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Money debit card application form and method of processing same

  • US 4,616,852 A
  • Filed: 11/26/1984
  • Issued: 10/14/1986
  • Est. Priority Date: 11/26/1984
  • Status: Expired due to Fees
First Claim
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1. As an article of manufacture, a printed form comprising a manually detachable first and second sections, with each side of said form bearing reading matter of differing content the entire first section further comprising on one side an application for issue of a money account debit card that is adapted for use in automatic computing machines and bearing an overt serial number on said one side, and the obverse side of which form has in part a return mail legend directed to a debit card issuing agency, the separable second section further comprising a three sheet form, which sheets are manually detachable from each other with the obverse side of the lowest sheet consisting of a second return mail legend directed to the same card issuing agency, said the second section further comprising the following elements:

  • a. a printed instruction top sheet providing space for entry of a several digit number to constitute the personal identification number (PIN) of the card applicant and also reciting instructions for proper disposition of the second section components after their separation from the upper first section;

    b. a paper sheet interleafing the front and back sheets and adapted to record the number manually entered on the front side of the front sheet to the front side of the back sheet;

    c. the back sheet being adapted to permanently record the said entry number on its face as an identification code; and

    d. both of the top and back sheets displaying the said serial number as in the first section, thereby serving to correlate the biographical data of said applicant with said identification number when needed.

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