurance.
Rental Auto means afour-wheeled, two-axle passenger-
typemotor vehicle, designed for and sold to accommodate
private passenger transport on public roads.
Who is Eligible for Coverage
You are eligible for coverage if:
1. You are a Basic or Additional Cardmember and an
American Express" Card or Optima' Card in association with
that Card (the "Card") has been issued to you in }'our name;
2. You are of an account status and class [hat is provided
Car Rental Loss and Damage Insurance as a benefit of
Cardmembership ("Cardmember°);
3. lour Card account is billed from a U.S. operating center
in U.S, dollars; and
4. You maintain your Permanent Residence within the 50
United States of America, the District of Columbia, Puerto Rico
or the U.S. Virgin Islands.
Permanent Residence means the Covered Persons 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 or
graduate school in the United States and is receiving student
benefits provided as a benefit of Cardmembership is not
eligible for 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 Car Rental company means "Rental
Company"
flow to Activate Coverage
Coverage for theft of or damage to a Rental Auto is
activated when [he Cazdmember:'
I. presents his or her eligible Card to the Rental Company
to reserve the Rental Auto by making a reservation; or by
placing a hold or deposit at the time the Rental Auto is checked
out;
Z. declines 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 delinrd 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 ("Primary Renter"); and
4. uses the Card to pay for the entire auto rental from 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
Cazdmemher, who is physically challenged and unable to
operate the. Rental Auto, may be the Primary Renter if he/she is
When Coverage'I'erminates
Coverage for theft of or damage to the Rental Aut
terminates when:
1. the Rental Company resumes control of the R
Auto, or 30 consecutive days after the Rental Auto wa
out, whichever is earlier; or
2. the Policv is cancelled.
Length of Coverage
Car Rental Loss and Damage Insurance covers ell
Rental Autos when rented under a written rental agrf
from a Rental Company !or no more than 30 consecu
Note: In nv event shall coverage be provided when
Cardmember rents a Rental Auto beyond 30 consecuti
frvm the same Rental Cvmpany, regardless of whether
original agreement is extended, or a new written agree
entered into, or a new vehicle is rented.
Additionally, no coverage will be provided when t
Primary Renter rents a Rental Auto for more than 30
consecutive days out of a 45-day period within the sa
geographic market/location (75 mile radius).
What is Covered
Car Rental boss and Damage Insurance reimburs
Cardmember for payments for damage to or theft of ;
Auto that the Cardmember is required to make, up tr
ot: I) the actual cost to repair the Rental Auto, 2) the
Book value minus salvage and depreciation costs, or
purchase invoice price of the Rental Auto minus saly:
depreciation costs.'The coverage also reimburses the
Cardmember for reasonable chazges (those charges it
the closest facility that are usual and customary in the
in which the loss or disablement took place) imposed
Rental Company, such as towing or storage and boss
Loss of Use means the unavailability of a Rental ~
conseyuent loss of revenue by the Rental Company d'
damage or theft. Unless otherwise required by law, lh
Company must submit a fleet utilization log indicatir
during such time:
I. no other Rental Auto was available; and
2. there was a demand for a Rental Auto.
Car Rental boss and Damage Insurance covers no
type of loss. For example, in the event of a collision it
the Cazdmember's Rental Auto, damage to any other
car or the injury of anyone or anything is not covered
Note: T his policy does not provide liability or any
coverage such as Uninsured Motorists, henefrts underr
Worker's Compensation law, Disability benefits law or
mandated Government Plans.
What E•:xcess Coverage Means
(:ar Kental Loss and Damage Insurance is an exce
insurance plan. 'I'bis means that this excess coverage
reimburse the Cardmember only for losseslexpenses
covered by plans, such as a partial collision damage v
personal auto insurance, employer's auto insurance o
reimbursement plan or other sources of insurance. N
other plans apply, a Cardmember must first seek pays
reimbursement and receive a determination based or
stated terms of such olhet Plans, that any such Plans
provide coverage before this excess coverage will rein
Cardmember.
