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Credit Card Application

Fields marked with a star (*) are required. Please call a loan officer at (513) 523-4699 ext. 9506 if you have any questions.


 
Personal Information
*First Name

Middle Name

*Last Name

*SSN

*Birthdate (MM/DD/YYYY)

*Daytime Phone

*Email

*Marital Status


*Mother's Maiden Name

 
Current Address  (You must have a physical address. No P.O. Boxes.)
*Address

*City

*State

*ZIP

*Length of time at this address

County of Residence

*Do you own or rent your current home?



        If Other, please explain

*Monthly Mortgage/Rent Payment $

 
Employment & Income Information
*Current Employer

*Annual Earnings $

*Length of Employment

*Employer Phone

Do you have any other sources of income? If so, please explain:

Please list any other assets you own, including any vehicles or real estate, along with the value. If “None,” you may leave this space blank:

*Do you currently pay monthly alimony or child support?


        If Yes, how much? $

 
*Are you applying with a Co-Applicant?


 
Co-Applicant Information  (If you are not applying with a co-applicant, click here to skip to the next section of this form. Fields marked with a + are required if you are applying with a co-applicant.)
+First Name

Middle Name

+Last Name

+SSN

+Birthdate (MM/DD/YYYY)

+Daytime Phone

Email

+Marital Status


+Mother’s Maiden Name

+Address

+City

+State

+ZIP

+Length of time at this address

+Do you own or rent your current home?



        If Other, please explain

+Monthly Mortgage/Rent Payment $

+Current Employer

+Annual Earnings $

+Length of Employment

+Employer Phone

Do you have any other sources of income? If so, please explain:

Please list any other assets you own, including any vehicles or real estate, along with the value. If “None,” you may leave this space blank:

+Do you currently pay monthly alimony or child support?


        If Yes, how much? $

 
Loan Information
*Application Type



*Type of Card


*Amount of Available Credit Requested $

MUCFCU offers no-fee balance transfers. Would you be interested in transferring your current credit card balance to an MUCFCU VISA?


 
Tell us a little more about your credit card application. Is there anything else we should know, in order to process your application?

 
 
Disclosures
Notice to Ohio Residents: The Ohio laws against discrimination require that all creditors make credit equality to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law. 
 
I (We) certify that the above information is true and complete. I (We) also authorize the credit union to verify or obtain further information that the credit union may deem necessary concerning my (our) credit standing. If an account is opened, I (we) authorize you to report our credit experience with me (us). The undersigned jointly and severally agree to be responsible for all charges. I (We) hereby authorize Miami University Community Federal Credit Union to act on my (our) behalf to transfer the balance(s) listed above to my new Miami University Community Federal Credit Union credit card. Miami University Community Federal Credit Union reserves the right to transfer only the current credit card balance(s).
 

 

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