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Credit Card Application

Application Type
Applicant Information
References
Agreement
  • Step
    Application Type *
  • Step

    Primary Applicant

    Employment Information

    If employed for less than 2 years at your current job:

    Additional Income

    Additional Income

    Credit References

    Creditor Account Number Balance Monthly Payment

    Debts

    Additional Outstanding Debts

    Automobile #1

    Automobile #2

    Joint Applicant Information

    Employment Information

    If employed for less than 2 years at your current job:

    Additional Income

    Additional Income

    Credit References

    Creditor Account Number Balance Monthly Payment

    Debts

    Additional Outstanding Debts

    Automobile #1

    Automobile #2

  • Step

    References

    Reference 1

    Reference 2

    Additional Questions

    Have you ever filed bankruptcy? *
    Are you co-maker on any loan *
    Are you liable for any child support, or maintenance payments *
  • Step

    Disclaimers

    Consensual Security Interest

    You grant us a security interest in all individual and joint share and/or deposit accounts you have with us now and in the future to secure your credit card account. Shares and deposits in an IRA or any other account that would lose special tax treatment under state or federal law if given as security are not subject to the security interest you have given in your shares and deposits. You may withdraw these other shares unless you are in default. When you are in default, you authorize us to apply the balance in these accounts to any amounts due. For example, if you have an unpaid credit card balance, you agree we may use funds in your account(s) to pay any or all the unpaid balance. By signing or otherwise authenticating below, you are affirmatively agreeing that you are aware that granting a security interest is a condition for the credit card and you intend to grant a security interest. You acknowledge and agree that your pledge does not apply during any periods when you are a covered borrower under the Military Lending Act. For clarity, you will not be deemed a covered borrower, and your pledge will apply, if: (i) you become obligated on a credit transaction or establish an account for credit when you are not a covered borrower; or (ii) you cease to be a covered borrower.

    Signatures

    By signing or otherwise authenticating below:

    1. You promise that everything you have stated in this application is correct to the best of your knowledge, and that the above information is a complete listing of what you owe. If there are any important changes you will notify us in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, increase, renewal, extension, or collection of the credit received. You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. If you request, the Credit Union will tell you the name and address of any credit bureau from which it received a credit report on you. It is a crime to willfully and deliberately provide incomplete or incorrect information in this application.
    2. If you are applying for a credit card, you understand that the use of your card will constitute acknowledgment of receipt and agreement to the terms of the Consumer Credit Card Agreement and Disclosure.