Business Visa Application

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Business Visa Application"

Transcription

1 3181 Larchmont Avenue NE, Warren, OH * * * : Business Visa Application App ID: Account Number: Section 1. Business Information You may be asked to provide business and/or personal tax returns and financial statements. Business Name (Applicant) Business Name to appear on card(s) (21 character maximum) Primary Contact Name Primary Contact Phone Corporation Sole Proprietor LLC Partnership Business Entity Type: Non-Profit Corporation/Not-for-Profit (Please Print Clearly) Association/ Organization/ Informal Non-Profit Organization Tax Identification Number Nature of Business Business Address Business Address City State Zip Business Phone Gross Revenue Last Year (enter 0 if new business) Net Income Last Year (enter 0 if new business) # Years at This Location Year Business Established # Years as Owner/ Authorized Officer Number of Employees Section 2. Business Owner's Personal Information Non-Profit Entities/Associations/Organizations (e.g. 501(c)3) do not need to complete this section. Owner 1 Address, City, State, Zip Years at Home Phone Cell Phone Address of Birth Social Security Number Primary Employer Start Personal Annual Income % Ownership in Business Owner 2 Address, City, State, Zip Years at Address Home Phone Cell Phone of Birth Social Security Number Primary Employer Start Personal Annual Income % Ownership in Business Section 3. Cards Requested Cards will be printed with the business/organization name first, followed by the full name of the individual as indicated below. The authorized person hereby requests cards as follows: Total Credit Limit $ :29:46 AM Printed: - VisaApplication (Scanned) Page 1 of 6

2 Section 4. Please read carefully and sign below. FOR PROFIT ENTITIES: CORPORATIONS, LLCS, PARTNERSHIPS OR SOLE PROPRIETORS: I hereby certify that I am an Owner/Authorized Person of the business and that by signing, using, or permitting another to use the card(s) or number, I agree that I will be bound by the agreement and disclosure accompanying the card(s). I understand that I am signing as an individual and on behalf of the business and that I will be personally liable for any credit being granted in conjunction with this application and that my personal credit history will be reviewed. NON-PROFIT ENTITIES: ASSOCIATIONS/ORGANIZATIONS/CHARITABLE ORGANIZATIONS (e.g. 501(c)3): I hereby certify that I am an Authorized Person for the Applicant and that by signing, using, or permitting another to use the card(s) or number, I agree that the Applicant(s) will be bound by the agreement and disclosure accompanying the card(s). I understand that I may be asked to be personally liable for any credit being granted in conjunction with this application and that my personal credit history may be reviewed. I will be notified if a personal guaranty is required. Printed Name Title Printed Name Title Printed Name Title Printed Name Title Page 2 of 6 08/05/2014 BusinessVisaApp

3 Account Number: Lending Resolution Business Resolution and Appointment of Authorized Person(s) to Borrow 1. Business Information Business/Organization Name: : Do you operate under any other names? (If Yes, provide those names and attach a copy of any filing(s) required by state or local laws.) Mailing Address: The business is registered with the Secretary of State in: Ohio PA N/A Check "N/A" if the business is an Association/Organization. Address: 2. Member Entity Resolution and Grant of Authority This Resolution is hereby made by the Board of Directors, Members, Owners, Partners or other duly authorized body of the Member Entity ("Member Entity") to appoint authorized persons ( Authorized Person(s) ) of the Member Entity to borrow money from Seven Seventeen Credit Union ( Credit Union ) on its behalf and that at a meeting of said duly authorized body, at which a quorum was present (if applicable), the duly authorized body adopted the following resolution, which in all respects, is in conformity with the rules, agreements, by laws or articles of incorporation of this Member Entity. The Authorized Person(s) is/are authorized and directed to execute and deliver to the Credit Union any and all documents required by the Credit Union for the Member Entity to borrow money, to evidence the pledge of any of the property of the Member Entity, and/or necessary for the Credit Union to perfect a security interest in any Member Entity Property to be used as collateral in conjunction with the loan in a form as agreed upon by its Authorized Person(s) and the Credit Union. This authority includes the authority to enter into any loan changes, modifications or accommodations. The Authorized Person(s) is/are duly authorized to execute this Resolution and the undersigned hereby certify that the above-named Member Entity is duly organized and existing under the laws of the State indicated. The undersigned, under the penalty of perjury, hereby certify that the organization described is validly organized under applicable law and is in good standing. It is intended that the Credit Union shall rely upon this Resolution. The Credit Union may, in its sole discretion require new resolutions and/or signature card(s) be executed any time the Member Entity adds, deletes or changes the Authorized Person(s). This Resolution shall be governed and interpreted under the laws of the State of Ohio. The designation of an Authorized Person does not create a power of attorney; therefore, Authorized Persons are not subject to the provisions of 20 Pa.C.S.A. Section 5601 et. Seq. (Chapter 56; Decedents, Estates and Fiduciaries Code). The Member Entity is solely responsible for any changes to the Authorized Person(s); and the Credit Union shall have no liability whatsoever for any transaction undertaken by Authorized Person(s) listed below. The Credit Union is likewise authorized to recognize any alternative signature, verification code and endorsement of this Member Entity or any Authorized Person(s), whether authorized or unauthorized. The term alternative signature, verification code, and endorsement includes, but is not limited to digital signatures, personal identification numbers (PIN), and facsimile signatures. If applicable, each Authorized Person(s) is authorized by the Member Entity to have access to the Member Entity's private key used to create a digital signature. The Credit Union shall have no liability for the unauthorized use of alternative signatures, verification codes and endorsements. This Member Entity also agrees and understands that the Credit Union stores all electronic application and resolution documentation in an electronic format and originals may not be retained. The Member Entity agrees that the electronically scanned signature retained by the Credit Union will serve as the original document for all purposes. Resolution Adoption : ( of meeting at which Resolution was adopted) 3. Authorized Person(s) to Act for the Business or Organization Any one of the following persons will be authorized to undertake all actions set forth in the resolution above. No other persons will have authority unless this Resolution is properly replaced. Page 3 of 6

