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Thank You for applying for the

Merrick Bank Secured Visa® Card!
Take the next step to complete the application process:
Send funds for your Security Deposit in an amount between $200 and $3,000 using any of the Funding Options below. Once
your deposit has been established, your application will be processed and, upon approval, your Merrick Bank Secured Visa Card
will be sent to you. It’s that easy.

In the event your application is not approved, your funds will be returned to you in full within 20 days from the date it was
received. No fees or penalties will be assessed if your application is not approved.

Your application will be processed as soon as you fund your account using one of the options below.

Your Western Union® agent will ask you to complete a form. You will need the following information to make sure your
funds are routed to Merrick Bank:

Dollar Amount : $200-$3000

POS Name: Merrick Bank
Code City: Merrick, NY
Funding Reference Number: 86460847

Please be sure to reference your name and Funding Reference Number. Failure to include this information can result in a
delay of the processing of your application.

Your MoneyGram® agent will ask you to complete a form. You will need the following information to make sure your funds
are routed to Merrick Bank:

Dollar Amount : $200-$3000

Pay to: Merrick Bank
Code City: 1585
Funding Reference Number: 86460847

Please be sure to reference your name and Funding Reference Number. Failure to include this information can result in a
delay of the processing of your application.

Print and clip the Deposit Coupon below and include with your check, Cashier’s Check, or money order.
Merrick Bank Visa Secured Credit Card Deposit Coupon Deposit via United States Postal Service

Customer Information
Payable to: Merrick Bank
Mail To: Merrick Bank, PO Box 660839
Dallas, TX 75266-0839
Funding Reference Number: 86460847

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Please be sure to reference your name and Funding Reference Number. Failure to include this information can result in a
delay of the processing of your application.

Please remember funds must be received within 30 days to complete the application process.

If you have any questions about your status, please call 1-877-727-6885.

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