SIMpro's Money Network Reloadable Debit Card Program

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1 National Headquarters: 250 East Hartsdale Avenue Station Plaza, Suite 28 Hartsdale, NY (877) 9SIMpro ( ) SIMpro's Money Network Reloadable Debit Card Program Getting your new card with us is FUN, FAST & EASY...as easy as 1,2,3: Store Name: Address: Owner Name: Store Number: Mobile Number: SSN#: (Select One) Sole Proprietor LLC Partnership Please sign below to authorize that you are applying for a Money Network debit card with SIMpro! Signature: Date: PLEASE FAX OR PAGES 1-3 TO: or Fax: THANK YOU FOR CHOOSING SIMpro! Pg1

2 Money Network Pay Selection Record Employer Instructions Version: PSR M-4 (PSR M-4 Money Network Pay Selection Record - Standard (49 States) docx) For: Money Network clients who do not offer employees the ability to split their pay between Direct Deposit and Money Network (for use in all states except New Hampshire) Purpose: The Federal Reserve Board s Regulation E, the laws of many states, and your agreement with Money Network, require that you offer Direct Deposit to an account of the employee s choosing as an alternative to Money Network. The Pay Selection Record (the PSR ) below describes those options, and is the method by which you obtain the employee s election. How to Use the PSR below (and enable 100% electronic payroll): 1. Integrate the text and layout of the PSR below into your electronic or paper process so your employee s options are clear and to capture their selection. If they select Direct Deposit, then collect the routing and account numbers, and account type (collectively, the Account Information ), according to your Direct Deposit enrollment procedure. Note that the PSR states that the employee must provide the Account Information to you according to that procedure. Retain the PSR, for future reference, according to your retention policy for other employee payroll records. 2. For existing employees prior to your First Live Pay using Money Network (your FLP ): Money Network recommends that you (i) communicate (using Money Network s rollout materials) your initiative to offer two options to employees Direct Deposit or the Money Network Service; (ii) include the PSR; and (iii) require that employees submit the completed PSR by a certain date prior to your FLP (which date must be at least three (3) business days [thirty (30) days in Michigan] after the employee receives notice of your requirement). For example, on November 1, 2013, communicate that employees will be paid by Direct Deposit or Money Network beginning January 1, 2014, and that employees must submit a completed PSR by December 1, If the employee does not submit a completed PSR by December 1, 2013, they are deemed to have consented to be paid via Money Network, but they may change that election at anytime in the future by submitting a new PSR. After December 1, you will have the list of employees to be enrolled in Money Network for your FLP (namely, those who submitted a PSR electing Money Network, plus those who did not submit a completed PSR). This example timeframe gives employees more than three (3) business days (thirty (30) days in Michigan) before December 1, and enables a smooth and orderly implementation schedule. 3. For new employees hired after your FLP: Money Network recommends, at least three (3) business days (thirty (30) days in Michigan) prior to the date you need the employee s election of the method of payment of their pay, you notify the employee in writing to submit a completed PSR and the Account Information of their bank account if they wish to be paid by Direct Deposit. If they do not submit a completed PSR and the Account Information within three (3) business days (thirty (30) days in Michigan) of that notice, they are deemed to have consented to being paid via Money Network; however they may change that election at anytime in the future by submitting a new PSR. Note: The three- (3) business-day timeframe matches the Form I-9 timeframe, so incorporating the PSR timeframe into existing hiring processes may not add significant burden (except in Michigan). Even for employees you hire and have start work the same day, you must allow three (3) business days (thirty (30) days in Michigan) to submit a completed PSR and the Account Information, just as you must allow three (3) business days for the employee to provide identification documents for I-9. If you are unable to integrate this three- (3-) business-day (thirty- (30-) day in Michigan) timeframe into your hiring process, you cannot pay an employee using Money Network for their first pay. Changes: Insert your company name in the blank at the top of the PSR. You may also add your logo. No other changes should be made to the PSR. The text, layout, and font size of the PSR should not be changed. Confirmation: Your Implementations, Relationship, or Account Manager will request confirmation of how you have integrated the PSR into your process. Thank you, Money Network Pg2