Y'ehictes Not Covered
Car Rental Loss and Damage Insurance does not
rentals of:
1. expensive cars, which means cars with an aril
manufacturers suggested retail price of $50,000 or m
new;
2. exotic cars regardless of year or value, includi
limited to Chevrolet Corvette,lbyota Supra, Mazda F
Dodge Viper and Stealth, Plymouth Prowler, Mitsubi:
Gt', Nissan 300 ZX,laguar XJS, Acura NSX, Mercedes
S Coupe and E320 Coupe and Convertible, BM W M3
Series, Cadillac Allante and all Porsche, Perrazi, Laml
Maserati, Aston Martin, hotus, Bugatti, Vector, Shelb
Bentley, Rolls Royce;
3. trucks, pick-ups, cargo vans, custom vans;
4. full-sized vans, including but not limited to, F
Econoline or Club Wagon, Chevy Van or Sportvan, G:
Vandura and Rally, llodge Ram Vans and Ram Wago
5. vehicles which have been customized or mod.
the manufacturer's' factory specifications except for d
7. mini-vans used for aimmercial hire;
Note: Passenger Mini-Vans (not Cargo Mini-Vans) with
factory specified seating capacity of 8 passengers or less,
including but not [united to, Dodge Caravan, Plymouth Voyager,
Ford Windstar and Nissan Quest, are covered when rented for
personal or business use only.
8. antique cars, which means cars that are 20 years old or
have not been manufactured for 10 or more years;
9. limousines;
10. full-sized sport utility vehicles, including but not
limited to, Chevrolet/GMC Suburban, "Tahoe and Yukon, Fnrd
Expedition, Lincoln Navigator, Toyota Land Cruiser, Lexus
LX450, Range Rover or full-sirxd Ford Bronco;
11. sport/utility vehicles when driven "oft=road"; and
Note: Compact spore/utility vehicles, inchrdirtg but rmt
limited to Pord Explorer, Jeep Grand Cherokee, Nissan
Pathfinder, Toyota Pour Runner, Chevrolet Blazer arrAlsuzu
'Trooper and Rodeo are covered when driven on paved roads.
12. off-road vehicles, motorcycles, mopeds, recreational
vehicles, golf or motorized carts, campers, trailers and any
other vehicle which is not a Rental Auto.
Losses Not Covered
Caz Rental Loss and Damage Insurance does not cover
losses caused by or contributed to by:
1. operation of the Aental 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);
2. leased ormini-leased vehicles;
3. costs attributed to the Commercial Car Rental
Company's normal course of doing business;
4. intentional damage;
5. illegal activity, such as losses where the Rental Auto was
used for, or involved in illegal activity or felony;
6. pre-existing conditions, damage or defect;
7. alcohol intoxication on the part of the driver, as defined
in the state where the Accident oauned;
8. voluntarily taking any drug or acting under the
influence or effect of shat drug (unless taken as prescribed or
administered by a Doctor);
9. war or militazy activity;
10. radioactivity;
11. confiscation by authority;
12. wear and tear, including gradual deterioration;
l3. damage which is due and confined to freezing,
mechanical or electrical breakdown or failure unless such
damage results from a theft covered by the Policy;
14. failure to return keys to the Kental Company when the
vehicle is stolen;
1.5. theft or damage to unsecured vehicles;
16. theft of or damage to tires (Flats or binwouts), unless
damaged by fire, malicious mischief, vandalism, or stolen,
unless the loss is coincident with and from the same cause as
other loss covered by the Policy; and
17. off-road operation of the vehicle.
Car Rental Loss and Damage Insurance does not cover, and
benefits will not be paid fur.
1, sales tax related to repair of damages, unless
reimbursement of such sales tax is required bylaw;
2. damage to any vehicle other than the Rental Auer,
3. damage to any property other than the Rental Auto,
owner's property, or items not permanently attached to the
Rental Auto;
the injury of anyone or anything;
expenses assumed, waived or paid for by the Rental
Company or its insurer;
6. expenses covered by the Cardmember', personal auto
insurer, employer or employers insurer, or authorized driver's
insurer;
7. value added tax or similar tax, unless reimbursement of
such tax is required by law;
8. diminishment of value;
9. any Rental Auto used for hire or commercial purposes;
and
l0. depreciation, unless reimbursement for depreciation is
required by law.
L[ow to File a Claim
Notification of damage. indudine vandalism. theft. or an
agency as soon as reasonably possible.'fhis requirement
applies regardless of whether the Rental Auto is involved with
other vehicles. Failure to notify may result in denial of benefits.
If a loss occurs, a Cardmember should promptly notify the
Car Rental Loss and Damage Claims Unil loll free at
(800) 33R-1670 in the U.S. only or call (490) 919-295(1 from
other locations worldwide. If the Cailure of a Cardmember to
promptly report a loss prejudices the rights of the Insurer, the
claim may he denied.
