<p> Request for Additional Information MSUE Bank Balances – June 30, 2017</p><p>County Name: Click here to enter text. Contact person: Click here to enter text. Email & phone: Click here to enter text.</p><p>1- Please provide a list of names/individuals of who is authorized to sign on your MSUE accounts. If you have multiple accounts, please provide information for each account. </p><p>Account number: Click here to enter text. Type of account (ie. Checking, CD, Share, etc.): Click here to enter text. Authorized staff able to sign on MSUE account listed above (list names): Click here to enter text.</p><p>Account number: Click here to enter text. Type of account (ie. Checking, CD, Share, etc.): Click here to enter text. Authorized staff able to sign on MSUE account listed above (list names): Click here to enter text.</p><p>Account number: Click here to enter text. Type of account (ie. Checking, CD, Share, etc.): Click here to enter text. Authorized staff able to sign on MSUE account listed above (list names): Click here to enter text.</p><p>Account number: Click here to enter text. Type of account (ie. Checking, CD, Share, etc.): Click here to enter text. Authorized staff able to sign on MSUE account listed above (list names): Click here to enter text.</p><p>☐ Check box, if it does not apply. </p><p>2- Please provide a list of credit cards used in conjunction with the county bank accounts: (e.g., VISA, MasterCard, store name such as Sam’s Club….). This does not include a request for MSU purchasing card information.</p><p>Credit card name: Click here to enter text. Credit card account number: Click here to enter text. Authorized MSUE staff to use credit card (list names): Click here to enter text.</p><p>Credit card name: Click here to enter text. Credit card account number: Click here to enter text. Authorized MSUE staff to use credit card (list names): Click here to enter text.</p><p>☐Check box, if it does not apply. We do not have credit cards associated with the MSUE bank accounts.</p><p>3- Please provide information regarding store lines of credit: (e.g., ACE, True Value, Glen’s Market, IGA….)</p><p>Name of business: Click here to enter text. Store line of credit account number (if applicable): Click here to enter text. Authorized MSUE staff to use store line of credit (list names): Click here to enter text.</p><p>Name of business: Click here to enter text. Store line of credit account number (if applicable): Click here to enter text. Authorized MSUE staff to use store line of credit (list names): Click here to enter text.</p><p>☐Check box, if it does not apply. We do not have any store lines of credit associated with the MSUE bank accounts.</p><p>Please use additional pages if you have more information to report. Thank you!</p>