Loan/Credit Card Application

I am applying for:

Amount Requested:
Number Of Cards:

Applicant Information
First Name   Last Name
Date of Birth Mother's Maiden Name
Address
City State Zip
Credit Union Acct. # Length Of Residence
Rent Own Social Security #
Previous Address Length Of Residence
Home Phone E-mail

 

Tell Us About Your Employment 
Present Employer Position
Employer Phone Length Of Employment
Gross Income Monthly Yearly
Other Income* Source*
Former Employer Length Of Employment
Position  
*Alimony, child support, or maintenance payments are optional information and need not be revealed if the applicant does not choose to rely on such income in applying for credit.
 
Your Credit References
Mortgage (Rent) Payment Mortgage Balance
Approximate Market Value (House)    
Checking Account With: Balance
Savings Account With: Balance
 
Co-Applicant Information (if applicable)
Name Relationship
Social Security # Date of Birth
Address  
Mother's Maiden Name Length Of Residence
Rent Own Monthly Payment
Employer Length Of Employment
Employer Phone  
Gross Income Monthly Yearly
Current Position Former Employer

Length Of Employment

Other Income And Source*
*Alimony, child support, or maintenance payments are optional information and need not be revealed if the applicant does not choose to rely on such income in applying for credit.
 
Submitting this application

This statement is submitted to obtain credit and I (we) certify that all information herein is true and complete. I (We) also authorize the Credit Union to verify or obtain further information the Credit Union may deem necessary concerning my (our) credit standing. If this application is approved and a Credit Card(s) issued, the undersigned applicant(s) by signing, using or permitting another to use the Credit Card(s) agree(s) that the applicant(s) will be bound by the terms and conditions accompanying the Credit Card(s) and all amendments. I (We) hereby acknowledge receipt of the Credit Union Credit Card Agreement and Disclosure and Billing Rights that inform me (us) of the terms, responsibilities and rights as a Credit Union Credit Card account user.

I/We acknowledge receipt of the disclosure statement informing me/us of my/our rights under the Electronic Funds Transfer Act and Truth-In-Savings Act, as applicable.

 

Information regarding credit cards
Annual Percentage Rate
Grace Period
Method of Computing the Balance
Annual Fee
Minimum Finance Charge
Transaction Fee for Purchases
Balance Transfer Fee
Other Charges
Classic
12.9%
Purchases - 25 days
Cash Advances accrue interest from the date the advance is made.
Average Daily Balance Method (including new purchases)
NONE
None
NONE
NONE
Late payment fee - $30.00
Over-credit-limit fee - $20.00
Return check fee - $15.00
Platinum
7.90%
Purchases - 25 days
Cash Advances accrue interest from the date the advance is made.
Average Daily Balance Method (including new purchases)
NONE
None
NONE
NONE
Late payment fee - $30.00
Over-credit-limit fee - $15.00
Return check fee - $15.00
Platinum Preferred
9.90%
Purchases - 25 days
Cash Advances accrue interest from the date the advance is made.
Average Daily Balance Method (including new purchases)
NONE
None
NONE
NONE
Late payment fee - $30.00
Over-credit-limit fee - $15.00
Return check fee - $15.00
Credit Builder
16.9%
Purchases - 25 days
Cash Advances accrue interest from the date the advance is made.
Average Daily Balance Method (including new purchases)
$12.00
None
NONE
NONE
Late Payment Fee $25.00
Over Credit Limit Fee $25.00
Return Check Fee $25.00

NOTE: Availability and/or actual rate may vary based on individual creditworthiness of applicant.

 
 
We will begin processing this request immediately after receiving it via e-mail. Please fax verification of income to (347) 418-4081. Thank you.
 
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