Complementary Credit Card Portfolio Purchase Evaluation

Please complete the following information. TCM Bank will use this information to prepare and evaluation of your portfolio. The information provided on this questionnaire and the evaluation will be kept confidential and will not be shared with any third party. The evaluation is not an offer to purchase your portfolio.

Financial Institution's Information:
	Date Completed:
	Financial Institution Name:
	Contact Name:
	Contact Title:
	Mailing Address:
	City:
	State:
	Zip:
	County:
	Website:
	Number of DDA Accounts:
	Number of Cities Your Institution Serves:
	Number of Counties Your Institution Serves:
	Asset Size (include as of date):
	Charter Type:
	Primary Regulator:

Who Should Evaluation Results Be Presented To?
	Name:
	Title:
	Phone Number:
	Email Address:

Primary Purpose for Requesting Evaluation:
	Primary Purpose:	Valuation of Assets Need to Outsource Consultation for Potention Improvement Portfolio Sale
	if "Portfolio Sale", Desired Closing Date:
	Timeline to Implement Changes:	Less than or equal to 90 days Less than or equal to 180 days Not Determined

Credit Card Portfolio Information:
	Processor(s) Used:
	Bank ID Corp Number (displayed top right of FIS reports):
	Orginal Program Launch Date:
	How Were Accounts Generated?
	% of In Branch sales?
	% of Portfolio purchased or merged with another FI?
	% of Direct Mail?
	% of Other
	Please add description of "Other" above

Rewards Information:
	Processor or Vendor Used:
	Program Name(s):
	Do you offer ScoreCard?:	Yes No
	If yes, which program do you offer?	Basic Airline Enriched Not Sure
	If "Not Sure", number points to earn free plane ticket?
	Rewards available to cardholder, other than ScoreCard:	Travel Merchandise Cash Back Gift Cards Other
	If "Other", please describe:
	Total of all points available for cardholder redemption:
	As of Date:
	Current Redemption Expense Accrual:
	Points expire?
	Points earned per dollar spend? (Example: 1 point = $1)
	If different rewards are available to some plans, please explain here:

	Are any fees associated with rewards?	Yes No
	If yes, explain:

Underwriting/Risk:
*Consumer Credit Cards*
	Credit decisions for consumer are made at or by:	Central Lending Branch Bank Officers Loan Committee Other
	If "Other", please describe:
	Minimum Credit Line Issued:	$
	Maximum Credit Line Issued:	$
	Number of Chargeoffs due to bankruptcy in last 2 yrs?
	Are all applications, disclosures and cardholder agreements currently in compliance with the CARD ACT of 2009?	Yes No
*Business Credit Cards*
	Credit Decisions for Business and/or Corporate Cards are Made at or By:	Central Lending Commercial Lending Department Branch Bank Officers Loan Committee Other
	If "Other", please describe:
	Minimum Credit Line Issued:	$
	Maximum Credit Line Issued:	$
	Do Any Plans Have Master Billing Accounts?:	Yes No
	Number of Business Accounts with 2 or More Cards Issued:
	Are Personal Guarantees Available for Bus. Accounts?:	Yes No
	Is SSN of the Principal Owner Available on Bus. Accounts?	Yes No
	Number of Cards:
	Maximum Credit Line Issued:	$
*Segregated Business Plans*
	Number with Business Plastics?:
	Current Outstandings with Business Plastics?:
*Mixed Business Accounts within a Consumer Plan*
	How many business accounts?:
	How are business accounts identified and tracked?:

Required Documents:
Please attach the following required documents below. You may also fax them to Judy Pappalard at (813) 200-1363 if you prefer. Indicate plan or program name as appropriate.
	Year end Executive/Cardholder Management reports for last 2 years
	Last 6 months of month-end Executive/Cardholder Management reports
	Reward liability report
	Examples of all Take-One Application(s) currently being used
	Application/Initial Disclosure(s) currently being used for new accounts
	Copy of Cardholder Agreement(s) currently in effect
	Copy of any Change in Terms (CIT) notices sent in the last 2 years
	Copy of lending policies for credit cards
	Copy of APR Bill Code Report
	Plans to be Evaluated Worksheet: (Download Worksheet)

Authorization:
Authorization:
	I authorize, as a bank officer, that TCM Bank, N.A. is allowed to review the BINs Listed above.

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