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Business Credit Application

MEMBER BUSINESS CREDIT APPLICATION
Amount Requested * Term of Loan *
Loan Purpose * Collateral
Application for * Other
MEMBER BUSINESS INFORMATION
Business Name * DBA Name
Principal Place of Business (not P.O. Box)*
City * State * Zip *
Mailing Address (if different)
City State Zip
Primary Contact Name *
Business Telephone * Business Fax *
Date Business Established * # of years under current ownership *
State of Registration * Annual Sales *
Describe Products/Services *
Current Number of Employees * Email Address *
Type of Ownership (Select One) * Tax ID # *
Does applicant have any open deposit or loan accounts with Credit Union? Business Share Draft Account with Credit Union
Yes    No
OWNER'S INFORMATION
1) Full Legal Name * Title * % Owned *
Email * Social Security # *
2) Full Legal Name Title % Owned
Email Social Security #
3) Full Legal Name Title % Owned
Email Social Security #
ACCOUNT DISCLOSURES
1) Name of Institution or Broker Type of Account Account Number
When Opened Current Balance
2) Name of Institution or Broker Type of Account Account Number
When Opened Current Balance
1) Current Loans: Name of Lender Rate Monthly Payment
Collateral Description Current Balance
2) Current Loans: Name of Lender Rate Monthly Payment
Collateral Description Current Balance
3) Current Loans: Name of Lender Rate Monthly Payment
Collateral Description Current Balance
ADDITIONAL INFORMATION
Has applicant ever obtained credit under another name? Yes    No
Is applicant liable for debts not shown, including any contingent liabilities such as leases, endorsements, guarantees, etc? Yes    No
Has applicant ever declared bankruptcy or had any judgments, garnishments, repossessions, or other legal proceedings filed against them? Yes    No
Is applicant currently a defendant in any suit or legal action? Yes    No
Are there any tax obligations, including payroll or real estates past due? Yes    No
Does any customer or supplier currently account for more than 20% of your business? Yes    No
Comments
Your Name * Your Title * Your Email *
* Required Fields
PARA OBTENER INFORMACIÓN
Envíenos un correo electrónico:

o llámenos al:
305-471-5080
De manera gratuita al 1-800-299-7147

Lunes-Viernes
8:00am a 5:30pm
Sábado
9:00am a 12:00pm
FUERA DEL HORARIO
Tarjetas de crédito VISA y tarjetas débito VISA perdidas/robadas

Para reportar una tarjeta débito perdida o robada, por favor llame al 1-800-754-4128

Para reportar una tarjeta de crédito Visa perdida o robada, por favor llame al 1-800-449-7728

Tarjetas de crédito VISA y tarjetas débito VISA bloqueadas

Para saber por qué su tarjeta débito fue bloqueada, por favor llame al 1-800-338-8901

Para saber por qué su tarjeta de crédito VISA fue bloqueada, por favor llame al 1-800-654-7728
   
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