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Application of VISA and VISA Gold
Print this page and mail or fax it to Toledo Metro Federal Credit Union. You will be contacted about the status of your application within the next two business days after this application is received. Thank you for applying with Toledo Metro Federal Credit Union. Membership eligibility required.
Loan Type Circle One: Visa Visa Gold Credit Limit Requested: $_________ Name: ____________________________________________________________ Date of Birth: __________________ SS#: ________________________________ Street Address: _____________________________________________________ City: __________________ State: ________ Zip: _____________ How Long at Current Residence? (yrs) ______________ Circle one: Rent Mortgage Rent/Mortgage Payment Amount: __________________________ Home Phone: _________________ Work Phone: _____________________ Employer Name: ____________________________________________________ Employer Address: __________________________________________________ Current Length of Employment: ______________ Gross Monthly Salary: $___________________ If employed in current position less than 5 years, complete the underlined fields. Previous Employer: __________________________________________________ Previous Employer Address: __________________________________________ Starting Date: __________________ Ending Date: _______________________ You are not required to disclose income from alimony, child support, or seperate maintenance. If you want this income considered with this application, complete the following line. Payer:____________________________________________ Amount: $_______________________ Years:______________ Co-Applicant Information (Leave Italicized Text Fields Blank if No Co-Applicant) Name: _______________________________________________ Birth Date: __________________________ SS#: __________________________ Address: ___________________________________________________________ City: ________________________ State: ______________ Zip: _____________ Home Phone: _____________________ Work Phone: ______________________ Employer Name: _____________________________________________________ Employer Address: ___________________________________________________ Current Length of Employment: (yrs) ___________ Gross Monthly Salary: $______________________ If employed in current position less than 5 years, complete bold text fields. Previous Employer: ________________________________________________ Previous Employer Address: _________________________________________ Starting Date: ___________________ Ending Date:_____________________ You are not required to disclose income from alimony, child support, or seperate maintenance. If you want this income considered with this application, complete the following line. Payer:____________________________________________ Amount: $_______________________ Years:______________ Please Supply the Following Information: Your Home's Value (if applicable): $_____________________________ Your Auto Make:_______________________ Year: __________________ Your 2nd Auto Make: ____________________ Year: __________________ Investments you own: _________________________________________________ ___________________________________________________________________ Non-TMFCU Savings: $_________________ Financial Institution: __________________________________________________ Non-TMFCU Checking: $_____________________ Financial Institution: __________________________________________________ Please supply the following information on a relative of yours: Name: _____________________________________________________________ Phone #: ______________________________ Address:______________________________________________ City: ___________________ State: _________ Zip: ________________ Check Coverage(s) desired. The credit union will disclose the cost of this voluntary insurance to you. A seperate insurance election which discloses the terms and conditions must be signed for coverage to become effective. Single Credit Life: Yes No Joint Credit Life: Yes No Credit Disability: Yes No
PLEASE READ THE FOLLOWING CAREFULLY: This statement is submitted to obtain credit and I/We certify that all information herein is true and complete. I/We agree that inquiries may be made to verify information and that the credit references or verification may be given based on inquiries from other parties. This offer is subject to the credit policies of this institution.I/We agree that at the discretion of the Credit Union, they may , at any time, change the credit line or cash advance limit. If so, they will notify me/us either by mail or through the billing statement.I/We agree to be bound by the terms and conditions of the bank card agreement, a copy of which will be mailed to the applicant if this application is granted, receipt of such agreement and acceptance of such terms to be conclusively presumed by the applicant's use.If this is a joint application, the undersigned shall be severally liable for any credit extended from time to time. Notice: the Ohio laws against discrimination require that all creditors make equally available to all credit worthy customers, and that credit reporting maintain seperate credit histories on each individual upon request. The Ohio Rights Commission administers compliance with this law. VISA Disclosure Information (Applicable to Visa Applications Only) A security interest in you account(s) is/are a conditioin of this agreement. Application information must be completed in full. Should I/We not qualify for a VISA Gold card based on income minimums or other requirements, I/We understand and agree to be considered for a VISA Classic card account with a credit line of $5,000 or less. Toledo Metro Federal Credit Union is federally insured by the National Credit Union Administration. Loans are subject to membership eligiblity, credit approval, income verification, and application.
___________________________________________________________________________ Applicant Signature Date ______________________________________________________________________________________ Co-Applicant Signature Date
THE UNDERSIGNED HEREBY PLEDGE, AS A CONDITION FOR OBTAINING A VISA ACCOUNT, ALL SHARES AND/OR DEPOSITS AND PAYMENTS AND EARNINGS THEREON WHICH I/WE THEN OR THEREAFTER MAY HAVE, WHETHER HELD INDIVIDUALLY, JOINTLY OR TRUST AS SECURITY FOR ANY AND ALL MONIES ADVANCED UNDER THE PLAN AND INTEREST ACCRUED THEREON AND AUTHORIZE THE CREDIT UNION, IN CASE OF DEFAULT TO APPLY SAME TO PAYMENT OF SAID OBLIGATION. THIS PLEDGE SHALL NOT APPLY TO ANY INDIVIDUAL RETIREMENT ACCOUNT OR SELF-EMPLOYED PLAN QUALIFYING AS SUCH UNDER THE INTERNAL REVENUE CODE. Account Number(s) ___________________________________________________ Applicant ___________________________________________________________ Co-Applicant ________________________________________________________ |