4 4. Complete the Section Applicable to the Business Entity Type Corporation LLC Non-Profit Corporation (e.g., Church, 501c3) In witness whereof, the Secretary of the Corporation, LLC, or Professional Corporation named herein has hereunto set his/her hand as Secretary/Manager and affixed the corporate seal, on the date above stated. Secretary/Manager Signature Partnership The partners certify that all partners have signed and further certify that this partnership is not a limited partnership, and execute this Agreement under seal, on the date above stated. Association / Organization / Informal Non-profit Organization (e.g., Bowling League, Band Boosters) The undersigned officers of the organization listed herein certify under the penalty of perjury that they have undertaken an investigation of the organizations member(s); and that the member(s) of said organization are eligible for membership at Seven Seventeen Credit Union. Sole Proprietor's Grant of Authority to Others I hereby authorize the Authorized Person named herein to exercise all powers and actions set forth in the Resolutions above. Further, I hereby release the Credit Union and all officers, directors and employees of the Credit Union from any and all claims, demands, damages, actions, causes of actions, suits at law, or suits in equity, of whatsoever kind or nature, past, present or future, known or unknown, incurred or to be incurred, with regard to any action the Credit Union undertakes in reliance on this authorization. Full Name of Authorized Person Sole Proprietor Signature SSN of Authorized Person Page 4 of 6

5 3181 Larchmont Avenue NE, Warren OH * * * * Account Verification Form Account Number: Business Name: Address: Home Phone: Work Phone: Business Phone: Cell Phone: address currently on file for my account: I understand that Seven Seventeen Credit Union, Inc. stores all electronic applications in an electronic format and no originals are retained. I agree that the electronically scanned signature retained by Seven Seventeen Credit Union, Inc. will serve as the original document for all intents and legal purposes. I agree that the above information will become my official account documentation. Signature Page 5 of 6 08/05/2014 BusinessVisaApp

6 Interest Rates and Interest Charges Annual Percentage Rate (APR) for Purchases APR for Balance Transfers APR for Cash Advances VISA PLATINUM BUSINESS CREDIT CARD AGREEMENT AND DISCLOSURE 10.99% % These APRs will vary with the market based on the Prime Rate. The rate for which you may qualify at account opening will depend on your account relationship % % These APRs will vary with the market based on the Prime Rate. The rate for which you may qualify at account opening will depend on your account relationship. There is no grace period for Cash Advances or Balance Transfers % % These APRs will vary with the market based on the Prime Rate. The rate for which you may qualify at account opening will depend on your account relationship. There is no grace period for Cash Advances or Balance Transfers. Cash Advance Fees also apply. Penalty APR and 24.99% when it applies This APR may be applied to your account if you make a late payment which is 60 days past due. How long will the Penalty APR Apply? If your APRs are increased for this reason, the Penalty APR will apply until you make six consecutive minimum payments when due. How to Avoid Paying Interest on Purchases Minimum Interest Charge Your due date is at least 25 days after the close of each billing cycle. We will not charge you interest on purchases if you pay your entire balance by the due date each month. There is no minimum interest charge. For Credit Card Tips from the Consumer Financial Protection Bureau To learn more about factors to consider when applying or using a credit card, visit the website of the Consumer Financial Protection Bureau at Fees Annual Fee Transaction Fees * Balance Transfer * Cash Advance * Foreign Transaction None None 3% of the amount of each cash advance, with a minimum of $2 and a maximum of $15. 3% of each transaction in U.S. dollars. Penalty Fees * Late Payment * Returned Payment Up to $35 Up to $35 How we calculate your balance: We use a method called average daily balance (including new purchases). See your Agreement and Disclosure for more details. Billing Rights: Information on your rights to dispute transactions and how to exercise those rights is provided in your Visa Platinum Business Credit Card Agreement and Disclosure. The above fee and term information is correct as of meet minimum credit requirements. Please call for current information. and is subject to change. Applicant must Page 6 of 6

BUSINESS CREDIT CARD AGREEMENT

BUSINESS CREDIT CARD AGREEMENT Thank you for your interest in CoVantage Credit Union s business credit card services. We offer two options for our business credit card users, although basic features of the card are available on either

More information

Visa Business Credit Card Visa Business Rewards Credit Card

Visa Business Credit Card Visa Business Rewards Credit Card Visa Business Credit Card Visa Business Rewards Credit Card Card Center, P.O. Box 410436, Kansas City, MO 64141-0436 Branch ID no. Associate ID No. Agent # - BBW 0240 COMPANY INFORMATION Company Name Street

More information

VISA BUSINESS CREDIT CARD APPLICATION

VISA BUSINESS CREDIT CARD APPLICATION UMB i1510018 (R 09/10) VISA BUSINESS CREDIT CARD APPLICATION It s easy to Apply. Incomplete information may cause delays. Please complete in full. bankcardcredit.commercial@umb.com Fax to 816.843.2485

More information

Guidelines for completing the Orscheln VISA Credit Card Business Application

Guidelines for completing the Orscheln VISA Credit Card Business Application Guidelines for completing the Orscheln VISA Credit Card Business Application The guidelines listed below are designed to help you assist the business in submitting a complete business application. Following

More information

Business Membership Application and Agreement

Business Membership Application and Agreement Business Membership Application and Agreement Application Business (DBA) Expiration (if DBA ) Current Street Address City, State Zip Current Mailing Address (if different) City, State Zip Phone Number(s)

More information

advice backed by our knowledge and experience Delta Community Credit Union Business Services distinguished by

advice backed by our knowledge and experience Delta Community Credit Union Business Services distinguished by Delta Community Credit Union is a financial institution with over $3.3 billion in assets. Delta Community Credit Union Business Services distinguished by We are a cooperative, owned and operated by our

More information

Instructions for the Business MasterCard Nonprofit Packet

Instructions for the Business MasterCard Nonprofit Packet Instructions for the Business MasterCard Nonprofit Packet STEP 1: Business MasterCard Application and Authorization All fields must be completed in their entirety. Business Information section: Please

More information

Business Account Application

Business Account Application Business Account Application Individuals, partners and owners of a business must be eligible for membership or be a member(s) in good standing of Philadelphia Federal Credit Union before opening a business

More information

*TDA1086* Business Account Application

*TDA1086* Business Account Application Business Account Application PO Box 2760 Omaha, NE 68103-2760 Fax: 866-468-6268 Questions? Call a New Accounts representative at 800-276-8746. Please visit us at www.tdameritrade.com for more information

More information

You ve worked hard to build your business Get the credit you deserve!

