smcu visa® credit card application

Individual	Credit

Joint	Credit

1.	 Complete	the	applicant	section	if	you	are	relying	on	your	own	income	and	assets	to	establish	credit.
2.	 Complete	the	co-applicant	section	providing	information	about	your	spouse	if	you	reside	in	a	community	property	state	(AZ,	CA,	ID,	LA,	NM,	NV,	TX,	WA,	WI.)		

applicant

Last	Name

First	Name

Middle	Initial

SMCU	Member	#

Social	Security	#

Current	Address

Previous	Address

City

City

State

State

Zip

Zip

Years	at	Current	Address

Years	at	Previous	Address

Home	Phone

Work	Phone

Marital	Status

Date	of	Birth

Email

Name	of	Current	Employer

Occupation

Years	at	Current	Employer?

Mother’s	Maiden	Name

$
Monthly	Gross	Salary

$
Your	Residence	Value

co-applicant

$
Additional/Retirement	Income*

Source

Own

Rent

$
Monthly	Payment

$
Mortgage	Balance

$
Child	Support	Payment

Last	Name

First	Name

Middle	Initial

SMCU	Member	#

Social	Security	#

Current	Address

City

State

Zip

Years	at	Current	Address

Home	Phone

Work	Phone

Marital	Status

Date	of	Birth

Email

Name	of	Current	Employer

Occupation

Years	at	Current	Employer?

Mother’s	Maiden	Name

$
Monthly	Gross	Salary

$
Your	Residence	Value

$
Additional/Retirement	Income*

Source

Own

Rent

$
Monthly	Payment

$
Mortgage	Balance

$
Child	Support	Payment

your references (list two relatives or close friends not living with you.) 

Name

Name

balance transfers 

Relationship

Address

City/State/Zip

Relationship

Address

City/State/Zip

Phone

Phone

Please	transfer	the	high-rate	credit	card	balances	listed	here	to	my	SMCU	VISA	Credit	Card	account.	I	understand	that	I	may	only	transfer	balances	up	to	my	available	credit	limit	and	that	SMCU	is	not	responsible	for	lost	or	
stolen	payments.	I	understand	that	balance	consolidations	will	be	treated	as	a	cash	advance	and	will	start	accruing	interest	immediately.	(To	expedite	your	request,	please	include	a	copy	of	your	recent	credit	card	statement(s).)

Loan	or	Credit	Card	#1	Payable	to:

Loan	or	Credit	Card	#2	Payable	to:

Account	#:

Address	to	Mail	Payments	to:

Transfer	Amount:

Account	#:

Address	to	Mail	Payments	to:

Transfer	Amount:

Sign	me	up	for	VISA	Autopay!

If	from	another	institution,	please	specify:

Account	Number:

Everything	that	I	stated	in	this	application	is	correct	to	the	best	of	my	knowledge.	The	credit	union	is	authorized	to	check	my	credit,	employment	history,	obtain	a	credit	report,	and	to	evaluate	my	credit	experience	with	the	credit	
union.	I	understand	that	it	may	be	a	federal	crime,	punishable	by	fine,	imprisonment,	or	both,	to	knowingly	make	any	false	statements	concerning	any	of	the	above	facts	as	applicable	under	the	provisions	of	the	United	States’	
criminal	code.	I	understand	that	if	I	use	the	card	or	authorize	its	use	or	do	not	cancel	my	account	within	30	days	after	I	receive	the	card,	the	Seattle	Metropolitan	Credit	Union	card	agreement	sent	to	me	with	my	notification	of	
approval	will	be	binding	upon	me.	I	have	read	and	understand	the	credit	terms	in	the	chart	on	this	form.	Terms	and	conditions	are	subject	to	change.	I	am	granting	to	SMCU	a	security	interest	in	any	and	every	deposit	account	and	
certificate	I	now	have,	or	from	time	hereafter	have,	at	SMCU,	on	and	against	all	monies	from	time	to	time	owed	by	me	pursuant	to	the	terms	of	my	VISA	Agreement	with	SMCU.	Each	such	deposit	account	and	certificate	is	hereby	
assigned	to	SMCU	to	secure	payment	of	my	obligation	under	my	VISA	Agreement.

