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APPLICANT
You MUST initial here if you are applying with a Co-Applicant. I intend to apply for joint credit _________
Initials
________________________________________________________________________________________________________________________________________________________________
First Name
Middle Initial
Last Name
________________________________________________________________________________________________________________________________________________________________
Current Street Address
Apt/Unit Number
City
State
Zip Code
________________________________________________________________________________________________________________________________________________________________
Mailing Address (If different from current address)
Apt/Unit Number
City
State
Zip Code
(
)
(
)
(
)
________________________________________________________________________________________________________________________________________________________________
Home Phone
Cell Phone
Work Phone
Rent
Own
$
$
________________________________________________________________________________________________________________________________________________________________
Social Security Number
Date of Birth
Gross Monthly Income*
Monthly Housing Payment
________________________________________________________________________________________________________________________________________________________________
Employer
Occupation/Title
Number of Years
________________________________________________________________________________________________________________________________________________________________
E-mail Address
Mother’s Maiden Name (For Security Purposes Only)
CO-APPLICANT
You MUST initial here if you are applying with an Applicant. I intend to apply for joint credit _________
Initials
________________________________________________________________________________________________________________________________________________________________
First Name
Middle Initial
Last Name
________________________________________________________________________________________________________________________________________________________________
Current Street Address
Apt/Unit Number
City
State
Zip Code
________________________________________________________________________________________________________________________________________________________________
Mailing Address (If different from current address)
Apt/Unit Number
City
State
Zip Code
(
)
(
)
(
)
________________________________________________________________________________________________________________________________________________________________
Home Phone
Cell Phone
Work Phone
Rent
Own
$
$
________________________________________________________________________________________________________________________________________________________________
Social Security Number
Date of Birth
Gross Monthly Income*
Monthly Housing Payment
________________________________________________________________________________________________________________________________________________________________
Employer
Occupation/Title
Number of Years
______________________________________________________________________
Relationship to Applicant
BALANCE TRANSFER
______________________________________________________________________
E-mail Address
____________________________________________________________________________________
Account Number
Name of Creditor
____________________________________________________________________________________
Payment Address
City
State
Zip
*Alimony, child support, or separate maintenance income need not be
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obligation.
____________________________________________________________________________________
Amount of Transfer (Minimum transfer of $500)**
AUTHORIZED USER
(1ot Ànanciall\ resSonsiEle for charJes made on the account.)
**Please see Important Disclosures for further information.
________________________________________________________________________
Name
________________________________________________________________________
Relationship to Applicant
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provide a copy of your social security card and a valid government issued
picture ID via the secure fax number located on the front of the application.
1213 - SC301
RIF #
354548
All applicants must sign. Please read the following carefully before signing: This application is submitted to obtain a VISA Credit Card. I/We
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that a credit bureau report may be obtained. I/We agree to be bound by the terms and conditions of the Cardholder Agreement you send
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__________________________________________________________________________
__________________________________________________________________________
Applicant Signature
Co-Applicant Signature
Date
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PLEASE PRINT, SIGN AND MAIL OR FAX THE COMPLETED APPLICATION.
Date
IMPORTANT DISCLOSURES
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Interest Rates and Interest Charges:
Annual Percentage Rate
(APR) for Purchases:
APR for Balance Transfers:
APR for Cash Advances:
How to Avoid Paying
Interest on Purchases:
9.99% to 17.99%, based on your creditworthiness.
Your APR will vary with the market based on Prime Rate.*
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When the Introductory Period ends, the standard APR is 9.99% to 17.99%, based on your creditworthiness.
Your APR will vary with the market based on Prime Rate.*
21.99%. Your APR will vary with the market based on Prime Rate.*
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purchases and balance transfers if you pay your entire balance by the due date each month. You will be
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is posted to your account, whichever is later.
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Minimum Interest Charge:
For Credit Card Tips from the 7ROHDUQPRUHDERXWIDFWRUVWRFRQVLGHUZKHQDSSO\LQJIRURUXVLQJDFUHGLWFDUGYLVLWWKHZHEVLWHRIWKH
Consumer Financial Protection Consumer Financial Protection Bureau at http:www.consumer¿nance.govlearnmore.
Bureau:
Fees:
Annual Fee:
Transaction Fees:
Balance Transfer:
Cash Advance:
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None.
3% of each balance transferred. :DLYHGIRUEDODQFHWUDQVIHUVDWWLPHRIDFFRXQWRSHQLQJ
Either $5 or 3%RIHDFKFDVKDGYDQFHZKLFKHYHULVJUHDWHU
If the merchant is outside of the U.S., the fee is:
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b) 0.8% of the U.S. dollar amount of the transaction, if made in U.S. dollars.
Penalty Fees:
Late Payment:
Returned Payment:
Up to $35.
Up to $35.
Over Limit Fee:
None.
Loss of the Introductory APR for Balance Transfers: If you make a late payment, or make a payment that is returned unpaid, we may end
your Introductory APR for Balance Transfers and apply the standard Balance Transfer APR.
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Billing Rights: ,QIRUPDWLRQRQ\RXUULJKWVWRGLVSXWHWUDQVDFWLRQVDQGKRZWRH[HUFLVHWKRVHULJKWVLVSURYLGHGLQ\RXU&DUGKROGHU$JUHHPHQW
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TCM Standard Disclosures
If these travel benefits are included on a marketing piece, you must include the following disclosures:
Travel Accident Insurance
Coverage applies when the entire cost of the fare (less redeemable certificates, vouchers, or coupons)
has been charged to the card. Your account must be in good standing. Restrictions to coverage may
apply.
Auto Rental Collision Damage Waiver
To activate coverage, complete the entire rental transaction with your card and decline the collision
damage waiver coverage if offered by the rental company.
Restrictions apply if you have personal automobile insurance covering this theft or damage.
Standard Issuer Statement
This card is issued by TCM Bank, N.A. Subject to credit approval.
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law, we may share account and other information as well as
information contained in your Application and in any credLWUHSRUWRQ\RXZLWKDQ\7&0%DQNDI¿OLDWHVDQGRWKHUV
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credit cards until they notify you that the balances have been
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you will continue to be responsible for those balances. The
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the amount of your credit line. The minimum balance transfer
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State Laws Require the Following Notices: California
Residents: A married applicant may apply for a separate
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creditor and each applicant may be liable for the amount
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decree adversely affects a creditor’s interest unless, prior
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