You ve worked hard to build your business Get the credit you deserve! You ve worked hard to build your business Get the credit you deserve! 0% Intro APR * on Purchases and Balance Transfers for 6 billing cycles. After that a variable APR from 12.99 % to 16.99 % will apply.

More information

On Line Banking Agreement and Application for Commercial Accounts

On Line Banking Agreement and Application for Commercial Accounts On Line Banking Agreement and Application for Commercial Accounts You must be an existing Business Account holder of the Belt Valley Bank, hereinafter referred to as Bank, in order to apply for the On

More information

AMAZING CASH FOR BUSINESS (Cash Back) An Amegy Bank checking or savings account is required. Savings or Checking #

AMAZING CASH FOR BUSINESS (Cash Back) An Amegy Bank checking or savings account is required. Savings or Checking # BUSINESS CREDIT CARD APPLICATION IMPORTANT: The bank cannot process applications that are incomplete, unsigned, or missing documentation. Pending the bank s credit review and underwriting, the bank may

More information

Norristown Bell Credit Union

Norristown Bell Credit Union 1. Required Document Checklist Norristown Bell Credit Union Saving Our Members Money Business Membership Application All documentation listed below is required to open a business account. The highlighted

More information

Dollar Bank Secured Credit Card - Variable Rate Line of Credit Agreement - Pricing Information

Dollar Bank Secured Credit Card - Variable Rate Line of Credit Agreement - Pricing Information Dollar Bank Secured Credit Card - Variable Rate Line of Credit Agreement - Pricing Information There are two parts to this Credit Card Agreement: Dollar Bank Pricing Information and the Dollar Bank Customer

More information

Documents Required. $400 due diligence check per company made payable to Capstone Business Funding, LLC

Documents Required. $400 due diligence check per company made payable to Capstone Business Funding, LLC Legal Business Name Date Documents Required Current Accounts Receivable Aging Report Company Information Application and Origination Statement (Have your signature notarized under Origination Statement

More information

Visa Account Rates, Fees and Terms

Visa Account Rates, Fees and Terms Visa Account Rates, Fees and Terms INTEREST RATES AND INTEREST CHARGES Annual Percentage Rate (APR) for Purchases, Cash Advances, and Balance Transfers Visa Classic 8.9% to 17..9% Visa Platinum 8.4% to

More information

Enjoy the value-rich benefits of a quality business credit card and keep your business spending seperate from your personal.

Enjoy the value-rich benefits of a quality business credit card and keep your business spending seperate from your personal. Carry the Visa credit card with rewards created for small businesses in our community. Enjoy the value-rich benefits of a quality business credit card and keep your business spending seperate from your

More information

FAÇADE RENOVATION PROGRAM Business Credit Application

FAÇADE RENOVATION PROGRAM Business Credit Application FAÇADE RENOVATION PROGRAM Business Credit Application Loan Amount Requested: Purpose: Bricks Façade Renovation for property located at: Edmond, OK 73034 Business Summary: Business Legal Name (Applicant):

More information

BUSINESS ACCOUNT AGREEMENT

BUSINESS ACCOUNT AGREEMENT BUSINESS ACCOUNT AGREEMENT OWNERSHIP OF ACCOUNT SOLE PROPRIETORSHIP CORPORATION NOT FOR PROFIT CORPORATION FOR PROFIT PARTNERSHIP LIMITED LIABILITY CO. DATE OPENED OPENED BY INITIAL AMOUNT $ FORM: CASH

More information

Carry the Visa credit card created for small businesses in our community.

Carry the Visa credit card created for small businesses in our community. Carry the Visa credit card created for small businesses in our community. Enjoy the value-rich benefits of a quality business credit card supported by an experienced, caring Customer Contact Center staff.

More information

APPLICATION FORM. You will trade the account other than in connection with a business and you are a professional investor because:

APPLICATION FORM. You will trade the account other than in connection with a business and you are a professional investor because: APPLICATION FORM City Index Australia Pty Ltd. trading as FX Solutions Australia (we, us or our) would like to thank you for your interest in FX Solutions. SECTION 1: RETAIL OR WHOLESALE QUESTIONNAIRE:

More information

EXAMPLE SIGNATURE BLOCKS AND CERTIFICATIONS

EXAMPLE SIGNATURE BLOCKS AND CERTIFICATIONS EXAMPLE SIGNATURE BLOCKS AND CERTIFICATIONS In many cases, the responsible party entering a Consent Order with the Department is a business entity rather than an individual. To assist Department staff

More information

Alaska USA Business Overdraft Credit Line Application and Agreement

Alaska USA Business Overdraft Credit Line Application and Agreement Alaska USA Business Overdraft Credit Line Application and Agreement Section 1: Overdraft credit line request Amount requested (minimum 2,500 with a maximum of 10,000) Cover overdraft from my Alaska USA

More information

CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO

CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO Part 1 - Business Information Account Number Date Business Established: State of Incorporation/ Organization: Type of Entity: Individual/ Sole Proprietorship

More information

PLUS. CASH BACK Accepted At Over 4 Million Locations Where You See. Apply Today! MEMBERS. One Card Convenience Serves As Your Membership Card

PLUS. CASH BACK Accepted At Over 4 Million Locations Where You See. Apply Today! MEMBERS. One Card Convenience Serves As Your Membership Card SAM S CLUB DISCOVER BUSINESS PLUS MEMBERS Earn Up To 2 % CASH BACK Accepted At Over 4 Million Locations Where You See One Card Convenience Serves As Your Membership Card AND Earn Cash Back On Up To $1

More information

Apply Today. If your application is approved, please allow 3-4 weeks to receive your Secured Visa credit card.

