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___________________________________________________  
(as you wish it to appear on the card max length 21 characters) 

Requested Credit Line   $__________________ 

Organized as:  

 Corporation  

 Partnership 

 Sole Proprietor   

  Other 

____________________________________________________________________ 
Nature of Business   

____________________ 
Year Established 

____________________ 
Annual Sales 

____________________________________________________________________         ____________________  
Company Primary Phone 
Street Address 

____________________________________________________________________ 
City 

State 

ZIP 

____________________ 
Company Email Address 

PRINCIPAL APPLICANT INFORMATION_(please print clearly and all information is required) 

_____________________________________________ 
(as you wish it to appear on the card) 
Name 

____________________ 
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 

How Long have you banked with company/Individual? 

State 

Accounts held:  

 Checking  

 Savings 

 Money Market 

  Other 

                   
 
 
 
 
 
                                                
 
 
 
 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
 
 
 
BUSINESS MASTERCARD TRUTH IN LENDING DISCLOSURES 
Interest Rate and Interest Charges 

APR for Purchases, 
Balance Transfers and 
Cash Advances 

12.25%
Non-Variable Rate 

How to Avoid Paying 
Interest on Purchases 

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 
Cycle Purchases (which are the purchases itemized on this statement). Each cash advance under your account will be subject to an interest charge 
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 

Balance Transfer 
Cash Advance 
Foreign Transaction 

Annual Fee 
Transaction Fees 
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Penalty Fees 
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

Late Payment 
Over-the-Credit Limit 
Returned Check Fee 

None 

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None (for non-UICCU balances only) 
3% or $5 whichever is greater. 
1% of each transaction in U.S. dollars

Up to $15
None 
Up to $25

For Credit Card Tips from 
the Consumer Financial 
Protection Bureau 

To learn more about factors to consider when applying for or using a credit card, visit the website of the Consumer Financial Protection Bureau 
at http://www.federalreserve.gov/creditcard. 

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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  Principal  Applicant  represents  and
warrants that he/she is authorized to and does execute this application on 
behalf  of,  and  to  obligate  and  obtain  credit  for  the  company  described  in 
the company information section of this application. 
2. Principal  applicant  further  states  that  everything  stated  in  this
application  is  correct  to  the  best  of  your  knowledge  and  that  the  above 
information  is  a  complete  listing  of  what  you  owe.  If  there  are  any 
important  changes  you  will  notify  us  in  writing  immediately.  You 
authorize  the  UICCU  to  obtain  credit  reports  in  connection  with  this 
application  for  credit  and  for  any  update,  increase,  renewal,  extension  or 
collection of the credit received. You understand that the UICCU will rely 
on  the  information  in  this  application  and  your  credit  report  to  make  its 
decision. If you request, the UICCU will tell you the name and address of 
any  credit  bureau  from  which  it  received  a  credit  report  on  you.  It  is  a 
federal crime to willfully and deliberately provide incomplete or incorrect 
information  on  loan  applications  made  to  federal  credit  unions  or  state 
chartered credit unions insured by the NCUA.  
3. You pledge as security all share and dividends and, if any, all deposits
and interest in all joint and individual accounts you have with us now and 

in the future.  Your pledged shares may be withdrawn by you unless you 
are in default.  The credit union may have what is known as a statutory 
lien  on  all  individual  and  joint  accounts  that  you  have  with  us.    A 
statutory lien means we have the right under federal law and many state 
laws  to  claim  an  interest  in  your  accounts.    We  can  enforce  a  statutory 
lien against your shares and dividends, and if any, interest and deposits, 
in  all  individual  and  joint  accounts  you  have  with  us  to  satisfy  any 
outstanding financial obligation that is due and payable to us.  We may 
exercise our right to enforce this lien without further notice to you, to the 
extent  permitted  by  law.    The  statutory  lien  will  allow  us  to  apply  the 
funds in your account(s) to what you owe when you are in default.  The 
statutory  lien  does  not  apply  to  any  Individual  Retirement  Account  or 
any  other  account  that  would  lose  special  tax  treatment  under  state  or 
federal law if given as security. 
4. Principal applicant understands that the use of your card will constitute
acknowledgement of receipt and agreement to the terms of the credit card 
agreement  and  disclosures.  MasterCard  may  not  be  used  for  any  illegal 
transactions. 

___________________  ____________________
Date 
     Applicant Signature

Date              Other Applicant Signature

DATE 

(cid:0) APPROVED 
(cid:0) DENIED 

FOR UICCU USE ONLY 

Line-of-Credit amount approved for this card 
$____________ 

Employee number & signature: ____________________________