Visa® APPLICATION - Valley First Credit Union

- Visa® APPLICATION Individual Credit
THIS ACCOUNT WILL BE:
P.O. Box 1411
Modesto, CA 95353-1411
(209) 549-8500
(877) 549-4567
valleyfirstcu.org
NOTICE:
(1) If you have a spouse or registered domestic partner ("RDP")*, you must complete CO-APPLICANT section about your spouse or RDP if:
(a) You live in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI); or
(b) The property used to secure the loan is located in a community property state; or
(c) Your spouse or RDP will use the Account.
Your spouse or RDP should not sign this application unless he/she wishes to be obligated on this Loan as a Co-Borrower. If you have a spouse/RDP, you may still apply for individual credit.
(2) If you are under 21 years of age, you must either:
(a) Provide proof of your ability to make the required payments; or
(b) Complete the CO-APPLICANT section and obtain the signature of a co-signer or joint applicant who is at least 21 years of age and has the means to repay the debt and agrees to joint liability
* Refers to RDP's in a state with RDP laws that provide for community property rights that mirror those of a spouse.
CREDIT LIMIT REQUESTED:
$
Applicant Information
LAST NAME
Co-Applicant Information
FIRST NAME
SOCIAL SECURITY NO
M.I.
DATE OF BIRTH
APT. NO
HOME ADDRESS
CITY, STATE, ZIP
TYPE OF HOUSING
OWN OR BUYING
OTHER:
PREVIOUS ADDRESS
HOW LONG? (yrs/mos)
RENT
LAST NAME
HOME PHONE
SOCIAL SECURITY NO
CELL PHONE
HOME ADDRESS
E-MAIL ADDRESS
CITY, STATE, ZIP
MONTHLY RENT/MORTGAGE
TYPE OF HOUSING
OWN OR BUYING
OTHER:
$
(street, city, state) (If less than 2 years at current address.)
PREVIOUS ADDRESS
Applicant Income
Spouse/RDP
other
FIRST NAME
M.I.
DATE OF BIRTH
HOME PHONE
APT. NO
CELL PHONE
E-MAIL ADDRESS
HOW LONG? (yrs/mos)
MONTHLY RENT/MORTGAGE
RENT
$
(street, city, state) (If less than 2 years at current address.)
Co-Applicant Income
EMPLOYER NAME (or source of income) *
BUSINESS PHONE
EMPLOYER ADDRESS
HOW LONG? (yrs/mos)
SEE REVERSE SIDE FOR IMPORTANT DISCLOSURE
INFORMATION ABOUT Visa CARDS
Joint Credit
GROSS MONTHLY INCOME
SELF EMPLOYED?
YES
NO
EXT
CITY, STATE, ZIP
(If self employed, supply last 2 years tax returns)
EMPLOYER NAME (or source of income) *
EMPLOYER ADDRESS
HOW LONG? (yrs/mos)
$
BUSINESS PHONE
GROSS MONTHLY INCOME
SELF EMPLOYED?
YES
NO
EXT
CITY, STATE, ZIP
(If self employed, supply last 2 years tax returns)
$
PREVIOUS EMPLOYER'S NAME & PHONE NO. (If less than 2 years w/current employer)
PREVIOUS EMPLOYER'S NAME & PHONE NO. (If less than 2 years w/current employer)
* Alimony, child support, or separate maintenance income need not be included if you do not choose to have it considered as a basis for repaying this obligation.
* Alimony, child support, or separate maintenance income need not be included if you do not choose to have it considered as a basis for repaying this obligation.
Applicant Personal Reference
Co-Applicant Personal Reference
NEAREST RELATIVE (Not Living with You)
RELATIONSHIP
NEAREST RELATIVE (Not Living with You)
RELATIONSHIP
ADDRESS
PHONE
ADDRESS
PHONE
Agreement
1. Under penalty of perjury, you certify that the information given on this application is true, complete and given for the purpose of requesting
a loan.
2. You authorize to request a consumer credit report in connection with this application. You understand that the Credit Union will use the information
on this report to evaluate your credit worthiness.
3. You authorize the Credit Union to disclose information regarding your account to credit bureaus and creditors who inquire about your
credit standing.
4. Pursuant to State Law, you are hereby notified that a negative credit report reflecting on your credit record may be submitted to a credit reporting
agency if you fail to fulfill the terms of your credit obligations.