3 Employee Pay Selection Record ( Employer ) offers two options to receive your pay, Direct Deposit or the Money Network Service. Please review these options and make your selection below. Option 1: DIRECT DEPOSIT Employer will pay all of my net pay as selected below ( Direct Deposit ) into the account (the Account ) at the financial institution with the routing and account numbers and account type (collectively, Account Information ) I have provided separately to Employer according to Employer s procedure. Option 2: MONEY NETWORK SERVICE Employer will pay all of my net pay as selected below using the Money Network Service (the Service ) and I may use either of the following options: Money Network Check. The Money Network Check ( Check ) is a paycheck that I can easily complete on or after each payday morning wherever I am, eliminating the need to pick up my paycheck, wait for it to be mailed, or pay for it to be cashed. The Check can be deposited into my personal bank account or cashed for free at Money Network check-cashing partners. Money Network Payroll Debit Card. The Money Network Payroll Debit Card ( Card ) provides a dependable, safe, optional, and convenient way to receive and access my pay on and after each payday morning with the following features: (i) eliminates the need to pick up my paycheck, wait for it to be mailed, or pay for it to be cashed; (ii) immediate, worldwide access wherever the Card is accepted for ATM cash withdrawals, bank-branch withdrawals, and store purchases (including cash back ); (iii) money transfers to a personal or joint checking account; and (iv) free balance inquiries by phone or online. There is no monthly service charge for the Card as long as I am employed by Employer. Many Card transactions are free (and I need never incur a fee to access 100% of my wages, to the penny, using the Service), but there are fees for other transactions. The Terms and Conditions, fee schedule, and other disclosures related to the Service are included in the Service s Welcome Packet. Once I have consented to those terms and contracted for the Service by activating my Service account by following the instructions in the Welcome Packet, I may begin to use the Service. I HEREBY ELECT TO HAVE MY PAY DISTRIBUTED AS INDICATED: (REQUIRED: MAKE ONE CHOICE BY CHECKINGTHE A OR B BOX AND WRITING YOUR INITIALS ABOVE YOUR SELECTION BELOW) B Initials DIRECT DEPOSIT MONEY NETWORK SERVICE I authorize Employer to pay me by Direct Deposit or the Service, according to the selection I checked and initialed above. In case of payment of funds to which I am not entitled, I authorize Employer to withdraw such funds from the Account or the Service. Unless I am already paid by Direct Deposit, I acknowledge that, in order to choose Direct Deposit, I must submit a fully completed Employee Pay Selection Record ( PSR ) and Account Information (defined above). The PSR and Account Information must be submitted to Employer within three (3) business days (thirty (30) days in Michigan) of receiving notice to do so. If I fail to satisfy these requirements to be paid by Direct Deposit, I agree that I will be paid using the Service. However, I understand that I can change my pay selection at any time in the future by submitting a new PSR and Account Information according to Employer s procedure (subject to the time it takes Employer to implement the change). My election will remain in effect unless Employer and/or Program Manager cancels this arrangement. To help the government fight the funding of terrorism and money laundering activities, Federal law requires financial institutions to verify and record identity information before opening an account such as the account provided when you enroll in the Service. To permit this identification so that my pay to be placed in such an account, I authorize Employer to share my name, address, date of birth, Social Security Number, identification documents, and related personal information with Money Network and the issuing bank. EMPLOYER USE ONLY Signature* Printed Name* Date* Employee ID Number * Required 2/3/2015 Pg3

4 FEE AND TRANSACTION LIMIT SCHEDULE FOR THE MONEY NETWORK SERVICE The Money Network SeNice will deduct applicable fees from your Money Network () Account balance for the senices and transactions listed below. For details, see your Account Holder Agreement and other infonnation contained in your Welcome Packet, visit moneynetwork.com or call Customer Service at We reserve the right to revise the Fee Schedule from time to time, and will notify you in accordance with your Account Holder Agreement and applicable law. You acknowledge that by maintaining an Account and/or continuing to use the Services after such notification, you are thereby agreeing to any such revisions to the fees. I SPENDING MONEY ATM Withdrawals (see below for ATM balance inquiry and decline fees) I U.S. In-Network ATMs including Allpoint ATMs To find participating In-Network ATMs, use the Money Network mobile app (available at the App Store and Google Play ), visit moneynetwork.com or call Customer Service. ATM Withdrawals (see below for ATM balance inquiry and decline fees) I U.S. Out-of-Network ATMs ATM Withdrawals (see below for ATM balance inquiry and decline