Apply Today. If your application is approved, please allow 3-4 weeks to receive your Secured Visa credit card. Secured Visa Credit Card Application Apply Today The Secured Visa credit card is for those PNC customers who are new to credit. Unlike many other credit cards of this type, the Secured Visa carries no

More information

Business Membership Application

Business Membership Application ASE Credit Union Questions? Call (334) 270.9011 or (800) 634.9171 Business Membership Application Important Information Account Procedures for Opening a New Account: To help the government fight the funding

More information

0% introductory APR for the first 15 billing cycles following

0% introductory APR for the first 15 billing cycles following PNC CORE SM VISA IMPORTANT INFORMATION ABOUT RATES AND FEES Interest Rates and Interest Charges Annual Percentage Rate (APR) for Purchases 0% introductory APR for the first 15 billing cycles following

More information

YORKMONT AUTO AUCTIONS, INC. 799 South Main St. Fair Haven, VT 05743. Office: 802.278.8057 Fax: 802.278.8114. www.yorkmontaa.com

YORKMONT AUTO AUCTIONS, INC. 799 South Main St. Fair Haven, VT 05743. Office: 802.278.8057 Fax: 802.278.8114. www.yorkmontaa.com REGISTRATION FORMS YORKMONT AUTO AUCTIONS, INC. 799 South Main St. Fair Haven, VT 05743 Office: 802.278.8057 Fax: 802.278.8114 info@yorkmontaa.com Auction Insurance policy requires all registration forms

More information

business loan application packet

business loan application packet business loan application packet When you re ready to grow your business we re ready to help. We offer a full range of loan products to meet your business needs. At WECU, your business is our business.

More information

Platinum Plus for Business Card Don t just think of it as a credit card. Think of it as a way to work more efficiently.

Platinum Plus for Business Card Don t just think of it as a credit card. Think of it as a way to work more efficiently. Benefit Summary Platinum Plus for Business Card Don t just think of it as a credit card. Think of it as a way to work more efficiently. If you use a personal credit card for business expenditures, you

More information

NORTH DELTA PLANNING AND DEVELOPMENT DISTRICT, INC MISSISSIPPI SMALL BUSINESS ASSISTANCE PROGRAM

NORTH DELTA PLANNING AND DEVELOPMENT DISTRICT, INC MISSISSIPPI SMALL BUSINESS ASSISTANCE PROGRAM NORTH DELTA PLANNING AND DEVELOPMENT DISTRICT, INC MISSISSIPPI SMALL BUSINESS ASSISTANCE PROGRAM APPLICATION PACKAGE For More Information Contact: James Curcio or Jeff Walters Post Office Box 1488 Batesville,

More information

0% introductory APR for the first 12 billing cycles following

0% introductory APR for the first 12 billing cycles following PNC POINTS VISA / PNC POINTS VISA SIGNATURE IMPORTANT INFORMATION ABOUT RATES AND FEES Interest Rates and Interest Charges Annual Percentage Rate (APR) for Purchases APR for Balance Transfers 0% introductory

More information

STATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVERSIGHT

STATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVERSIGHT STATE OF CALIFORNIA DEPARTMENT OF BUSINESS OVERSIGHT INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR A LICENSE UNDER THE CALIFORNIA FINANCE LENDERS LAW (CFLL) WHO IS REQUIRED TO OBTAIN A FINANCE LENDERS

More information

ROCKY MOUNTAIN BANK ONLINE BUSINESS SERVICES AGREEMENT & ENROLLMENT FORM

ROCKY MOUNTAIN BANK ONLINE BUSINESS SERVICES AGREEMENT & ENROLLMENT FORM ROCKY MOUNTAIN BANK ONLINE BUSINESS SERVICES AGREEMENT & ENROLLMENT FORM By executing the Online Business Services Enrollment Form and Internet Banking Resolution,, the Commercial Customer (hereinafter

More information

May 28, 1997. All Title Insurance Companies, Title Insurance Agencies, and Title Insurance Agents Licensed in Virginia

May 28, 1997. All Title Insurance Companies, Title Insurance Agencies, and Title Insurance Agents Licensed in Virginia May 28, 1997 Administrative Letter 1997-5 TO: RE: All Title Insurance Companies, Title Insurance Agencies, and Title Insurance Agents Licensed in Virginia Senate Bill No. 1104 (The Consumer Real Estate

More information

Retirement Plan Account Application

Retirement Plan Account Application Retirement Plan Account Application PO Box 55932 Boston, MA 02205-5932 800-525-1093 Use this form to establish additional accounts at Janus under your existing employersponsored retirement plan (e.g.,

More information

National Processing Company - Merchant Services Agreement

National Processing Company - Merchant Services Agreement National Processing Company - Merchant Services Agreement 1. Application Type Merchant #: 496 Store #: New Merchant Additional Location 2. Merchant Business Information Business / DBA Name Corporate/Legal

More information

Check below to indicate the type of credit for which you are applying. Married Applicants may apply for a separate account.

