CHECK RECONCILEMENT---THIS FORM IS PROVIDED TO ASSIST …

CHECK RECONCILEMENT---THIS FORM IS PROVIDED TO ASSIST YOU IN BALANCING YOUR CHECKING ACCOUNT

CHECK RECONCILEMENT---THIS FORM IS PROVIDED TO ASSIST YOU IN BALANCING YOUR CHECKING ACCOUNT

LIST CHECKS OUTSTANDING NOT CHARGED TO YOUR CHECKING ACCOUNT

PERIOD ENDING

CHECKLNISTUMCHBEERCKS OUATMSTOAN UNDITNG NOT CHARCGHEDECTO K YNOUUMRBCERHECKINGAMACOCUONUTNT

CHECK NUMBER

AMOUNT

CHECK NUMBER

AMOUNT

TOTAL TOTAL

, 20 PERIOD ENDING

1.

SUBTRACT FROM YOUR CHECK REGISTER ON THIS CHECK STATEMENT WHICH YOU

AH,N2A0YVECNHOATRGPERSEVLIIO STUESDLY

1.

SUDBETDRUACCTTEFDROFRMOYMOUYOR UCRHEBCAKLARNEGCIES.TAELRSAONAYDCDHAANRGYEDS ILVISIDTEEDNDS. ON THIS CHECK STATEMENT WHICH YOU HAVE NOT PREVIOUSLY

$ 2. DEENDUTECRTECDHFERCOKMBYAOLUARNBCAELANCE. ALSO ADD ANY DIVIDENDS. SHOWN ON THIS

2. ENSTTAETRECMHENECTKHBEARLEANCE SHOWN ON THIS STATEMENT HERE

+ $ 3. ENTER DEPOSITS MADE LATER THAN

+ $ 3. ENTHTEEREDNEDPIONSGITDS ATE

{{ MOAFDTEHLAISTER THAN

TSHTEAETNEMDEINNGT DATE

$ +$ +$

OF THIS STATEMENT

+$

+$

4. 4.

(2T(2POTLPTOULATSULA3S)L3) $ $ IN YOUR CHECK REGISTER, CHECK OFF ALL

CHECKS PAID AND, IN AREA PROVIDED AT

$ INLYEOFTU, RLISCTHNECUKMRBEEGRISSTAENRD, CAHMECOKUNOTFFSAOLFL ALL $ CHUENCPKASIDPACIDHAECNKDS, IN AREA PROVIDED AT

LEFT, LIST NUMBERS AND AMOUNTS OF ALL UNPAID CHECKS

_ $ 5. SUBTRACT TOTAL _ $ 5. SUCBHTERCAKCSTOTOUTTASLTANDING

6. CTHHECISKASMOOUUTNSTTANSHDOINUGLD 6. TEHQISUAAMLOYUONUTRSCHHOEUCLKD

EQREUGAILSTYO ERUBRACLHAENCCKE

$$

REGISTER BALANCE

IF YOU DO NOT BALANCE VERIFY ADDITIONS AND SUBTRACTIONS ABOVE AND IN YOIFUYROCUHEDCOK NREOGTISBTAERL.ACNOCMEPARE THE DOLLAR AMOUNTS LISTED ON THIS STATEMENT

WVITEW RHIIFTTYHHAETDHCDEHITCEICHOKENCSAKAMANOMDUONSUUTNBSTTLRSIASLTCISETTDIW EODW ININTISINHYTAOHYTBOUHTOUHREVREEDCDACHENPHEEPODECOCSKISIKNTIRTRYAEAO EGMGMUIOSIOSRTTUUECENRNRH.T.TECCSSCOORRKEMEMRCCPPEO O AAGRRRRISEEDDTTTEEEHDHDRE.EIICNDNDOO YO YO MLOLLPULUAARARRRRCEACAHTMHHMEOECEOCUKDUKNRONTRELTGEO LGAIOSFRITSFDETAREDEMP.REOOP. SO UITNSSITTLSSISLLTIISSETTDEEDODNOONTNHTTIHSHISSITSSATSTATETAMETEMENMETNENT T

PEPREIROIODIDCICSTSATATTEEMMEENNTTDDISISCCLLOOSSUURES FORR OOPPEENNAANNDDCCLLOOSSEEDDENENDDLOLAONASNS

EEAACCHHLLOOAANNMMARKED ** IISSOOPPEENNEENNDD

BBIILLLLIINNGG RRIGHTS SSUUMMMMAARRYY

InInCCasaeseooffEErrrroorrssoorr QQuueessttiioonnssAAbboouuttYYoouurrSStatatetemmenetnt