fees) I Non-U.S. ATMs A foreign transaction conversion fee of 2% will apply to non-u.s. transactions. A Cross Border Transaction Fee of 0.8% will also apply. See "Foreign Transaction Fees" in your Account Holder Agreement for details. Bank Tell er Over-the-Counter Cash Withdrawal (at any bank that displays the logo shown on your card) Money Network Check (use, order, or stop payment; cash at participating check-cashing locations) To find participating locations, use the Money Network mobile app (available at the App Storee and Google Play ). visit monevnetwork.com or call Customer Service. Signature Point-of-Sale Transactions (for purchases, declines and returns) I U.S. and Non-U.S. A foreign transaction conversion fee of 2% will apply to non-u.s. transactions. A Cross Border Transaction Fee of 0.8% will also apply. See "Foreign Transaction Fees" in your Account Holder Agreement for more information. PIN Point-of-Sale Transactions -with or without Cash Back (for purchases, declines and returns) I U.S. and Non-U.S. A foreign transaction conversion fee of 2% will apply to non-u.s. transactions. A Cross Border Transaction Fee of 0.8% will also apply. See "Foreign Transaction Fees" in your Account Holder Agreement for more information. Transfer Funds to a U.S. Bank Account (ACH transfer) Transfer Funds from your Account to a Secondary Card I MANAGING MONEY Monthly Account Maintenance Fee (fee waived with qualified loads) 1 Balance Inquiries and Alerts I via Mobile App, Automated Phone System, Customer SeNice, Online Access, or Notifications (push, or text) Your wireless carrier's standard messaging and data rates may apply. Balance Inquiries and Declines at ATM I U.S. ATMs (In-Network and Out-of-Network) Balance Inquiries and Declines at ATM I Non-U.S. ATMs Customer SeNice 2417 Reµlac.;ement Card with Standard Delivery Replacement Card: Additional Fee for Expedited Delivery Monthly Paper Statement by Mail You may view statements online at no charge. You may also call to request transaction information or a printed 60-day history at no charge. Request a Secondary Card for a Family Member, Dependent or Caregiver I ADDING MONEY Direct Deposit of Other Funds (for example: tax refunds, child support, etc.) Load Cash at Participating Reload Locations (fee set by each reload location) To find participating reload locations, use the Money Network mobile app (available at the App Store and Google Play ), visit moneynetwork.com or call Customer Service. $5.00 $0.25 $3.00 $10.00 $13.00 $2.95 Varies I TRANSACTION LIMIT SCHEDULE 2 A TM Withdrawal Limit $600 per transaction and per day (ATM owner may have lower limits) Transactions at Point-of-Sale (POS) $3,000 per transaction and per day Money Network Check Limit $9, per check (some check-cashing locations may have lower limits) Bank Teller Over the Counter Cash Withdrawal $8,000 per transaction and per day (bank may have lower limits) Primary Payor Loads $20,000 per day and per calendar month Retail or Reload Agent Loads $2,500 per transaction and per day; $5,000 per calendar month ACH Loads (other than Primary Payor or Retail) $4,000 per day; $8,000 per calendar month Card Balance Maximum Allowed $20,000 ACH Transfer to a Bank Account $8,000 per transaction Transfer to Secondary Card $1,000 per transaction 1 Subject to Account Holder Agreement. This fee will be applied to your Account whenever there is no load activity for a previous six consecutive month period. 2 For security and regulatory reasons, we may further limit the number, type, or dollar amount of the transactions you may make using your Account, or suspend the use of your Account and/or Card First Data Corporation. All Rights Reserved All trademarks, service marks and lrade names referenced in this material are the property of their respecllve owners Cards are issued by MetaBankn.i, Member FDIC. App Slore 1s a service mark of Apple Inc Google Play 1s a lradema1k of Google Inc. FEE_ 1099 TPPAY _FSA_v I I I II Ill (A.P. 1 OF 1) QC1643

5 TABLA DE LiMITES DE CARGOS Y TRANSACCIONES PARA EL SERVICIO MONEY NETWORK<!!> El Servicio Money Network deducira cargos aplicables de! saldo de tu Cuenta Money Network () por los servicios y las transacciones que figuran a continuaci6n. Para mas detalles, consulta el Contrato de titular de cuenta y otra informaci6n incluida en tu Paquete de bienvenida, visita moneynetwork.com o llama a Servicios al cliente al Nos reservamos el derecho de revisar la Tabla de cargos de forma periodica y te notificaremos conforme al Contrato de titular de cuenta y la ley aplicable. Reconoces que al mantener una Cuenta y/o seguir usando los Servicios despues de dicha notificacion, estas aceptando por ello las revisiones que se realicen a los cargos. I CUANDO USAS EL DINERO Retiros en cajeros automaticos (ver mas abajo para consultas de saldo y rechazos en cajeros) I Cajeros dentro de la red en EE. UU. incluidos los de! Allpoint Para encontrar cajeros automaticos participantes dentro de la red, usa la aplicacion movil de Money Network (disponible en la App Store y en Google Play ), visita monevnetwork.com o llama a Servicios al cliente. Retiros en cajeros