Credit Limit Requested $
Joint Account (See Co-borrower Section)
IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: To help the government fight the funding of terrorism and money laundering activities, Federal laws require all financial institutions to obtain, verify and record information that identifies each person who opens an account. What this means to you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.
All applicable sections should be filled out completely to avoid delay in processing your application.
PLEASE READ THE FOLLOWING CAREFULLY BEFORE SUBMITTING: 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 credit references or verifcation may be given based on inquiries from other parties. This offer is subject to the credit policies of the institution. I/We agree to be bound by the terms and conditions of the cardholder agreement, a copy of which will be mailed to the borrower if this application is granted, receipt of such agreement and acceptance of such terms to be conclusively presumed by the borrower's use. If you intend to apply for joint credit, the undersigned shall be jointly and severally liable for any and all credit extended from time to time. We may report information about your account to the credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in your credit report.
© 2019 Converse County Bank. All Rights Reserved. Website designed by ProfitStars.