FORFOHROHMOEMEEQEUQITUYITPYLPALNASNS

In CIansCeaosfe EorfrEorrrsoorsr oQruQeusteisotniosnAsbAobuotuYtoYuorurBBillill

IAuIfnsny,yobgoIAuIYuufneu???ostnylr,tyueodbhgolsueoudieu???n,ttoilrnCtktADDedheglcnsoeoAeirycn,o,ltsoisolnCtkgaADDotcueuigrcr9voAehnryrcwi,ealso0sbatolgaombcviuue0iiulrnre9vlinrwlo3sieaftl0nbtouthm0bitieo0oiurlnsnheli-mlo3sttft0lenpo:wueh0aptio8Transherf-mtrryot3thri0eoeo:weolap1ea8Tlnsnrfotrrrnoe.3:hrigdoW eowyYorla1,elnsonovonroiea.:egnldeWwudYlmrra,agoorvmnyoiroeenileuoidlfnrnaxuugarmuyyarfmepsniooifomrntnxutalauroyaufmpsrheoimiomrntuinlegaronunar,haeahmiqeuininttergftnuenai,daashooyeeifndtt.rftroneifsadsoooyftdu:c.mtroinmfahocou:ccmtoeonmhcayrcuoeonswoeanyuru,nsuoehtwsinu,npiuntnwlsihfenepouonnyhfcemrowuoytylcmmraeeobtylmtdaeaobeueatdtaeruereri.tborererit.boernrhtielornhnialoearvianea.vbren.vbe6ose6ot0uti0ugththdatedteaaraiaryneytestgsrri,aiasaasbnfnftautasseenntaarrccyeetwtworriioorureeoonnassrr.re.eooIeInnfnfnttysyyotyyoyioooulouluuuuonrnrtebtehbelhbeieidgleidlla,lm,twrmewrsodrstorirttbietretobeieliliunliplounsfoaonsfyaorntmawrt:thmwFha:etiF&haciotpih&AcinaohtAr,nhdtFt,seehedFsoeedeecrfesredrycirorbeorarreiurobloartreChrlboetrpCihrleirletordpetehbimrittaodleetbUmiymtaolenruUyameipooannpurnaoeeip,oaatpuPrrniee.nenO,adsuPurq..Y.neruOBoedseuuo.s.aYrtxbBcoieooauo3nnau0xb.cttW.8oae3n3lueh01tpti.8l,ehe3Lloew1onp,eeshLoones

You idnvoesntoigtatheavyeoutroqpuaeystaionny, wameocuannntoint rqeupeosrttioyonuwahsildeelwinequaernetionrvetsatkiegaatninyga,cbtuiotnytooucaorlelecsttitllheobalmigoatuendt ytooupqauyetshtieonp.arts of your bill that are not in question.While we

invesPtiLgAatNe ySoOurTqHueEsRtiTonH, wAeNcHanOnoMt EreEpoQrUt yIoTuYas delinquent or take any action to collect the amount you question.

PLAWNhSatOTToHDEoRITf HYoAuNThHinOkMYEouEFQinUdITAYMistake On Your Statement

WhaIftyoTuothDinok ItfheYroeuis TanheinrrkorYoonuyFoiunrdstAateMmeisntta, wkreitOe tno Yuos uatr: SFt&aAteFmeednertal Credit Union, P.O. Box 30831, Los Angeles, CA 90030-0831.

If yoIuntyhoinukr ltehteterre, gisiveanusertrhoerfoollnowyoinugrisntfaotremmaetinotn,:write to us at: F&A Federal Credit Union, P.O. Box 30831, Los Angeles, CA 90030-0831.

In your le?tter, gAicvceouunst tinhfeorfmolalotiowni:nYgouinrfonramaetaionnd: account number.

? ?

? ?

ADcoclolaDDuroenasltlcamrirnipoafotumironmnot:uaoTntfthio:PeTnro:hdbYeoloeldmulaor:rlIlnfaaarymmoaoumeutonahuntinndoktfaotcthfhceteorheuesnuisstsupansnepucemetcrebtrdeoedrre.erorrnoroyr.ro.ur

bill,

describe

what

you

believe

is

wrong

and

why

you

believe

it

is

a

mistake.

Y?ou muDsetsccorinptaiocnt uofs Pwroitbhlienm6:0Ifdyaoyus athftienrktthheeerreroisraanppeerarorerdoonnyyoouurrbsitlal,tdeemsecnrtib. e what you believe is wrong and why you believe it is a mistake.

You Ymousmt cuostnntaocttifyususwoitfhainy6p0odteaynstiaalfteerrrothrseinerwrorirtianpg.pYeoauremdayoncayllouusr, bsutattiefmyoeuntd.o we are not required to investigate any potential errors and you may have to pay the

You ammuosutnntointifqyuuesstoiofna.ny potential errors in writing.You may call us, but if you do we are not required to investigate any potential errors and you may have to pay the

amoWunhtilien wqueeisntvieosnt.igate whether or not there has been an error, the following are true:

While ? ?