Check below to indicate the type of credit for which you are applying. Married Applicants may apply for a separate account. CREDIT CARD APPLICATION A table that includes the APRs and other required cost disclosures for credit card applications is on the next page of this application. Check below to indicate the type of credit

More information

COMMERCIAL/BUSINESS LOAN APPLICATION PACKAGE

COMMERCIAL/BUSINESS LOAN APPLICATION PACKAGE COMMERCIAL/BUSINESS LOAN APPLICATION PACKAGE CONTENTS: Member Business Loan Application Authorization to Obtain Credit Information Financial Statement Schedule of Business Debt REAL ESTATE & COMMERCIAL

More information

CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO

CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO CITADEL BUSI ESS ACCOU T / BUSI ESS LOA APPLICATIO Part 1 - Business Information Account Number Date Business Established: State of Incorporation/ Organization: Type of Entity: Individual/ Sole Proprietorship

More information

16.24% This APR will vary with the market based on the prime rate.

16.24% This APR will vary with the market based on the prime rate. PNC PREMIER TRAVELER SM VISA SIGNATURE IMPORTANT INFORMATION ABOUT RATES AND FEES Interest Rates and Interest Charges Annual Percentage Rate (APR) for Purchases 16.24% This APR will vary with the market

More information

Farmers State Bank of Calhan Visa Business Credit Card Application

Farmers State Bank of Calhan Visa Business Credit Card Application Farmers State Bank of Calhan Visa Business Credit Card Application APPLYING FOR: (Please Print) Visa Business Card Visa Fleet Card Total Credit Limit Requested:$ Total Credit Limit Requested:$ If company

More information

Mortgage. Application Form. Requirements For Mortgage Application

Mortgage. Application Form. Requirements For Mortgage Application 7. To defend all legal proceedings in connection with the contract or incidental to the completion of the purchase/refinancing/completion/remodelling etc of the property----- 8. At the request of Fidelity

More information

Merchant Application & Agreement Merchant Processing Terms & Conditions

Merchant Application & Agreement Merchant Processing Terms & Conditions Merchant Application & Agreement Merchant Processing Terms & Conditions MERCHANT # (ASSIGNED BY BANK) 100 Throckmorton Street, Suite 1800 Fort Worth, Texas 76102 MCC: MERCHANT APPLICATION & AGREEMENT ASSOCIATION

More information

Apply Today. Fax application to 1-866-526-5777

Apply Today. Fax application to 1-866-526-5777 PNC points Visa Credit Card Application Apply Today Fax application to 1-866-526-5777 Earn points through PNC points on your everyday purchases. The PNC points Visa credit card automatically earns 4 points

More information

SURETY BOND - SAMPLE FORM

SURETY BOND - SAMPLE FORM FORM-SI-BOND SURETY BOND - SAMPLE FORM OKLAHOMA WORKERS COMPENSATION COMMISSION 1915 N. STILES AVENUE OKLAHOMA CITY, OK 73105 SURETY BOND OF SELF-INSURER OF WORKERS COMPENSATION IN THE MATTER OF THE PERMIT

More information

School ID/ Certificate Number SED CODE

School ID/ Certificate Number SED CODE New York State Education Department Bureau of Proprietary School Supervision Applicant Instructions Application for Transfer of a Certification to Operate an ESL School in New York State BPSS-4 For Office

More information

REINSURANCE INTERMEDIARY

REINSURANCE INTERMEDIARY Minnesota Department of Commerce Licensing Division 85-7 th Place East, Suite 600 St. Paul, MN 55101-3165 651-539-1600 (For Department Use Only) REINSURANCE INTERMEDIARY PROCESSING DATE LICENSE NUMBER

More information

Apply Today. Fax application to 1-866-526-5777

Apply Today. Fax application to 1-866-526-5777 Visa Business Card Credit Card Application Apply Today Fax application to 1-866-526-5777 If you re looking for a business credit card with no rewards and a lower rate, then the PNC Visa Business credit

More information

Apply Today. Fax application to 1-866-526-5777

Apply Today. Fax application to 1-866-526-5777 PNC CashBuilder Visa Credit Card Application Apply Today Fax application to 1-866-526-5777 With a PNC CashBuilder Visa, you ll earn Cash Back on your everyday purchases. The CashBuilder Visa credit card

More information

Total Company credit line requested Company s full legal name ( APPLICANT )

Total Company credit line requested Company s full legal name ( APPLICANT ) Butterfield / AAdvantage Business MasterCard Credit Card Application Business Information Total Company credit line requested Company s full legal name ( APPLICANT ) Number of Cards Please select one:

More information

10.99% to 19.99% when you open your account, based on your creditworthiness.

10.99% to 19.99% when you open your account, based on your creditworthiness. PNC FLEX VISA IMPORTANT INFORMATION ABOUT RATES AND FEES Interest Rates and Interest Charges Annual Percentage Rate (APR) for Purchases 10.99% to 19.99% when you open your account, based on your creditworthiness.

More information

12.99% to 21.99% when you open your account, based on your creditworthiness.

12.99% to 21.99% when you open your account, based on your creditworthiness. CASHBUILDER VISA / CASHBUILDER VISA SIGNATURE IMPTANT INFMATION ABOUT RATES AND FEES Interest Rates and Interest Charges Annual Percentage Rate (APR) for Purchases 12.99% to 21.99% when you open your account,

More information

STATE OF OKLAHOMA WORKERS COMPENSATION COURT 1915 NORTH STILES OKLAHOMA CITY, OKLAHOMA 73105-4904 SURETY BOND OF SELF-INSURER OF WORKERS COMPENSATION

STATE OF OKLAHOMA WORKERS COMPENSATION COURT 1915 NORTH STILES OKLAHOMA CITY, OKLAHOMA 73105-4904 SURETY BOND OF SELF-INSURER OF WORKERS COMPENSATION STATE OF OKLAHOMA WORKERS COMPENSATION COURT 1915 NORTH STILES OKLAHOMA CITY, OKLAHOMA 73105-4904 SURETY BOND OF SELF-INSURER OF WORKERS COMPENSATION IN THE MATTER OF THE PERMIT OF ) ) ) S U R E T Y B

More information

Business Line of Credit

Business Line of Credit Business Line of Credit Business Lines of Credit for $400k+. Multiple lines are required to obtain maximum financing. A 690 minimum FICO score is required and only 2 years in business to qualify. Program

More information

TREB VOW DATAFEED AGREEMENT IMPORTANT: PLEASE READ CAREFULLY

TREB VOW DATAFEED AGREEMENT IMPORTANT: PLEASE READ CAREFULLY TREB VOW DATAFEED AGREEMENT IMPORTANT: PLEASE READ CAREFULLY PLEASE REVIEW THE TERMS AND CONDITIONS OF THIS TREB VOW DATAFEED AGREEMENT (the Agreement ) CAREFULLY BEFORE INDICATING YOUR ACCEPTANCE BY SIGNING

More information

APPLY TODAY! You ll be able to cut costs, eliminate paperwork, expedite. Now You Can Streamline Your Purchasing and Accounting Process...