Applicant’s	Signature

Date

Co-Applicant’s	Signature

Date

*Alimony,	child	support,	or	separate	maintenance	income	need	not	be	revealed	if	you	do	not	wish	to	have	it	considered	as	basis	for	repayment	of	this	loan.

Requested	Limit:

Annual	Percentage	
Rate	(APR)
For	Purchases,	Cash	
Advances	&	Balance	
Transfers

Penalty	APR	&	When	
It	Applies

Interest Rates and Interest Charges

6.99% to	17.99%,	
based	on	your	creditworthiness	when	you	open	your	account.

This	APR	will	vary	with	the	market	based	on	the	U.S.	Prime	Rate.

17.99%
This	APR	may	be	applied	to	your	account	if	you	make	a	late	payment.

How Long Will the Penalty APR Apply?		If	your	APRs	are	increased	for	this	reason,	the	Penalty	
APR	may	apply	until	you	make	six	consecutive	minimum	payments	when	due.		

Paying	Interest

Your	due	date	is	approximately	25	days	after	the	close	of	each	billing	cycle.		We	will	not	charge	
any	interest	on	the	portion	of	the	purchases	balance	that	you	pay	by	the	due	date	each	month.		
We	will	begin	charging	interest	on	cash	advances	and	balance	transfers	on	the	transaction	date.

For	Credit	Card	Tips	
from	the	Federal	
Reserve	Board

To	learn	more	about	factors	to	consider	when	applying	for	or	using	a	credit	card,	visit	the	
website	of	the	Federal	Reserve	Board	at:
www.federalreserve.gov/creditcard

Annual	Fee

None

Fees

Transaction	Fees
Cash	Advance	/Balance	Transfer	Fee:
Foreign	Transfer	Fee

2% of	amount	of	advance	($25	maximum)
Up	to	1% of	the	US	Dollar	amount	of	the	foreign	transaction.

Penalty	Fees
Late	Payment	Fee
Returned	Payment	Fee

Up	to	$25
Up	to	$20

Loan	Protection

If	you	elect	to	obtain	the	optional	loan	protection	coverage	and	pay	the	monthly	protection	
fees,	we	will	cancel	your	payments	and	outstanding	balance	if	you	die,	become	disabled	or	
become	involuntarily	unemployed.

Other Card Features

The	Annual	Percentage	Rate	is	based	on	the	value	of	an	index.		The	index	is	the	highest	Prime	Rate	in	effect	as	published	in	the	
Wall	Street	Journal	on	the	first	business	day	of	each	month.		When	a	change	in	a	Variable	Annual	Percentage	Rate	occurs,	it	will	
become	effective	on	the	first	day	of	the	following	month’s	billing	cycle	and	will	apply	to	any	existing	balances.	To	determine	the	
Annual	Percentage	Rate	that	will	apply	to	your	credit	card,	we	add	a	margin	determined	by	your	creditworthiness	to	the	value	
of	the	index.	There	is	no	limit	on	the	amount	by	which	the	rate	can	change	on	any	given	change	date	other	than	the	maximum	
Annual	Percentage	Rate	that	can	apply	at	any	time	on	your	account.	Maximum	Annual	Percentage	Rate	is	17.99%.

All	Finance	Charges	are	added	together	in	order	to	calculate	the	Annual	Percentage	Rate	for	each	Billing	Cycle.

How We Will Calculate Your Balance: 	We	use	a	method	called	“average	daily	balance”	(including	new
purchases).

Billing Rights:		Information	on	your	rights	to	dispute	transactions	and	how	to	exercise	those	rights	is	provided
in	your	Credit	Card	Account	Agreement.

The	above	rates	and	fees	are	effective	as	of	9/14/2011.

For	more	information	regarding	SMCU	VISA	cards,	please	see	the	Credit	Card	Agreement	available	at	www.smcu.com.	

SMCU	4002		(3/12)