Model Form A

ABC Prepaid Card
The following is a complete list of fees you may be charged. For a full list of terms and
conditions, visit www.ABCPrepaid.com/fees or see the enclosed account agreement.
Initial purchase of card (online/in-store)
Set-Up & Activation
Maintenance Monthly fee
Inactivity (if no transactions for 3 months)
Add
Money
Withdraw
Money

$0/$5.95
$1.00
$5.95*
$4.95 per month

Direct deposit
Cash reload

$0
$3.95 or less**

ATM (in-network/out-of-network/international)
Teller
Cash back with purchase

$0/$2.50**/$5.00**
$2.50
$2.00

Purchase (with signature/with PIN)
Online bill pay
Make
Purchases Foreign transaction
Bill pay using paper check or money order

$0/$2.00
$0.50 per trans.
3% of transaction
$2.95

ATM balance inquiry (in-network/out-of-network/international)
Online or automated by phone
Get
Live agent customer service
Account
Information Paper monthly statement
Electronic monthly statement
Access to electronic transaction history

$0/$2.50**/$5.00**
$0
$2.50 per call
$2.50
$0
$0

Other
Fees

Replacement or additional card
Expedited replacement card
ATM decline
Purchase decline
Stop payment
Refund check
Low balance fee

$9.95
$24.95
$1.95
$1.95
$4.95
$2.50
$2.00

*$0 if at least $1,000 loaded onto card or 30 purchases made in that month.
**Third party fees may also apply.
No overdraft fees.
Security of Funds: Your money is not protected against unauthorized transactions until you register this card. Funds
FDIC-insured upon registration. Your funds will not expire due to inactivity.
For More Information:
• For more information about prepaid cards, including comparison shopping resources, visit prepaids.consumerfinance.gov.
• For questions or complaints about ABC company, contact the Consumer Financial Protection Bureau at 855-411-2372,
855-729-2372 (TTY/TDD) or consumerfinance.gov.
In Case of Account Errors: You have a right to dispute errors. If you think there is an error, contact us at 888-123-4567 or
www.ABCPrepaid.com. You can also contact us for a written explanation of your rights.
To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial
institutions to obtain, verify, and record information that identifies each person who purchases a product like this card.

Form A – Full, Dynamic