APPLY TODAY! You ll be able to cut costs, eliminate paperwork, expedite. Now You Can Streamline Your Purchasing and Accounting Process... Now You Can Streamline Your Purchasing and Accounting Process... All that paperwork, all that time, from requisitioning the goods and services, to processing invoices, drastically slows down the purchasing

More information

PLATINUM VISA, VISA GOLD REWARDS, SCHOOL REWARDS VISA AND/OR SECURED PLATINUM VISA AGREEMENT AND FEDERAL TRUTH-IN-LENDING DISCLOSURE STATEMENT

PLATINUM VISA, VISA GOLD REWARDS, SCHOOL REWARDS VISA AND/OR SECURED PLATINUM VISA AGREEMENT AND FEDERAL TRUTH-IN-LENDING DISCLOSURE STATEMENT AUG2014 PLATINUM VISA, VISA GOLD REWARDS, SCHOOL REWARDS VISA AND/OR SECURED PLATINUM VISA AGREEMENT AND FEDERAL TRUTH-IN-LENDING DISCLOSURE STATEMENT Purchase Annual Percentage Rate (APR) Balance Transfer

More information

Minnesota Appraisal Management Company License Application Required Forms

Minnesota Appraisal Management Company License Application Required Forms MINNESOTA DEPARTMENT OF COMMERCE 85 7th PLACE EAST, SUITE 500 ST. PAUL, MINNESOTA 55101 (651) 539-1599 Appraisal Management Company Application Required Forms Minnesota Statute 82C Minnesota Appraisal

More information

LLC Operating Agreement With Corporate Structure (Delaware)

LLC Operating Agreement With Corporate Structure (Delaware) LLC Operating Agreement With Corporate Structure (Delaware) Document 1080B www.leaplaw.com Access to this document and the LeapLaw web site is provided with the understanding that neither LeapLaw Inc.

More information

VISA BUSINESS CHECK CARD APPLICATION

VISA BUSINESS CHECK CARD APPLICATION Card Services VISA BUSINESS CHECK CARD APPLICATION BUSINESS INFORMATION (please type or print) Business Legal Business Address City, State Zip Federal Tax ID Primary Checking Account Business Phone Number

More information

CERTIFICATE OF CONSOLIDATION 134-CONS Filing Fee: $125

CERTIFICATE OF CONSOLIDATION 134-CONS Filing Fee: $125 Form 550 Prescribed by the: Ohio Secretary of State Central Ohio: (614) 466-3910 Toll Free: (877) SOS-FILE (767-3453) Expedite this form: (select one) Mail form to one of the following: Expedite PO Box

More information

Brokerage and Non-Brokerage Accounts Asset & Financial Planning Account Application

Brokerage and Non-Brokerage Accounts Asset & Financial Planning Account Application Brokerage and Non-Brokerage Accounts Asset & Financial Planning Account Application Account Number Social Security Number (required) Account Type (please check all that apply) Individual Pension Keogh

More information

BUSINESS ACCOUNT APPLICATION

BUSINESS ACCOUNT APPLICATION BUSINESS ACCOUNT APPLICATION Thank you for applying for NASA Federal Credit Union s business account services. To expedite the processing of your application, please note the following requirements: Businesses,

More information

PROJECT INFORMATION: Describe the existing site conditions, including existing buildings and current uses.

PROJECT INFORMATION: Describe the existing site conditions, including existing buildings and current uses. BRLF-II GRANT / LOAN APPLICATION Name of Applicant Business Employer Identification # or SSN Street Address Telephone No. (include area code) Fax No. (include area code) Mailing Address (if different than

More information

The Florist Credit Union:

The Florist Credit Union: The Florist Federal Credit Union BUSINESS LOAN APPLICATION I. GENERAL INFORMATION Applicants Name / Borrower (individual business owner or business name): Tax ID Number: Mailing Address: Contact Person:

More information

9.90% CHIROPRACTIC FEDERAL CREDIT UNION VISA GOLD CREDIT CARD AGREEMENT AND DISCLOSURES Credit Limit: $ Account-Opening Credit Disclosures

9.90% CHIROPRACTIC FEDERAL CREDIT UNION VISA GOLD CREDIT CARD AGREEMENT AND DISCLOSURES Credit Limit: $ Account-Opening Credit Disclosures CHIROPRACTIC FEDERAL CREDIT UNION VISA GOLD CREDIT CARD AGREEMENT AND DISCLOSURES Credit Limit: $ Interest Rates and Interest Charges Annual Percentage Rate 9.90% (APR) for Purchases APR for Balance Transfers

More information

Department of Commerce

Department of Commerce Department of Commerce COMMONWEALTH OF THE NORTHERN MARIANA ISLANDS Caller Box 10007 CK, Saipan, MP 96950 Telephone: (670) 664-3064/3000 Fax: (670) 664-3067 Email: commerce@pticom.com Website: www.commerce.gov.mp/

More information

LOAN APPLICATION (VISA SELECT AND VISA PLATINUM)

