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Business Credit Card Application

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					                   NEWFIELD NATIONAL BANK -- VISA BUSINESS CREDIT CARD APPLICATION
            Request Type (Select One)                                            Credit Line                                          Billing Option (New Accts)
     ○ New Account             ○ Line Increase                  Credit Limited Requested:    $                                ○ Revolving (R)            ○ Pay In Full (P)

Business Information
Legal Name of Business                                                                    Business Name to Appear on Card (24 characters or less)

Business Physical Address (No P.O. Boxes)                                                 Business Mailing Address

City, State, Zip                                                                          City, State, Zip

Business Phone Number                                                                     Business Fax Number
(      )                                                                                  (       )
Tax ID Number                                                                             Month/Year Business Established

Legal Structure (Pick One)                                                                Non-Profit?
○ Sole Prop ○ Corporation ○ S Corporation ○ Partnership ○ LLC                             ○ No
○ Other:                                                                                  ○ Yes, include last two years financial statements, and copy of minutes showing
Business Gross Annual Sales                                                                 authorization to apply.
$
Nature of Business (Goods or Services provided)                                           Number of Employees


Contact Information
This person will be authorized to obtain account information, as well as make changes to the account. Changes include, but are not limited to, address changes and
addition/deletion of cardholders. It is the responsibility of an authorized party to inform Creditor of any changes to the contact person. (Limit Increase(s) must be requested by
all authorized parties in writing and may required additional documentation, such as updated financials statements.)
                     Contact Name                                Contact Title           Contact Phone Number              Contact Signature (to verify future correspondence)



Principal/Owner/Member/Guarantor Information
All owners of 10% or more, all partners and all members must complete this section and must guaranty this credit. Creditor may request financials and operating agreements.
Authorized Party #1
Name (First, MI, Last)                                      Title                                                      Percentage of Ownership
                                                                                                                                            %
Home Address (No P.O. Boxes)                                Home Phone Number                                          Annual Salary
                                                            (       )                                                  $
City, State, Zip                                            Social Security Number                                     Date of Birth

Authorized Party #2
Name (First, MI, Last)                                      Title                                                      Percentage of Ownership
                                                                                                                                            %
Home Address (No P.O. Boxes)                                Home Phone Number                                          Annual Salary
                                                            (       )                                                  $
City, State, Zip                                            Social Security Number                                     Date of Birth

Authorized Party #3
Name (First, MI, Last)                                      Title                                                      Percentage of Ownership
                                                                                                                                            %
Home Address (No P.O. Boxes)                                Home Phone Number                                          Annual Salary
                                                            (       )                                                  $
City, State, Zip                                            Social Security Number                                     Date of Birth

Authorized Party #4
Name (First, MI, Last)                                      Title                                                      Percentage of Ownership
                                                                                                                                            %
Home Address (No P.O. Boxes)                                Home Phone Number                                          Annual Salary
                                                            (       )                                                  $
City, State, Zip                                            Social Security Number                                     Date of Birth


Cards To Issue
(Cardholders that are not an Authorized Party shown above, bear no financial responsibility for repayment to the Creditor) (SSN used as proof of identity only)
     Card #1         Cardholder’s Name (How it will appear on card)              How many generic cards          Credit Limit       Cash Limit           Billing Option
                     CORPORATE CARD                                                                              $                  $                    ○ (R) ○ (P)
     Card #2        Cardholder Name(s) (How it will appear on card)               Social Security No.            Credit Limit          Cash Limit        Billing Option
                                                                                                                 $                     $                 ○ (R) ○ (P)
     Card #3        Cardholder Name(s) (How it will appear on card)               Social Security No.            Credit Limit          Cash Limit        Billing Option
                                                                                                                 $                     $                 ○ (R) ○ (P)
     Card #4        Cardholder Name(s) (How it will appear on card)               Social Security No.            Credit Limit          Cash Limit        Billing Option
                                                                                                                 $                     $                 ○ (R) ○ (P)

                                                           Must be equal to or less than total limit requested   $
BY SUBMITTING THIS APPLICATION The individuals (“you”) signing below acknowledge and agree to all the Terms and Conditions set forth in this application, (front
and back) and sent to you upon card issuance. You also certify that you have the authority to make this application for the business listed and all information and documents
submitted are verifiable and accurate. You understand that the creditor may ask for additional identifying documents from you and the business to assist with credit decisions
and cooperate with the US Patriot Act. You authorize the creditor to obtain your personal credit report and to provide credit information to credit bureaus about you if
applicable.
PAYMENT You acknowledge that if you selected a revolving payment plan and do not qualify you will automatically be setup as a pay-in-full account.
GUARANTY By signing below, each individual jointly, separately and unconditionally guarantees payment of and agrees to pay creditor for all charges and balances on all
accounts established with this application. Under this Guaranty, the liability of Guarantor(s) is unlimited and the obligations of Guarantor are continuing, including any future
credit limit increases.

X                                                                                             X
Applicant/Authorized Party #1, As Principal/Owner/Member                                      Applicant/Authorized Party #2, As Principal/Owner/Member
And Individually as Personal Guarantor                                                        And Individually as Personal Guarantor

X                                                                                             X
Applicant/Authorized Party #3, As Principal/Owner/Member                                      Applicant/Authorized Party #4, As Principal/Owner/Member
And Individually as Personal Guarantor                                                        And Individually as Personal Guarantor
                                 NEWFIELD NATIONAL BANK
                               VISA BUSINESS CARD DISCLOSURE

                                               Rates & Fees
Annual Percentage Rate (APR) for                            11.99%
Purchases/Balance Transfers
                                                            Fixed
Other APR’s                                                 Cash Advances: 11.99%
                                                            Default Rate1: 19.99%
                                                            APR’s FIXED
Grace Period on Purchases                                   25 Days

Balance Calculation Method                                  Average Daily Balance (including new purchases)


Balance Transfer Fee                                        $0.00


Cash Advance Fee                                            3% ($5.00 Min $20.00 Max)
Late Payment Fee2                                           5% ($5.00 Min $20.00 Max)
Over Limit Fee3                                             $20.00 (when limit is exceeded by $50.00)

Return Payment Fee                                          $20.00

     1.
          Your purchase, balance transfer, and cash advances rates will adjust to the default rate if you are late three times in
          a six-month period. A restored fixed rate after default may range from 11.99% to 15.99%.
     2.
          This fee is applied if the minimum required payment is not received within 15 days after the closing date
          subsequent to the payment due date.
     3.
          This fee is applied if you exceed your credit limit by $50.00.

The information in this application is accurate as of March 2006 and is subject to change after that date. For current
information call our Card Services Department at 1-800-690-3440.




                                                      Benefits
Direct from Newfield National Bank
     •    NO ANNUAL FEE!
     •    Reward Points, $1.00 = 1 Point (Qualified Purchase Dollars only)
     •    Monthly, Quarterly, and Annual Management Reports
     •    Separate Credit & Cash Limits for each Cardholder
     •    Travel Accident Insurance
     •    Travel Advantage Program (including Auto Rental Insurance)
     •    Warranty Services

Direct from Visa (1-800-VISA-911)                  www.visa.com/benefits
     •    Auto Rental Collision Damage Waiver
     •    Emergency Card Replacement and Emergency Cash Disbursement
     •    Purchase Security and Extended Protection
     •    Travel & Emergency Services
     •    Visa Liability Waiver Program

				
DOCUMENT INFO
Description: This is an example of Business Credit Card Application. This document is useful for conducting Business Credit Card Application.