A representative will answer any questions a Cardmember
may have and will send the Cardmember a claim form with
instructions. (:omplete and sign the claim form. Written 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 boss and Damage Claims L'niL PO Box, 94729,
(7eveland, Ohio 44101-4729. If the proof of loss and other
documentation is not received within 60 days of the date of
loss, coverage maybe denied.
Required documentation may consist of, but is not limited to:
1. our signed and completed claim form;
2. an itemized repair bill;
3. a copy of charge slip for the rental of the Rental Auto,
Rental Auto contract or machine generated receipt to show
rental was charged and paid for with an American Express
Card;
4, a police report (if applicable);
5. photos of the damaged vehicle, if available;
h. a copy of the Cardmember ~, authorized drivers or
employer's auto insurance coverage, or a notarized letter
staling no insurance;
7. a copy of all claim documents and correspondence,
provided by the Car Rental Company;
8. a copy of the Rental Companys utilization log;
4. a copy of the drivers license of the Cardmember and/or
authorized driver, unless the drivers license number shows nn
the rental agreement;
10. a cop}' of the written rental agreement, front and back,
which documents when the Kental Auto was checked out and
checked in; and
11, inlimnalion pertaining to other available insurance
coverage(s).
Cardmember cooperation with issues related to their
benefits is required. If all nyuired documentation is not
received within 180 days of the date of loss (except for
documentation which has not been furnished for reasons
beyond the Cardmember ~ control), coverage may he denied.
How Benefits are Paid
All Car Kental 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: Benefits wilt not Ge paid if, on the date of loss, on the
date of chum filing, or on the date of potential chum payment,
any amount due on Your Card account is past due or Your Card
is cancelled.'
Rights of Recovery
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.'Fhat
Cardmember mull 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
lass to harm the Insurers rights.
When a Cardmember or Commercial Car Rental Company
has been paid damages under Policy No. AX(l<I25, and also
recovers from another, the amount recovered from the other
shall be held by that Cardmember or 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 [o fully cooperate with the Insurer in
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 oaoers and documents to reasonably assist in the
Notification of Legal Action
When a Cazdmember is served with suit and/or s
papers relating to a Car Rental Loss and Damage clan
Cardmember must notify (see address and phone nu
under Claims Notice section) and provide copies of t
summons papers to the Car Rental Loss and Damage
unit within 15 days of when the Cardmember is servt
to comply may result in denial of benefits.
Additional Information for You
'This coverage is underwritten by AMEX Assuraa
Compan}' ("Insurer") through insurance Policy AX04
"Policy") issued to American Express Travel Related
Company, Inc. and its participating subsidiazies, affil
licensees. The Policy may be changed or terminated.
'Chic Description of Coverage is an important clot
Please keep it in a safe place. Although it describes th
form of insurance as it exists at the time of printing, t
document is not the Policy or contract of insurance. '
benefits described in this documrn[ are subject to all
terms, conditions and exclusions of the Policy issued
underwriter. "Phis document replaces any prior llesct
Coverage under the Policy which may have been fury
the Cardmember.
t,
Jny A. Hanson, President John M. Collins, Se
A1vIfiX Assurance Company AMEX Assurance C
CRL.DI-DOC-CCSG 11105
1. Por chase eligible and enrolled in Membership Rew
Membership Rewards redemption certificate is used, c.
provided only to Rental Autos rented in the United Sta
2. When used in conjunctuon with a Membership Rer
redemption certifutate, the participatingCarRental Ce
are limited to Hertz, National and Budget.
3. If eliguble and enrolled in Membership Rewards, co
also actuvuted when the Cardmember (I) presents a M
Rewards redemption certificate and (2) uses u Membe,
Rewards redemptuon certifitateat a participatingCorr
Car Rental Company Important note for [hose enrolle,
Membershup Rewards: A Membership Rewards redemt
certificate can only be redeemed by eligible Cardmemt
Benefits wall not be paid when a Membership Rewards
redemption certifutate has been transferred to non-elig
Cardmembers and/or non-Cardmembers.
9. Does not apply to New York State residents.
Additional Information for Residents of Louisian.
The Rights of Recovery section is replaced with
following:
Il the Company makes any payment under this Pt
the Cardmember has the right [o recover damages frt
another, the Company shall be subrogated to that rig!
However, the Company's right to recover is subordin:
Cardmember, right to be fully compensated.
