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G-25(B)—Revocation Notice for Periodic Statement Regarding Over-the-Credit Limit Transactions

You currently have over-the-credit limit coverage on your account, which means that we pay transactions that cause you go to over your credit limit. If you do go over your credit limit, we will charge you a fee of up to $35. We may also increase your APRs. To remove over-the-credit-limit coverage from your account, call us at 1-800-xxxxxxx or visit [insert web site]. [You may also write us at: [insert address]. ]
[You may also check or initial the box below and return this form to us at: [insert address].]

 I want to cancel over-the-limit coverage for my account.
Printed Name: 
Date: 
[Account Number]: 

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