5. You agree that by signing, retaining, using, or authorizing another to use this card or its account number, to be liable for all charges on the account
by all authorized users and to be bound by the most recent account agreement and disclosure and all amendments that will be forwarded to
you by the Credit Union.
6. You have read and agree to the above terms.
SIGNATURE (APPLICANT) X _______________________________________________________________ DATE ________________
SIGNATURE (CO-APPLICANT) X _______________________________________________________________ DATE ________________
OPTIONAL: BALANCE TRANSFER
You authorize the Credit Union to pay off your other debts in the amount of $ _________________________ (to the nearest dollar). Please enclose copies of the most recent statement(s).
SIGNATURE (APPLICANT) X ______________________________________________________________ DATE ________________
SIGNATURE (CO-APPLICANT) X ______________________________________________________________ DATE ________________
IMPORTANT DISCLOSURE INFORMATION - Visa CARDS
Interest Rates and Interest Charges
P.O. Box 1411
Modesto, CA 95353-1411
(209) 549-8500
(877) 549-4567
valleyfirstcu.org
Annual Percentage Rate
(APR) for Purchases,
Balance Transfers and
Cash Advances
Visa Platinum
8.99%*
*
to
, based on your creditworthiness and your APR
will vary with the market based on the Prime Rate
18.99%
Visa Platinum Share Secured
8.99%*
*
to
, based on your creditworthiness and your APR
will vary with the market based on the Prime Rate
FOR Visa PLATINUM SHARE SECURED CARD
USE ONLY
PLEDGE OF SHARES FOR Visa PLATINUM
SHARE SECURED CARDS (SPECIFIC)
I, ______________________________, pledge to Valley First Credit
Union a security interest of $____________ in my Account number
____________ to secure my Visa Platinum Share Secured Credit
Card Account. I understand this is a condition of my receiving a Visa
Platinum Share Secured Credit Card Account. In the event I default
on the Visa Platinum Share Secured Credit Card Agreement, these
funds will be applied to the amount owing.
Signature ______________________________ Date __________
Signature ______________________________ Date __________
PLEDGE OF SHARES FOR Visa SECURED
CARDS (CONSENSUAL)
By signing below you pledge and grant us a security interest in all
shareholdings (except retirement accounts) now or hereafter on
deposit with us to secure your Visa Secured Credit Card account.
You authorize us to apply these shareholdings to pay any amounts
due on the account or under this agreement if you should default.
18.99%
Visa Young Adult
14.40%
How to Avoid Paying
Interest on Purchases
Your due date is at least 25 days after the close of each billing cycle. We will
not charge you any interest on purchases if you pay your entire balance by the
due date each month.
For Credit Card Tips from
the Consumer Financial
Protection Bureau
To learn more about factors to consider when applying for or using a credit
card, visit the website of the Consumer Financial Protection Bureau at
http://www.consumerfinance.gov/learnmore
Fees
Annual Fees
Transaction Fees
 Balance Transfer
 Cash Advance
 Foreign Transaction
Penalty Fees
 Late Payment
 Over-the-Credit Limit
 Returned Payment
None
None
None
1% of each transaction in U.S. dollars (transactions made in foreign currency)
0.8% of each transaction in U.S. dollars (transactions made in foreign currency,
billed in U.S. dollars)
$10.00
None
$25.00
Signature ______________________________ Date __________
Signature ______________________________ Date __________
- FOR CREDIT UNION USE ONLY CREDIT LIMIT: $
UNSECURED
SECURED
NOTES:
APPROVED BY:
DATE:
©2010-2012 California Credit Union League, Law Offices of Thomas H. Wolfe, PC - All Rights Reserved
CU Store Custom #7015E
Updt. 08/2012
PTD 8/12
How We Will Calculate Your Balance: We use a method called "average daily balance (including new purchases)"
* The Prime Rate used to determine the APR is the rate published in The Wall Street Journal on February
29, 2012, which was 3.25%. The APR may change on the last business day of February of each year
and the actual rate adjustment will go into effect at the beginning of the new billing cycle in April. We
will add a margin based on your credit score to the Prime Rate to determine your APR. See the account
opening agreement for more details.
The information about the costs of the cards described in this application are accurate as of August 1, 2012. This
information may have changed after that date. To find out what may have changed, call us at (209) 549-8500
or (877) 549-4567 or write to us at P.O. Box 1411, Modesto, CA 95353-1411.