CKI,D[-RDRI-LA 11/05
Additional Information for Residents of South lla
Under Losses Not Covered, item number 5. is re
with the following:
Car Rental Loss and Damage Insurance does not
losses caused by or contributed to by:
5. violation of criminal law, or commission of a
act, whether cited or charged;
Under Losses Not Covered, item number 7. is re
with the following:
Car Rental Loss and Damage Insurance does not ,
losses caused by or contributed to by:
7. consumption of alcohol at or in excess of the 1
alcohol level for a felony conviction in the state or lot
which the Aaident occurred;
CIiI.D[-RDRI-SD 11!05
Additional Information for Residents of Vermont
tinder Losses Not Covered, the following item is
removed:
7. alcohol intoxication on the part of the driver,
in the state where the Aaident occurred;
CRLDI-KDRI-VT 1 ]/05
Additional information for Residents of Wisconsit
Under Losses Not Covered, the following items
removes{:
7. alcohol intoxication on the part of the driver, as defined
in the state where the Aaident occurred;
8. voluntarily taking any drug or acting under the
influence or effect of that drug (unless taken as prescribed or
administered by a Doctor);
Under Losses Not Covered, the following item is added:
18. The use of the Rental Auto for unlawful purposes, or for
transportation of liyuor in violation of law, or while the driver
is under the influence of an intoxicant or a controlled
substance or controlled substance analog, or a combination
thereof, or under the influence of any other drug to a degree
which renders him 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-R])Rl-WI 11/05
Additional Information for Residents of West Virginia
Under How Benefits are Paid, the Footnote, to the note
that reads:
Note: Benefits wiii not be paid if, nn the date of toss, on the
date of claim filing or nn the date of poientiui claim payment,
any amount due on Your Card account is past due or Your Card
is cancelled, is hereby revised to read as follows:
Does not apply to West Virginia and New York State
residents.
CRhDI-RDRI-WV 11/05
Additional Information foe Resideuts of North Carolina
A portion o(the fees associated with this Card are applied
to the insurance benefit.
CRLDI-RDRI-NC I1/OS
The following form nutnhers are applicable to residents in
the following states:
Arizona and Indiana, Form Nmnbers: CRLDI-IND-CCSG
it/O5; CRI,D[-IND-OSBN 11/(15; CRLDI-IND-PLAT 11/05;
(:RLDI-IND-CFN 11!05; (:R[,lll-1ND-OSBN-PLAT 11/05;
CRLDI-IND-I:nd 1 10(08
Texas, form Numbers CRLDI-IND-CCSG= I'X 11!05;
CRLllI-IND-OSBN 'I'X 11105; CRLllI-IND-PLAT='CX 11!05;
CRLDI-IND-(:EN=1:X 11/0>; (:RLDI-IND-OSBN-PLAT-'1:X
11105.
The following is added to the policy: Phis policy only
provides Coverage if you decline the full Collision Damage
Waiver offered by the Rental Company.l'hispolicy 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 a 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 fix rental
vehicle damage or loss. I(you file a claim under your personal
automobile insurance policy, your insurance company may
choose to no renew your policy at your renewal date, but may
do so only if you are at fault for the claim.
A Termination and Cancellation section is added:
Coverage will cease nn the earliest of the following - the dale
you no longer maintain a permanent residence in the 50
United States of America or the District of Columbia; the date
we determine that you or someone on your behalf intentionally
misrepresented or fraud oaurred; the date we cancel the
Policy; the date you are no longer a Cardmember; 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
nut cancel or non-renew this Policy based solely on the fact
that you are an elected oflicial.
THE FOLLOWING INSURANCE PLAN IS AVAILABLIi
ONLY FOR COMMON CARRIER TICKETS CHARGED
TO A PLATINUM DELTA SKYM[LES CREDIT CARD:
'Che American Express Card Baggage Insurance Plan is
underwritten by AMEX Assurance Company, Administrative
Office, Green Bay, WI. Coverage is determined by the terms,
conditions, and exclusions o[ Policy AX040O or Policy BIP-1ND
and is subject to chance with notice to you. 'Chia document
the number on the back of your American Express Card for
a complete copy of your terms and conditions.
't'he American lixpress Card Baggage Insurance Plan
provides benefits for a Covered Person's damaged, stolen or lost
baggage, whether checked orcarry-nn, when the entire faze for
common cazrier conveyance tickets aze purchased and charged
to your eligible American Express Card aaount.
Covered Person means: a) the basic Cardmember, each
additional Cardmember, and each of these Cazdmembers'
spouses or domestic partners and dependent children under 23
years of age; orb) ofticers, partners, proprietors, employees,
consultants or employment candidates authorized by a
sponsoring organization, to have common carrier conveyance
fares charged to that sponsoring organization's account Cor a
bona fide business trip. AU Covered Persons must have a
permanent residence within the 50 United States of America,
or the District of Columbia. All other persons are not Covered
Persons under the policy.