LOAN APPLICATION (VISA SELECT AND VISA PLATINUM) LOAN APPLICATION (VISA SELECT AND VISA PLATINUM) Loan Type (e.g. vehicle, Visa, Agency Secured, etc.) Requested Loan Amount $ Variable Rate MARRIED APPLICANTS MAY APPLY FOR AN INDIVIDUAL ACCOUNT. Check

More information

Belco Community Credit Union BUSINESS LOAN APPLICATION

Belco Community Credit Union BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION Completed on / / APPLICANT INFORMATION Small Business Lending PH: 717-720-6408 Fax: 717-720-6257 449 Eisenhower Blvd. Harrisburg, PA 17111 Page 1 of 2 Applicant Name Credit Request

More information

FAX FAX #: 817-850-9801. From: Phone: 817-850-9800. Company Name: Lincoln Factoring, LLC. Phone: Company Name: Fax: Number of Pages: Date

FAX FAX #: 817-850-9801. From: Phone: 817-850-9800. Company Name: Lincoln Factoring, LLC. Phone: Company Name: Fax: Number of Pages: Date Date FAX FAX #: 817-850-9801 Phone: 817-850-9800 Company Name: Lincoln Factoring, LLC From: Phone: Company Name: Fax: Number of Pages: VERIFICATION FORM FUNERAL HOME CONTACT AMOUNT OF ASSIGNMENT NAME OF

More information

REINSTATEMENT DIRECTIONS DOMESTIC CORPORATIONS NONPROFIT CORPORATIONS LIMITED LIABILITY COMPANIES

REINSTATEMENT DIRECTIONS DOMESTIC CORPORATIONS NONPROFIT CORPORATIONS LIMITED LIABILITY COMPANIES REINSTATEMENT DIRECTIONS DOMESTIC CORPORATIONS NONPROFIT CORPORATIONS LIMITED LIABILITY COMPANIES The following steps must be taken to reinstate your corporation or limited liability company when it has

More information

Whole Loan Purchase and Sale Program Application. 6190 Powers Ferry Road Suite 150 Atlanta, Georgia 30339 770.690.9100 Fax 770.690.

Whole Loan Purchase and Sale Program Application. 6190 Powers Ferry Road Suite 150 Atlanta, Georgia 30339 770.690.9100 Fax 770.690. Whole Loan Purchase and Sale Program Application 6190 Powers Ferry Road Suite 150 Atlanta, Georgia 30339 770.690.9100 Fax 770.690.9188 GBC Funding, Inc. Application Revised 9-30-02 Company/Lender Information

More information

BUSINESS CREDIT APPLICATION

BUSINESS CREDIT APPLICATION BUSINESS CREDIT APPLICATION 1. Legal Name of Applicant: 2. Trade Name (d/b/a) if Applicable: E.I.N.: 3. Type of Bus. Years in Business: 4. Website: www. General 5. Has Applicant Changed its Name or Advertised

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION LOAN APPLICATION PROCEDURES 1. Complete the application and return it with any readily available information that you believe might be helpful in allowing GBH Private Bank to

More information

Section 6 - T.I.N. Certification and Backup Withholding Information

Section 6 - T.I.N. Certification and Backup Withholding Information LIMITED LIABILITY COMPANY MEMBERSHIP APPLICATION PROFESSIONAL LIMITED LIABILITY COMPANY MEMBERSHIP APPLICATION Section 1 General Member Information Name of Business: Business Address: Business email: Guarantor

More information

(ORS 725A) Make check or money order payable to Oregon Division of Finance and Corporate Securities.

(ORS 725A) Make check or money order payable to Oregon Division of Finance and Corporate Securities. Oregon Department of Consumer and Business Services Division of Finance and Corporate Securities 350 Winter St. NE, Room 410, Salem, Oregon 97301-3881 Mailing address: P.O. Box 14480, Salem, OR 97309-0405

More information

ARKANSAS APPRAISAL MANAGEMENT COMPANY APPLICATION FOR REGISTRATION

ARKANSAS APPRAISAL MANAGEMENT COMPANY APPLICATION FOR REGISTRATION M AMR-1 _ Arkansas Appraiser Licensing and Certification Board : by:_ number:_ Date: ed by: Mailed: ARKANSAS APPRAISAL MANAGEMENT COMPANY APPLICATION REGISTRATION The following information constitutes

More information

COMPANY INFORMATION. Address: City: County: State: Zip:

COMPANY INFORMATION. Address: City: County: State: Zip: MEMBER BUSINESS LOAN APPLICATION TYPE OF LOAN/LEASE: Business Vehicle (Fleet) Loan Equipment Financing Line of Credit SBA Loan Working Capital Loan Commercial Mortgage Amount Requested: Purpose/Use of

More information

See page 7 for Certification fees

See page 7 for Certification fees About Certification Many corporations, especially those in the National Minority Supplier Development Council Network, have special programs designed to assist minority owned firms to meet with their needs.

More information

DOCUMENT CHECKLIST FOR UNSECURED LOANS / CREDIT CARDS

DOCUMENT CHECKLIST FOR UNSECURED LOANS / CREDIT CARDS DOCUMENT CHECKLIST FOR UNSECURED LOANS / CREDIT CARDS Thank you for choosing First State Bank, your bank for all your Personalized Financial Solutions. In order to complete your loan application, please

More information

Apply Today. Fax application to 1-844-205-9527

Apply Today. Fax application to 1-844-205-9527 PNC Cash Rewards SM Visa Signature Business Credit Card Application EARN A $100BONUS ** Apply Today Fax application to 1-844-205-9527 With the PNC Cash Rewards Visa Signature Business credit card, you

More information

COLORADO LIMITED LIABILITY COMPANY CHECKLIST

COLORADO LIMITED LIABILITY COMPANY CHECKLIST COLORADO LIMITED LIABILITY COMPANY CHECKLIST ARTICLES OF ORGANIZATION Name of Entity: A business name must be distinguishable from any other active business name in Colorado the Secretary of State s records.

