Fair Credit Opt Out Reply Form

Complete this form and return to the address shown below to elect to opt out of Superior Finance sharing nonpublic personal information related to consumer credit transactions with other Superior Finance affiliates.

Name :

Mailing Address :

City :
 State :
 Zip :

Account No. :

Social Security No (optional) :

Signature :

Date :

If you make an opt out election, you may not be notified of offers that you may find beneficial.

Arvest Bank Privacy Officer
PO Box 1640
Lowell, AR 72745