Platinum Cazdmember means a Cardmember who has a
Platinum Charge Card (required to be paid in full monthly), a
Corporate Platinum Card, or a Fidelity American lixpress
Platinum Card. Any other Card which may re[erence the
Platinum Warne or has Platinum colored plastic will not receive
higher rnverage limits or benefits.
The capitalized terms used herein shall have the meaning
assigned to such terms in the policy. Certain terms contained
in this summary are defined within the full policy document.
You may file a claim by calling toll-free stateside I-800-645-
9700 or, if from overseas, by calling collect 1-303-273-6493.
You may also write to Baggage Insurance Plan, PO Box 683,
Golden, Cl) 80401.
Description of Benefits
We will pay a benefit to a (:ovend Person for a loss up to
the applicable limits and under the circumstances described
below. For New York Slate residents, there is a $10,000
aggregate maximum limit for all Covered Persons per covered
trip.
Carry-on Baggage Benefit: We will pay a benefit for the
replacement cost, up to $1,250, for each Covered Person nn a
covered trip lorloss of cazry-on baggage. A Covered Person is
eligible for this benefit if the loss occurs while the Covered
Person is upon a common carrier's terminal premises
designated for passenger use, but only when the Covered
Person is upon such premises immediately before boarding or
immediately after alighting from a common carrier
conveyance or while riding solely as a passenger in or boazding
or alighting from a common carrier conveyance while on a
covered trip.
Checked Baggage Benefit: We will pay a benefit for the
replacement cost, up to $500, for each Covered Person on a
covered trip for loss of checked baggage. (Bicycles are covered
when checked as baggage with a common carrier conveyance.)
Iligh-risk Items Benefit: We will pay a maximum benefit
of $250, tix each Covered Person on a covered [rip for loss of
high risk items. High-risk items include, but are not limited to:
jewelry; sporting eyuipment; photographic or electronic
eyuipment; and computers and audio/visual eyuipment.
Common Carrier Conveyance Benefit: We will pay a
benefit for the replacement cost, up to $1,250, for each Covered
Person on a covered trip, when a common carrier conveyance
ticket is purchased in advance of a covered trip, for loss to
baggage while the Covered Person is riding solely as a
passenger on a common carrier conveyance when going
directly to a common carriers terminal for the purpose of
boarding a common carrier conveyance or when leaving from
a common carriers terminal directly after alighting from a
common carrier conveyance.
Platinum Cazdmembers Carry-on and Checked Baggage
Benefit: We will pay a benefit for the replacement cost o[
carry-on baggage up to a maximum of $3,000 for each Covered
Person on a Crnered Trip. We will pay a henefit for the
replacement cost of checked Baggage up to a maximum of
$2,0(10 for each Covered Person on a (:overed Trip. Il a
Covered Persons loss on a covered trip includes the
replacement cost for bolhcarry-on and checked baggage, the
benefit under this plan is limited to a combined total of $3,000.
For New York State residents: We will pay a benefit for the
replacement cost ofcarry-on baggage up to a maximum of
$2,1100 for each Covered Person on a covered trip. The $10,000
aggregate maximum limit for all Covered Person per covered
Platinum Cazdmembers Common Carrier Con
Benefit: We will pay a benefit for the replacement cc
$3,00(1, for each Covered Person on a covered trip, wt
Common Cazrier Conveyance ticket is purchased in
a covered trip. For New York State residents: We wi
benefit for the replacement cost, up to $2,000, for eat
Person nn a covered trip, when a common carrier cot
ticket is purchased in advance of a covered trip.
Iixclusinns
Benefits are not payable if the -oss for which cove
sought was directly or indirectly, wholly or partially,
contributed to or caused by the following: war or any
war, whether declared or undeclared; any act by cusU
other governmental authority whether involving you.
or by confiscation or reyuisition (except the 1'ranspot
Security Administration); defective workmanship, ne
wear and tear and gradual deterioration, or any illeg;
or on behalf of the Covered Person.
Items Not Covered: "Phis plan does not insure: ca
eyuivalent, notes, accounts, bills, currency, deeds, fnr
or evidences of debt or intangible property; credit cat
other travel documents (including, but not limited to
passports and visas); securities; tickets and documen
and animals; automobiles and eyuipment; motorcyd
motors; aircraft, boats or other conveyances; or props
shipped as freight or shipped prior to the covered trig
departure date.
