BUSINESS MASTERCARD APPLICATION 
                          Visit uiccu.org for a complete list of card benefits. 
     
     
                      
                     Take your business to the next level with Business MasterCard from the UICCU.  This 
                     card offers the worldwide acceptance of MasterCard and the ability to divide your credit 
                     line among your employees.   
                                                    
                                                                          
     
                 
    COMPANY INFORMATION (please print clearly and all information is required) 
    Please attach your company financial statements and the names and social security numbers of all principal 
    officers or the partnership agreement or LLC operating agreement.  Omissions may be grounds for denial.  
    Additional financial information may be requested.   
     
    Company Name___________________________________________________   Requested Credit Line   $__________________ 
               (as you wish it to appear on the card max length 21 characters) 
     
    Organized as:       ? Corporation    ? Partnership   ? Sole Proprietor   ?  Other 
     
    ____________________________________________________________________  ____________________  ____________________ 
    Nature of Business                            Year Established   Annual Sales 
     
    ____________________________________________________________________         ____________________  
    Street Address                                Company Primary Phone   
     
    ____________________________________________________________________  ____________________   
    City            State          ZIP            Company Email Address  
     
        
    PRINCIPAL APPLICANT INFORMATION_(please print clearly and all information is required) 
     
    _____________________________________________  ____________________  ____________________  ____________________  
    Name  (as you wish it to appear on the card)   Title    Time in current position  Net Annual Income* 
     
    ____________________________________________________________________        ____________________        ____________________ 
    Home Address                                  Time at this address  Home Phone 
     
    ____________________________________________________________________  ____________________  ____________________ 
    City            State          ZIP            Social Security Number  Mobile Phone   
     
    ____________________________________________________________________  ____________________  $___________________  
    Employer                                      Do you Rent or Own?  Monthly Mtg or Rent Amount
      
    Personal accounts held:       ? Checking   ? Savings  ? Money Market   ?  Other 
     
    *Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a 
    basis for repaying the obligation. 
     
    Business Banking Reference_(please print clearly and all information is required) 
     
    _____________________________________________  ________________________________________  ____________________  
    Company of Bank Reference      Name of Bank Officer          Banker Phone 
     
    _____________________________________________      ________________________________________ 
    City            State          How Long have you banked with company/Individual?   
     
    Accounts held:       ? Checking   ? Savings  ? Money Market   ?  Other 
     
     
     
     
            BUSINESS MASTERCARD TRUTH IN LENDING DISCLOSURES 
                               Interest Rate and Interest Charges 
    APR for Purchases, 
                  12.25% 
    Balance Transfers and 
    Cash Advances  Non-Variable Rate 
                   
                  If the New Balance shown on this statement is paid in full by the Payment Due Date shown on this statement, no interest charge will be imposed on Current                      
    How to Avoid Paying  Cycle Purchases (which are the purchases itemized on this statement). Each cash advance under your account will be subject to an interest charge 
    Interest on Purchases  beginning on the date the advance is posted to your account. Interest charges will continue to accrue on your account until the entire outstanding balance is 
                    
                  paid in full. 
    Minimum Finance Charge  None                                               
                                         Fees 
    Annual Fee    None 
    Transaction Fees                              
    ?  Balance Transfer  ?  None (for non-UICCU balances only) 
    ?  Cash Advance  ?  3% or $5 whichever is greater. 
    ?  Foreign Transaction  ?  1% of each transaction in U.S. dollars 
    Penalty Fees   
    ?  Late Payment  ?  Up to $15 
    ?  Over-the-Credit Limit  ?  None 
    ?  Returned Check Fee  ?  Up to $25 
    Other Fees & Charges  Card Replacement Fee (for any reason): $10.00 
    For Credit Card Tips from 
                  To learn more about factors to consider when applying for or using a credit card, visit the website of the Consumer Financial Protection Bureau 
    the Consumer Financial 
                  at http://www.federalreserve.gov/creditcard. 
    Protection Bureau 
      ?  How We Will Calculate Your Interest:  We figure the interest charge on your account by applying the periodic rate, as stated in your Account Opening Disclosures to the 
         �average daily balance� of your account. To get the �average daily balance� we take the beginning balance of your account each day, add any new purchases/advances/fees, and 
         subtract any unpaid interest or other finance charges and any payments or credits. This gives us the daily balance. Then, we add up all the daily balances for the billing cycle and 
         divide the total by the number of days in the billing cycle. This gives us the �average daily balance.�  
      ?  Minimum Payment: The minimum monthly payment is 2% of the new balance, but at least $25.00 or the new balance if less than $25.00.  If the unpaid interest and fees on the 
         account are greater than the minimum monthly payment, the minimum monthly payment will become that amount. Any amount that is past due or prior minimum payments that 
         were not made will also be added to the minimum monthly payment amount. 
      ?  This information is accurate as of 6/12/2014. 
          
    PLEDGE OF SHARES.  You grant us a security interest in any of your share accounts with us to secure payment of your Account.  You authorize us to apply any funds in your 
    share accounts to the balance owing on your Account if you should default. 
          
                                 SIGNATURE(S) 
    1.   By  signing  this  application,  the  Pricipal  Applicant  represents  and  in the future.  Your pledged shares may be withdrawn by you unless you 
    warrants that he/she is authorized to and does execute this application on  are in default.  The credit union may have what is known as a statutory 
    behalf of, and to obligate and obtain credit for the company described in  lien  on  all  individual  and  joint  accounts  that  you  have  with  us.   A 
    the company information section of this application.  statutory lien means we have the right under federal law and many state 
    2.  Principal  applicant  further  states  that  everything  stated  in  this  laws to claim an interest in your accounts.  We can enforce a statutory 
    application is correct to the best of your knowledge and that the above  lien against your shares and dividends, and if any, interest and deposits, 
    information  is  a  complete  listing  of  what  you  owe.  If  there  are  any  in  all individual  and  joint  accounts  you have  with  us  to  satisfy  any 
    important  changes  you  will  notify  us  in  writing  immediately.  You  outstanding financial obligation that is due and payable to us.  We may 
    authorize  the  UICCU  to  obtain  credit  reports  in  connection  with  this  exercise our right to enforce this lien without further notice to you, to the 
    application for credit and for any update, increase, renewal, extension or  extent permitted by law.  The statutory lien will allow us to apply the 
    collection of the credit received. You understand that the UICCU will rely  funds in your account(s) to what you owe when you are in default.  The 
    on the information in this application and your credit report to make its  statutory lien does not apply to any Individual Retirement Account or 
    decision. If you request, the UICCU will tell you the name and address of  any other account that would lose special tax treatment under state or 
    any credit bureau from which it received a credit report on you. It is a  federal law if given as security. 
    federal crime to willfully and deliberately provide incomplete or incorrect  4.Principal applicant understands that the use of your card will constitute 
    information on loan applications made to federal credit unions or state  acknowledgement of receipt and agreement to the terms of the credit card 
    chartered credit unions insured by the NCUA.   agreement and disclosures. MasterCard may not be used for any illegal 
    3.  You pledge as security all share and dividends and, if any, all deposits  transactions. 
    and interest in all joint and individual accounts you have with us now and  
    ?___________________  ?____________________ 
         Applicant Signature                             Date              Other Applicant Signature                     Date 
            
                                   FOR UICCU USE ONLY 
         DATE    ? APPROVED                Line-of-Credit amount approved for this card 
                                            
                 ? DENIED                         $____________ 
                                           
                         Employee number & signature: ____________________________