CREDIT APPLICATION

Credit Limit Requested $

Check  Account  Choice:
(Signature required  for joint applicant)

Check  Card Choice 

tr Visa@ 

tr  Visa@  Platinum

tr lndividual  Account  .- ',
D JointAccount
We intend to apply forjoint  credit
Applicant  Initials  _ 
tr Credit  Line  Increase

Co-Applicant  Initials

that will

Last  Name

Date of Birth 

g

Current Address

I No.  of Dependents

Mailing Address  (if  different  from  above)

Previous Address  (if less  than 2  years  at present  address)

Employer

Address

l-irst

Home  Phone

()

City

City

City

Middle

Social Security  Number

Cell Phone

()

Own Rent Other
trtrtr

Monthly  Payment  $

State

State

State

Zip Code

Zip Code

Zip Code

Self Employed
trYes  trNo

Work  Phone

()

How Long  (yrs)

How  Long (yrs)

How Long  (yrs)

Date Employed

Position/Occupation

lvonthly  Gross  lncome  $

Name  and  Address  of Previous  Employer  (if  less  than  2  years  at present  employer)

Source  ofAdditional  Income:  lncome  from  alimony,  child support  or separate
maintenance  need not be revealed  if it is not  considered  in  determining  creditworthiness

Nearest  Relative  (Not  Living With  You)

Last Name

DateofBirth 

I No.ofDependents

Cu116ntAddress

Previous  Address  (if less  than 2  years  at present address)

Firsl

Home  Phone

()

Ury

City

Home  Phone

()

Middle

Cell Phone

()

Own Rent Other
trtrtr

State

State

Zip  Code

Zip  Code

Self Employed
trYes  trNo

Work  Phone

()

How  Long (yrs)

Amount  per Month  $

Relationship

Social Security  Number

Monthly  Payment  $

How  Long (yrs)

How  Long (yrs)

Date Employed

Name  under Whrch  Account  ts Uarfled

Account  Number

tsalance

Monthlv  Paymenl

Position/Occupation

lVonthly  Gross  lncome  $

Employer

Address

Name and  Address  0l  0reditot

1. Home  Mortgage/Rent

2. Bank  Credit  Card/Bank  Name and  Address

x

onature

x

1-Ar

dnrtt  Irc

Upon approval,  I wish to hansfer

my present  balance  on the  credit  card account(s)  listed  below to my new credit  card account.

tr Credit  Card  Account  Number

Amount  to  be  transferred  $

Pepco  Federal  Cred.it  Union,  Washington, DC 20068 

All  contents  includ.ing  rates,  Jees  and premiums  are  accurate  at the  time of printing  Jor  changes that  may hate  been made  afier  printing please  call  (800)  553-7328.

Approved  By

Approved  By

FOLD AND SECURE WITH  TAPE  FOR MAILING 

APPlication  @2009  FIS'02/16

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Signature

Visa  Account  No

Date  Approved