Iixcess Coverage
1[ any loss under this plan is insured under any o
and collectible policy, then this plan shall cover such
subject to its exclusions, conditions, provisions and n
terms herein, only to the extent that the amount of st
in excess of the amount of such other insurance whit
payable or paid.
Termination or Cancellation
Coverage will cease on the earliest of the followin
you nn longer maintain a permanent residence in the
United States of America, or the District of Columbia
we determine that you or someone on your behalf int
misrepresented or fraud occurred; the date the Polic}
benefit under the Policy is cancelled; the date you ter
your account and are no longer a Cardmember or you
is Cancelled by American lixpress; the date your acco
to remain current and in good standing; or the date t
not available in the location where you maintain a pe
residence. 'lrmination or Cancellation of coverage
prejudice any claim originating prior to termination
cancellation subject to all other terms of the Policy. V
the right to cancel the Policy at any time by sending a
notice at least sixty (60) days in advance to you at yot
known address.'Che notice will include the reason fo.
cancellation.
Form Numbers: BIP-DOC 07/07,BIP-DOC-I'1.A
Forms in addition to those listed above aze also
applicable to residents in the following states:
Alaska, Porm Number: BIP-RDRI -AK 07/07
Kansas, Porm Number: B1P-RDRI-KS 07/07
Kentucky, Porm Number: BIP-RDRI-KY 07/07.
'termination or Cancellation section is revised to sem
written notice of cancellation at least seventy-five (75
advance to you at your last known address. 'the nofic
include the reason for cancellation.
Louisiana, Porm Number: BIP-RDRI-],A 07!07.
definition of Domestic Partner and all references to I
Partner are removed from the Description of Coveral
Maryland, Porm Number: BIP-RDRI-MD 07/07
New York, Form Number: B[P-RDRI-NY 07/07
Oklahoma, Porm Number: BIP-RDR]-OK 07/07
lollowing is added to the Description of Coverage: 1N
Any person who knowingly, and with intent to injure
or deceive any insurer, makes any claim fnr the pence
insurance policy containing any false, incomplete or
misleading information is guilty of a lelony.
Vermont, Porm Number: BIP-RDRI-V'L' 07107
Washington, Porm Number: BIP-RllKI-WA 07/~
Wisconsin, Form Number: BIP-RDRI-WI07/07
The following form numbers are applicable to
in the following states:
Arizona, Indiana and Texas, Porm Numbers: BI
narna om rnrn nr ~•rmuw
s-MERIfAN Gold Delta SkyMiles® Credit Card
CARLOS VAZQUEZ
Closing Date 06/12/12
New Balance $5,318.78
Minimum Payment Due $834.00
Includes the past due amount of $728.00
Payment Due Date 07/07/12
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 payoffyour 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 17 years 312,340
Minimum Payment Due
If you would like information about credit counseling services, call 1-888-733-4139.
See page 2 for important information about your account.
O Your account has been cancelled and suspended.
+ Pleasefold on the perforation below, detach and return with your payment +
/~. D E L T A p• 1/3
Account Ending 0-82009
To view your Delta SlcyMiles~
balance, visit delta.com
Account summary
Previous Balance 55,318.78
Payments/Credits -$0.00
New Charges +$0.00
Fees +$0.00
Interest Charged +$0.00
New Balance $5,318.78
Minimum Payment Due $834.00
Credit Limit $5,000.00
Available Credit $0.00
Cash Advance Limit 50.00
Available Cash $0.00
Days in Billing Period: 30
Customer Care
Pay by Computer
america nexpress.com/pbc
Customer Care Pay by Phone
1-800-430-1000 1-800-472-9297
See page 2 for additional information.
® Payment Coupon ~ PaybyComputer ~ PaybyPhone Account Ending0-82009
Do not staple or use paper clips amencanexpress.com/pbc 1-800-472-9297 Enter account number on all documents.
Make check payable to American Express.
CARLOS VAZQUEZ
1038 S 17TH ST
HARRISBURG PA 17104-2621
Payment Due Date
07/07/12
New Balance
X5,318.78
Minimum Payment Due
$834.00
AMERICAN EXPRESS
Check here if your addressor P.O. BOX 1270
phone numberhaschanged. NEWARK NJ 07101-1270
Note changes on reverse side. III~~~'~~~Ir~~IIII~~~r~~Il~~~ll~~'~Ilrr~l"rrrl~r~lll~~~~l~~ll
0000349991778922666 000531878000083400 09 r•
S ~
Amount Enclosed
Exhibit "~_"
~ARLOS VAZQUEZ Account Ending 0-82009 p. 2/3
Payments: Your payment must be sent to the payment address shown on your statement and must be received by 5 p.m. local time at that addressto
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 clearablethrough 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 clearablethrough 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, unless a particular rate is required by law.