More information

SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT

SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new SIMPLE IRA. This application must be preceded or accompanied by a current Disclosure Statement and Custodial

More information

Customer: Thank you again for your patronage. We look forward to serving your needs. Sincerely, S. T. Wooten Corporation

Customer: Thank you again for your patronage. We look forward to serving your needs. Sincerely, S. T. Wooten Corporation Customer: Thank you for choosing to do business with S. T. Wooten Corporation. We are committed to providing you, our valued prospective or existing customer, with the highest level of satisfaction possible.

More information

PROFESSIONAL DESIGN FIRM REGISTRATION APPLICATION

PROFESSIONAL DESIGN FIRM REGISTRATION APPLICATION PROFESSIONAL DESIGN FIRM REGISTRATION APPLICATION Additional application forms can be downloaded from the IDFPR Web site at www.idfpr.com. Types of Business Organizations - Corporation, Professional Service

More information

Dealer Application. If Corporation: If Limited Liability Company: If Limited Partnership:

Dealer Application. If Corporation: If Limited Liability Company: If Limited Partnership: Date: 120 Citycentre Drive Cust: Cincinnati, Ohio 45216 Ph: (513) 679-7910 Dealer Application Business Name Address Telephone # Trade Name City State Zip Fax # Dealer Type New Used Franchises Held: Business

More information

MaxPerks Rewards Number (if known) Business Street Address (cannot be a PO Box) Suite # Number of Credit Cards Requested

MaxPerks Rewards Number (if known) Business Street Address (cannot be a PO Box) Suite # Number of Credit Cards Requested Business CREDIT CARD APPLICATION The OfficeMax Business Credit Card with Revolving Terms is for businesses and organizations that need the flexibility to pay in full or carry a balance from month to month.

More information

First Legacy Generations Greater Kinston Latino Shepherd. Dear Small Business Applicant:

First Legacy Generations Greater Kinston Latino Shepherd. Dear Small Business Applicant: 1 Dear Small Business Applicant: Thank you for contacting your Credit Union about a loan for your small business. We look forward to working with you to find financing that best meets your needs. To make

More information

A. Current account owner(s) Complete section 2, you may need to obtain a Medallion Guarantee. B. New account owner(s) Complete sections 3 through 10.

A. Current account owner(s) Complete section 2, you may need to obtain a Medallion Guarantee. B. New account owner(s) Complete sections 3 through 10. Non-Retirement Accounts N 1 Instructions Overview FOR ASSISTANCE with this form, call Shareholder Services at (800) 662-0201, or the Timothy Plan at (800) 846-7526. SIGNATURE GUARANTEE: For gifts over

More information

CORPORATE ACCOUNT. ...we make the difference

CORPORATE ACCOUNT. ...we make the difference CORPORATE ACCOUNT CORPORATE ACCOUNT GUIDE TO OPENING YOUR ACCOUNT Please complete all the relevant portions of the Application Form and Account Opening mandate and return the package along with the following

More information

Health Savings Account Packet

Health Savings Account Packet Health Savings Account Packet Please mail completed forms to: Jones National Bank & Trust Co. Attn: HSA Department PO Box 469 Seward NE 68434-0469 Questions, please call 402-643-3602 or 888-562-3602 Fax

More information

Company New Application Checklist Jurisdiction-Specific Requirements

Company New Application Checklist Jurisdiction-Specific Requirements Company New Application Checklist Jurisdiction-Specific Requirements MA MASSACHUSETTS DEBT COLLECTOR LICENSE This document includes instructions for a company (corporation location) new application request.

More information

If you need assistance completing this application, please email us at bdeangelis@coosedc.org

If you need assistance completing this application, please email us at bdeangelis@coosedc.org LOAN APPLICATION Coös Economic Development Corporation (CEDC) CEDC If you need assistance completing this application, please email us at bdeangelis@coosedc.org Part A: BUSINESS INFORMATION REGISTERED

More information

Business Visa Gold Credit Card Application

Business Visa Gold Credit Card Application Arizona Central Credit Union 2020 N Central Avenue Phoenix, AZ 85004 Phone: (602)264-6421 Fax: (602)254-7185 Website: www.azcentralcu.org Date Total Requested Limit - 30,000 maximum Business Member Number

More information

Trustee Certification Form

Trustee Certification Form Trustee Certification Form For the CMA Account for Trusts and Individual Investor Account for Trusts Please see instructions for completing this form on page 5. TO: MERRILL LYNCH, PIERCE, FENNER & SMITH

More information

GIIN (IF APPLICABLE): BUSINESS TAX No: TAXPAYER IDENTIFICATION TYPE: TRN TIN EIN ITIN NI SSN

GIIN (IF APPLICABLE): BUSINESS TAX No: TAXPAYER IDENTIFICATION TYPE: TRN TIN EIN ITIN NI SSN General Information LEGAL NAME OF BUSINESS INTERNAL USE ONLY BRANCH: COMPANY REGISTRATION NO.: CIF #: GIIN (IF APPLICABLE): BUSINESS TAX No: TAXPAYER IDENTIFICATION TYPE: TRN TIN EIN ITIN NI SSN PHONE

More information

VISA CREDIT CARD APPLICATION AGREEMENT & TRUTH-IN-LENDING DISCLOSURE STATEMENT

VISA CREDIT CARD APPLICATION AGREEMENT & TRUTH-IN-LENDING DISCLOSURE STATEMENT VISA CREDIT CARD APPLICATION AGREEMENT & TRUTH-IN-LENDING DISCLOSURE STATEMENT In this agreement (called the "Agreement"), the words "we", "us" and "our" mean Zeal Credit Union and its successors and assignees.

More information

SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT

SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new SIMPLE IRA. This application must be preceded or accompanied by a current Disclosure Statement and Custodial Agreement. For Additional Copies or Assistance

More information