Mutual Credit Union

Member Information Kit 2018

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LIST ALL EXISTING DEBTS OF APPLICANT AND CO-APPLICANT Creditors (auto, personal and credit card loans) Balance Monthly Payment A consumer credit report may be requested in connection with this application and with any renewals, updates or extensions of any new credit extended as a result of this application. The credit union is relying on what you stated in this application, and you acknowledge that everything you have stated is true and correct. If this application is approved and a credit card(s) is issued, the undersigned applicant(s), by signing, using or permitting another to use the credit card(s), agrees that the applicant(s) will be bound by the terms and conditions accompanying the credit card(s) and all amendments. Your signature(s) must appear below before we can process your application. You understand that if you do not qualify for the Visa product selected above, you will be notified if you were approved for another option or were disapproved. X Applicant's Signature X Co-Applicant's Signature Pledge of Shares and Security Interest. By signing an application, acceptance or authorized use of any credit cards, you grant and pledge a consensual lien to us on all shares to secure payment of your obligations on this account. In addition, you acknowledge our statutory lien rights; you agree that such a lien is impressed as of the date that this account is opened and you agree that we can apply the shares pledged at the time of any default on this account without further notice. "Shares" for the purpose of your pledge to secure your obligations to the Credit Union means all deposits in any share savings, share draft, club, certificate, P.O.D., revocable trust or custodial account(s), whether jointly or individually held – regardless of contributions that you have on deposit now or in the future. Your pledge does not include any IRA, Keogh, tax escrow, irrevocable trust or fiduciary account in which you do not have a vested ownership interest. X Applicant's Signature X Co-Applicant's Signature FOR CREDIT UNION USE ONLY Credit Limit $ Approved By Member CU Acct. # OPTIONAL BALANCE TRANSFER Card Issuer Payment Address City/State/Zip Complete Account # Amount to Pay Card Issuer Payment Address City/State/Zip Complete Account # Amount to Pay Card Issuer Payment Address City/State/Zip Complete Account # Amount to Pay m Yes! Upon approval, I want to transfer the amount(s) from the account(s) listed below to my new Mutual CU Credit Card.

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