Please do 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-presentto your financial institution any payment that is returned unpaid.
Permissionfor Electronic Withdrawal: (1) When you send a check for payment, you give us permission to eledronicallywithdraw your paymentfrom
your deposit or other assetaccount. We will processchecks electronically by transmitting the amount ofthe check, routing number, account number
and check serial number to your financial institution, unlessthe 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 deposit or 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 deposit or other assetaccount 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 interestchargesaredetermined. The method we use to figure the ADB andinterestresultsindailycompoundingofinterest.
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 otherwisectisclosed) balance transfersbeginning
on the transaction date.
Foreign CurrencyCharges: 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 charges 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 asairlines)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 balance 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 maybe 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 1-800-518-8866.
Customer Care & Billing Inquiries
International Collect
Large Print & Braille Statements
Express Cash
SkyMiles Account Balance and
Award Redemption
1-800-430-1000 Hearinglmpaired
1-336-393-1111 1TY:1-800-221-9950
1-800-430-1000 FAX:1-800-695-9090
1-800-CASH-NOW InNY:1-800-522-1897
1-800-325-3999
delta.com/skymiles
Changeof Address
If correct on front, do not use.
• To change your address online, visit wwwamericanexpress.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
Website: americanexpress.com
Mobile Site: amexmobile.com
Customer Care
& Billing inquiries Payments
P.O. BOX 981535 P.O. BOX 1270
EL PASO, TX NEWARK NJ
79998-1535 07101-1270
Pay Your Bill with AutoPay
• Avoid late fees
• Save time
Deduct your payment from your bank
account automatically each month
Visit americanexpress.com/autopsy
today to enroll.
Zip Code
Area Code and
Home Phone
Area Code and
Work Phone
Email
For information on how we protect your
privacy and to set your communication
and privacy choices, please visR
www.amedcanexpress.com/privacy.
' nnnERwaN Gold Delta SkyMiles® Credit Card
EXPRESS
CARLOS VAZQUEZ
Closing Date 06/12/12
/~. D E L T A p. 3/3
Account Ending 0-82009
Amount
Total Fees for this Period $0.00
Interest Charged
Amount
Total InterestChargedfor this Period $0.00
2012 Fees and Interest Totals Year-to-Date
Amount
y.__.._._.._____._.___._..__.r.....____..___..__..._...__ T._.._._. _._..__._. ~__..~.__ _..~___~_ ._______._ _.~_.~_.___...___
Total Fees in 2012 $95.00
Total Interest in 2012 $130.60
Interest Charge Calculation
Your Annual Percentage Rate (APR) is the annual interest rate on your account.
Annual
Percentage Rate
Balance Subject
to Interest Rate
Interest
Charge
Purchases 14.50% (v) $0.00 $0.00
Cash Advances 25.24% (v) $0.00 $0.00
Total --- #0•~
(v) Variable Rate
VERIFICATION
I, 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.
Demetrios H. Tsarouhis, Esquire
Date: February 18, 2013
130025.001
5
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION-LAW
American Express Bank FSB, a Federal .
Savings Bank �-, h, r,
Plaintiff �' `
: No. 2013-01054 rrn W -
=rrl = r'�
V. z"3 r -.0 r
. --<--- CAD t"-'
CARLOS VAZQUEZ c == -'
3>(---, ° ca-,-i
Defendants .7-cp �_
130025.001 ZyC c) �1:
PRAECIPE FOR JUDGMENT
TO THE PROTHONOTARY OF SAID COURT:
Enter Judgment in favor of Plaintiff and against: CARLOS VAZQUEZ , for want of Answering the
Complaint and Entry of a Defense.
Assess damages as follows:
Debt $5,318.78
TOTAL $5,318.78
® I certify that the foregoing assessment of damages is for specified amounts alleged to be due in the complaint and is
calculable as a sum certain for the complaint.
Z Pursuant to Pa.R.C.P. 237 (notice of praecipe for final judgment or decree), I certify that a copy of this praecipe has
been mailed to each other party who has appeared in the action or to his/her Attorney of Record.