automaticos (ver mas abajo para consultas de saldo y rechazos en cajeros) I Cajeros fuera de la red en EE. UU. Retiros en cajeros automaticos (ver mas abajo para consultas de saldo y rechazos en cajeros) I Cajeros fuera de EE. UU. Aplicara un cargo del 2% por conversion de transacciones internacionales para transacciones fuera de EE. UU. Tambien aplicara un cargo del 0.8% por transaccion internacional. Para mas informacion, consulta los "Cargos por transacciones internacionales" en tu Contrato de titular de cuenta. Retiro de efectivo en el mostrador de! banco (en cualquier banco que tenga el simbolo que figura en tu tarjeta) Cheque de Money Network 1 "' (uso, pedido o de:tenci6n de pago; cobro en los cenlros de cobro de cheques participantes) Para encontrar centros participantes, usa la aplicacion movil de Money Network (disponible en la App Store yen Google Play ), visita moneynetwork.com o llama a Servicios al cliente. Transacciones con firma en puntos de venta (para compras, rechazos y reembolsos) I Deniro y fuera de EE. UU. Aplicara un cargo del 2% por co nversion de transacciones internacionales para transacciones fuera de EE. UU. Tambien aplicara un cargo del 0.8% por transaccion internacional. Para mas informacion, consulta los "Cargos por transacciones internacionales" en tu Contrato de titular de cuenta. Transacciones con PIN en puntos de venta, con o sin retiro en efectivo (para compras, rechazos y reembolsos) I Deniro y fuera de EE. UU. Aplicara un cargo del 2% por conversion de transacciones internacionales para transacciones fuera de EE. UU. Tambien aplicara un cargo del 0.8% por transaccion internacional. Para mas informacion, consulta los "Cargos por transacciones internacionales" en tu Contrato de titular de cuenta. Transferencia de fondos a una cuenta bancaria en EE.UU. (transferencia ACH de la Camara de Compensaci6n Automatica) T ransferencia de fondos de tu Cuenta a una T arjeta Secundaria I CUANDO ADMINISTRAS EL DI NERO Cargo de mantenimiento de cuenta mensual (los cargos se eximen para recargas calificadas)' Consultas y alertas de saldo I Mediante la aplicaci6n m6vil, el sistema telef6nico automatizado, Servicios al cliente, el acceso en linea o notificaciones (push, correo electr6nico o mensaje de texto) Pueden aplicar las tarifas estandares de mensajes y datos de tu compaiiia de telefonia movil. Consultas de saldo y rechazos en los cajeros automaticosl Cajeros en EE. UU. (dentro y fuera de la red) Consultas de saldo y rechazos en Jos cajeros automaticosj Cajeros fuera de EE. UU. Se1vicios al cliente las 24 horas, los 7 dias de la semana Reemplazo de tarjeta con entrega estandar Reemplazo de tarjeta: Cargo adicional por entrega inmediata Estado de cuenta mensual impreso enviado por correo Puedes ver en linea los estados de cuenta sin costo. Tambien puedes llamar y solicitar informacion sobre las transacciones o un historial impreso de 60 dias sin costo. Solicitud de una Tarjeta Secundaria para unfamiliar, dependiente o cuidador I CUANDO AGREGAS DI NERO Dep6sito directo de otros fondos (por ejemplo: reembolsos de impuestos, pension alimenticia, etc.) Carga de efectivo en centros participantes de recarga (los cargos varian segun cada centro de recarga) Para encontrar centros participantes, usa la aplicacion movil de Money Network (disponible en la App Store y en Google Play ), visita moneynetwork.com o llama a Servicios al cliente. I TABLA DE LiMITES DE TRANSACCIONES 2 Limite de retiros en cajeros automaticos T ransacciones en puntos de venta Limite de Cheques Monev Network Retiro de efectivo en el mostrador de un banco Recargas de! pagador principal Cargar fondos a!raves de centros minoristas o de agentes de recarga Recargas de ACH (que no sean de! pagador principal o minorista) Saldo maxi mo de la T arjeta Transferencia tipo ACH a otra cuenta bancaria $5.00 $0.25 $2. 00 $3.00 $10.00 $13.00 $2.95 $600 por transacci6n y por dia (el propietario de! Cajero puede tener Ji mites mas bajos) $3,000 por transacci6n y por dia Varia $9, por checiue (rilg11nos r,p.ntros rje. Gobro cte. rhi:iques p11eden tener 1!1"1i!es mas bajos) $8,000 por transacci6n y por dia (el banco puede tener Ii mites mas bajos) $20,000 por dia y por mes calendario $2,500 por transacci6n y por dia; $5,000 por mes calendario $4,000 por dia; $8,000 por mes calendario $20,000 $8,000 por transacci6n 1 Sujeto a los Terminos y Condiciones, se aplicara este cargo en su Cuenta cuando no se registre una recarga en la misma durante un pcriodo anterior de seis meses consecutivos. 2 Por motivos normativos y de seguridad, podemos limitar el numero, monto o tipo de transacciones quc puedes hacer con tu Cuenta o suspender el uso de tu Cuenta y/o Tarjeta First Data Corpora lion T odos los derechos reservados. T odas las marcas comerc1ales. las marcas de servic10 y los nombres comerciales mencionados en este material son prop1edad de sus respect1vos dueiios. Las lal)etas son em1hdas por MetaBankn.o, m1embro de la FDIC App Store es una marca de servic10 de Apple Inc. Google Play es una marca re91strada de Google Inc FEE_ 1099 TPPAY _FSA_v2

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