?

we?? ? ?

W TmW inhviesheetW TmW Wisaclctehkaiiheeshegenytaai,anccolrcetykaaogheuoennyeta,nuwodraytoiguoprnohwetypuednqitliltytornolwuhoynateenqinloctsorhluoytotnateioolvuochslhreetnontaaicpnovlvhtlmteeeaoonaictvtdatthmtpeoyoteaathathymrppyoeaeeaatmromyrpyheaeuaoetmatmnyhhhuitanoeaatenmsahuiatnogaenbmoainmtoneaiuoninmeyonnqsuontutuyonquonyeiautunrotunsneinturqtissinerottuqisrianotnqecurtar,noseuqeteot,semuerido,tromesitierotstnhreintnoer,leinitoey,mpn,tyopfno,aooioouatnrolu.nlrrtdoratdaayrwaywrenowneoiyuenyruergeieaimnamnsssatsptpareaedodyeoyrreenenectcllssssirioonnititubbnnqqooellttuuee:rriineneffoounounotetrtetrhhoottettehonhonrreetfctfcehrehhrheeaeeaasmatrmstrgaragareemaieemnlianyoldatyoodueetouueenrdunrdtoi.tntoiof.tntofeyttoreyhteourahsertuatsrtabtomaabnolmaaonntluaohcnntauehtctn..aetat..maomuonut.nBt.uBt,uift,wifewdeetdeermteirnme itnheatthwaet

made a we made

a

? We can apply any unpaid amount againIsNt yCoAurScEreOdiFt lEimRitR. ORS OR QUESTIONS ABOUT YOUR BILL

In Case of Errors Box 30831, Los

oArnQgeuelessti,oCnsAAb9o0u0t3Y0o-u0r8E3le1INcatrsCosnoAicoSTnrEaasnOsyfoFeursEcTaRenlRe, ipfOhyooRnuSethuOisnRakt:yQ1o-uU8r0Es0tSa-2tTe2Im2O-e1Nn2tS2o6rAorBercO3e2iUp3tT-i2sY6w8Or-o1Un2Rg2o6BroIiLrf ywLoruitneeuesdamt: Fo&reAinFfoerdmeartaiolnCarbeoduitt

Union, P.O. a transfer on

In Cathse sotfaEtermroernstoorrQreucesiptito.WnseAmbuosutthYeoaurrfrEolemctyrounincoTrlatnesrfetrhsaTne6le0pdhaoynseafutesratw: 1e-s8e0n0t -y2o2u2t-h1e2F2IR6SoTrs3ta2t3em-2e6n8t-o1n22w6hiochr wthreiteerruosraot:rFp&roAblFemedaeprpaelarCedre. dit Union, P.O.

Box 308?31, LToesll Ausnygoeulrensa,mCeAan9d0a0c3co0u-0nt83nu1mabsesro(oifnanays)y. ou can, if you think your statement or receipt is wrong or if you need more information about a transfer on

the statem? entDoersrcercibeeiptth.W e eerrmorusotrhtehaertrfraonmsfeyroyuounoarleatuenrsuthreanab6o0udt,aaynsdaeftxeprlawineassecnletayrolyuatshyeoFuIRcaSnTwsthayteyomuebnetloienvewithiischantheerreorrrorr worhypryobulenmeedapmpoearereidnf.ormation.

? ? TellTuesllyuosutrhenadmolelaarnadmaocucnotuonfttnhuemsubseprec(itfeadneyr)r.or.

W? e wilDl iensvcersitbigeatteheyoeurrrocormorpltahinet tarnadnswfeilrl cyoorureacrteanuynseurroerapbrooumt,patnlyd. Ifewxpelatainkeasmcolereartlhyaans1y0obuucsainneswshdyayysotuobdeoliethvies,iwt eiswanill ecrerodrit oyoruwrhayccyoouuntnfeoerdthmeoarmeoinufnotrymoaution. th?ink isTeinlleursrothr,esodothllaatryaomuowuilnlthoavfeththeesusepeocfttehdeemrroonre.y during the time it takes us to complete our investigation.

We Iwmilpl ionrvetastnigtaBteaynokurrucpotmcyplIaninfotramndawtioillncorrect any error promptly. If we take more than 10 business days to do this, we will credit your account for the amount you thinkIf iysoiun oerrryooru, sroacthcoatunyot uiswsuilbl jheacvtetothpeeunsdeinogfbtahnekrmuopntceyypdruorcienegdtihnegst,iomreifityotaukehsavuesrteoceciovemdpalebteanokurrupintcvyesdtiisgcahtiaorng.e, this statement is for informational p urposes

only and is not an attempt to collect a debt.

Rev. 6/13

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