® Pursuant to Pa.R.C.P. 237.1, I certify that written notice of the intent to file this praecipe was mailed or delivered to
the party against whom judgment is to be entered and to his/her Attorney of Record, if any, after the default occurred and
at least ten days prior to the date of the filing of this praecipe and a copy of th otice is attached.
DATE: )` V r` DEMETRIOS H. TSAIIS
Attorney for Plaintiffs +11o,5DpJ AM/
21 S. 9th Street C,#I IqJ
Allentown, PA 18102
610-439-1500
Attorney ID 88513 Ai `Tice/lidded
NOW, I, / , 2013, JUDGMENT IS ENTERED AS ABOVE.
/ , Prothonotary
By:
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
CIVIL ACTION-LAW
American Express Bank FSB, a Federal •
Savings Bank
Plaintiff
: No. 2013-01054
v.
•
CARLOS VAZQUEZ •
Defendants
• 130025.001
CERTIFICATION OF ADDRESSES
TO THE PROTHONOTARY:
The address of the plaintiff, judgment creditor, is 4315 S 2700 W, Salt Lake City UT
84184, and the last known address of the defendant(s),judgment debtor(s) is as follows:
CARLOS VAZQUEZ
107 JUNE DR
CAMP HILL PA 17011
DATE: (%� _�� 7 " Le r 3 DE ETRIOS H. TSAROUHIS
Attorney for Plaintiffs
21 S. 9t Street
Allentown, PA 18102
610-439-1500
Attorney ID 88513
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
CIVIL ACTION-LAW
American Express Bank FSB, a Federal .
Savings Bank
Plaintiff
v. : No. 2013-01054
CARLOS VAZQUEZ •
Defendants
•
. 130025.001
AFFIDAVIT OF NON-MILITARY SERVICE
COMMONWEALTH OF PENNSYLVANIA
•
SS.
COUNTY OF LEHIGH •
I, Demetrios H. Tsarouhis, being duly sworn according to law, deposes and says
that he is the attorney of plaintiffs, that he is authorized to make this affidavit on behalf of
plaintiffs; that the above-named defendant CARLOS VAZQUEZ reside(s) at 107 JUNE DR,
CAMP HILL PA 17011 ; and that the defendants are not in the Military Service of the United
States, nor any State or Territory thereof or its allies as defined in the Service Members Civil
Relief Act and the amendments thereto.
.�,L -
Demetrios H. Tsarouhis,
Attorney for Plaintiff
Sworn and subscribed
Before me this ` ay
of i j u. , 201
Notary Publi
NOTARIAL SEAL
TAMMY L.COVEN
Nota Public
CITY OF EASTON, NORTHAMPTON COUNTY
My Commission Expires Sep 21, 2014
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY
CIVIL ACTION—LAW
•
American Express Bank FSB, a Federal
•
Savings Bank,
Plaintiff
v. : NO. 2013-01054
CARLOS VAZQUEZ,
Defendant
130025,001
To:
CARLOS VAZQUEZ
107 JUNE DR
CAMP HILL PA 17011
IMPORTANT NOTICE
YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY
OR BY ATTORNEY AND FILE IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE
CLAIMS SET FORTH AGAINST YOU. UNLESS YOU ACT WITHIN TEN DAYS FROM THE DATE OF THIS
NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE
YOUR PROPERTY OR OTHER IMPORTANT RIGHTS.
YOU 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
Respectfully Submitted,
DEMETRIOS H.TSAROUHIS
Attorney for Plaintiff
Attorney ID#88513
21 S.9th Street
Allentown,PA 18102
Tel:(610)439-1500
Date: June 11,2013
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,
PENNSYLVANIA
CIVIL ACTION-LAW
American Express Bank FSB, a Federal
Savings Bank
Plaintiff
: No. 2013-01054
v.
•
CARLOS VAZQUEZ
Defendant •
• 130025.001
NOTICE OF FILING JUDGMENT
To:
CARLOS VAZQUEZ
107 JUNE DR
CAMP HILL PA 17011
Pursuant to Pennsylvania Rule of Civil Procedure 236, you are hereby notified that a
Judgment has been entered against you in the above proceeding as indicated below.
• Money Judgment.
If you have any questions concerning this notice, please call Attorney Demetrios H.
Tsarouhis at this telephone number: 610-628-2440, or, you may contact Attorney Demetrios H.
Tsarouhis, Esq. via written correspondence at 21 S. 9th Street, Allentown, PA 18102.
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DATE: ,Prothonotary