credit card application visa

AmeriCU Credit Card Terms Annual Percentage Rate (APR) • Purchases • Balance Transfer APR • Cash Advance APR • Default Penalty APR* Annual Fee Grace period for repayment of purchase balances Method of computing balances for purchases Minimum Finance Charge Cash Advance Fee Late Payment Fee Over-the-credit-limit Fee (105%) Foreign Transaction Fee Platinum VISA® VISA® Gold Classic VISA® MasterCard® 7.9% Fixed APR 10.9% Fixed APR 13.9% Fixed APR 12.9% Fixed APR 7.9% Fixed APR 15.9% Fixed APR 17.9% Fixed APR None 25 days Average Daily Balance (excluding new purchases) $0.50 $0.50 None None $25 $25 $25 $25 1% of the U.S. dollar amount of the transaction $0.50 None $20 $20 $0.50 None $20 $20 10.9% Fixed APR 15.9% Fixed APR 17.9% Fixed APR None 13.9% Fixed APR 17.9% Fixed APR 17.9% Fixed APR None 12.9% Fixed APR 17.9% Fixed APR 17.9% Fixed APR $12** Minimum Payment: $10 or 1/48th of balance, whichever is greater. Non-sufficient fund (NSF) fee: $25.00 fee on pre-authorized debit or returned check due to NSF. *Explanation of Default Penalty APR: If you are in default, your Annual Percentage Rate will be 17.9%. Your account will be considered in default if your payment is 60 days past due and has not been received by the payment due date. This default rate will be effective starting with the next billing period following your default. Your Annual Percentage Rate will remain 17.9% until your account has been paid on time for three (3) consecutive billing periods, after which the annual percentage rate will revert back to the applicable APR in the above chart. **Annual Fee will be waived for members age 62 and older. New York Residents may contact the New York State Banking Department to obtain a comparative listing of Credit Card rates, fees and grace periods. New York State Banking Department 1.800.518.8866 AmeriCU Credit Union – Credit Card Application 1916 Black River Blvd., Rome, NY 13440 Account ID# Please print clearly in ink. Reg B Notice - Required for Joint Applications (intent to apply jointly must be shown by initialing the lines below) Applicant_______________ Co Applicant_______________ I Please Select: I Platinum VISA® VISA® Gold I Classic VISA® I MasterCard ® Line of Credit: Application Type: A L L APPLICANT $5,000 - $40,000 Credit Line Requested: $ $2,500 - $25,000 $500 - $5,000 $500 - $5,000 In some instances you may receive an alternate AmeriCU credit card with a lower credit line. Individual Applicant Joint Applicant Authorized User: C O M P L E T E T H E F O L L O W I N G S E C T I O N S . A P P L I C A N T S First Name M.I Last Name Date of Birth / / Social Security # Home Phone ( ) Complete Street Address Apt. City State Zip Previous Address (if at current address less than two years) City State Zip Years there I Own I Rent I Other Email Address: Housing Payment $ Mother’s Maiden Name: Employer # of Years Employed and/or Date of Hire __ _____________________ City State Zip I Self-Employed I Retired Employer Phone Number ( ) Previous Employer (if less than two years) Position/Rank and/or Date of Hire Previous Employer’s Address City State Zip Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation. Annual Income $ (In some cases, proof of income may be required.) Additional Income $ Source Relative Name/Reference: If responsible for alimony, child support or separate maintenance: Amount $ per month. Address _________ State Zip Phone ( ) (Optional): If you are relying on a Co-Applicant’s income or assets for your application, please complete this section. Co-Applicant First Name M.I Last Name Social Security # Home Phone ( ) / / Date of Birth Complete Street Address Apt. City State Zip I Own I Rent I Other Email Address: Housing Payment $ Mother’s Maiden Name: Employer # of Years Employed and/or Date of Hire __ _____________________ City State Zip I Self-Employed I Retired Employer Phone Number ( ) Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation. Annual Income $ (In some cases, proof of income may be required.) Additional Income $ Source Relative Name/Reference: If responsible for alimony, child support or separate maintenance: Amount $ per month. State Zip Phone ( ) Address _________ IMPORTANT INFORMATION AND AUTHORIZATION This statement is submitted to obtain credit and I (we) certify that all information herein is true and complete. I (we) also authorize AmeriCU 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 VISA/MasterCard card(s) issued, I (we), the undersigned applicant(s) by signing, using or permitting another use the VISA/MasterCard(s) agree(s) that I (we) will be bound by the terms and conditions accompanying the VISA/MasterCard(s) and all amendments. Important: If this is a joint application, applicant and joint applicant must sign in order for each to be issued a card. By signing a credit card application, you affirm that as a condition of receiving a credit card from AmeriCU Credit Union, you agree to give us a security interest in all present or future shares held in AmeriCU Credit Union, with the exception of any shares held in IRA or other deferred compensation accounts. X X APPLICANT’S SIGNATURE DATE CO-APPLICANT’S SIGNATURE/AUTHORIZED USER DATE AUTOMATIC PAYMENT AUTHORIZATION (Optional) See inside panel for benefits of this convenient payment option. A. Select Payment Option (choose 1, 2, or 3): 1. I Full Monthly Payment (total balance due) 2. I Minimum Payment I Savings #ID _____ _____ or I Checking #ID _____ _____ B. Withdraw Payment From (choose): 3. I Designated Monthly Payment Amount $ ________________________ BALANCE TRANSFER OPTION Please transfer the account listed below to my new AmeriCU Credit Union credit card account. (Please list in preferred payment order.) I understand that closing the credit card account listed below is my responsibility. 1. Credit Card Issuer Name Payment Address: 2. Credit Card Issuer Name Payment Address: $ Exact Transfer Amount Card Number to Pay-Off and Transfer to AmeriCU Credit Card $ Exact Transfer Amount Card Number to Pay-Off and Transfer to AmeriCU Credit Card

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