A table that includes required credit Two H ar bor Ay F e de Kr al card disclosures is provided with eee Credit Union this Application. To obtain any change in the required information | 626 Second Avenue * Two Harbors, MN 55616 since it was printed, write to us at the 218-834-2266 Fax: 218-834-2250 + www.thicu.org address stated on this Application. | Credit Card Application Check below to indicate the type of credit for which you are applying, - CI individual Credit: You must complete the Applicant section about yourself and the Other section about your spouse if: (1) you live in or the property pledged as collateral is located in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI); (2) your spouse will use the account; or (3) you are relying on your spouse’s income as a basis for repayment. ff you are relying on income from alimony, child support, or separate maintenance, complete the Other section to the extent possible about the person on whose payments you are relying. © Joint Credit: Each applicant must individually complete the appropriate section below. If Co-Borrower is spouse of the applicant, mark the Co-Applicant bax. Guarantor: Complete the Gther seet “Applicant                           ion if you are a guarantor on an account/toan. as ee                         ‘Oth                                                                            NAME (Last - First - Initial ACCOUNT NUMBER NAME (Last - ACCOUNT NUMBER DRIVER'S LICENSE NUMBER / STATE SOCIAL SECURITY NUMBEA DRIVER'S LICENSE NUMBER / STATE SOCIAL SECURITY NUMBER E-MAIL ADDRESS E-MAIL ADDAESS BIATH DATE HOME PHONE CELL PHONE BUSINESS PHONE? EXT. BIRTH DATE HOME PHONE GELL PHONE BUSINESS PHONE/ EXT. ( ) { ) i ) { ) i } { } PRESENT ADDRESS (Street - City - Stale - Zip) [_lown r] RENT) | PRESENT ADDAESS (Strest - City - State - Zip) [own r] RENT YEARS AT THIS YEARS AT THIS cee e nett net cet ee deed cua db dee eeretaeeatti bb ecesebeeeees ADDAESS Dee eee beret vtee ete ttaeeeeearrriiietitreiersteryerscee...., {ADDRESS MORTGAGE/RENT OWED To: MORTGAGE/RENT OWED TO: MORTGAGE BALANCE MONTHLY PAYMENT INTEREST RATE MORTGAGE BALANCE MONTHLY PAYMENT INTEREST RATE $ $ “| |S a Ye COMPLETE FOR JOINT CREDIT, SECURED CREDIT Of IF YOU LIVE IN A COMMUNITY COMPLETE FOR JOINT GREDIT, SECURED CREDIT OR IF YOU LIE INA COMMUNITY PROPERTY STATE: PROPERTY STATE: [_|warrieo | |seranateo [| unmaaalen (Single - Divorced - Widowed) manned [ |separateo [| UNMARRIED (Single - Divorced - widowed} ‘Employment/Income | START Employment/Income | START NAME AND NAME AND ADDAESS OF ...-- eee ce cece ccc ne esse cence atte cnunnaereserrnnserippprie slp, ADDRESS OF «6-6-2. eee eee eee eeepc ee tees te tetettevnerietnternernnen EMPLOYER EMPLOYER NOTICE: ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED NOTICE: ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED IF YOU D0 NOT CHOOSE 70 HAVE It CONSIDERED. fF YOU 00 NOT GHOOSE TO HAVE IT CONSIDEHED. EMPLOYMENT INCOME OTHER INCOME EMPLOYMENT INGOME OTHER INCOME $ PER § PEA $ PER $ PER [ [wer | |aaoss SOURCE [ |net [ icross SOURCE   Mapes ee | OHIG RESIDENTS ONLY: The Ohio faws against adversely affect the rights of the Credit Union unless the Credit Union is furnished a _ State Law Notices | discrimination require that all creditors make credit copy of the agreement, statement or decree, or has actual knowledge of its terms, i | equally available to all creditworthy customers, and that before the credit is granted or the account is opened. (2) Please sign if you are not credit reporting agencies maintain separate credit histories on each individual upon applying for ihis account or loan with your spouse. The credit being applied for, if request. The Ohio Civil Rights Commission administers compliance with this law. granted, will be incurrad in the interest of the marriage or family of the undersigned.         WISCONSIN RESIDENTS ONLY: (1) No provision of any marital property agreement, X unilateral statement under Section 766.59, or court decree under Section 766.70 will   SIGNATURE FOR WISCONSIN RESIDENTS ONLY DATE                1. You promise that everything you have stated in this application is correct to 2. You understand that the bse of your card will constitute acknowledgment the best of your knowledge. If there are any important changes you will notify us af receipt and agreement to the terms of the credit card agreement and in writing immediately. You authorize the Credit Union to obtain credit reports in disclosures. You grant us a security interest in all individual and joint share connection with this application for credit and for any update, increase, renewal, and/or deposit accounts you have with us now and in the fulure to secure your extension, or coflection of the credit received. You understand that the Credit credit card account. When you are in default, you authorize us to apply the Union will rely an the information in this application and your credit reportto make balance in these accounts to any amounts dug. Shares and deposits in an its decision. if you request, the Credit Union will tat! you the name and address Individual Retirement Account, and any other account that would lose special of any credit bureau from which it received a credit ceport on you. it is a crime tax treatment under state or federal law if given as security, are not subject ta to willfully and deliberately provide incomplete or incorrect information in this the security interest you fiave given in your shares and deposits. application.   Ais; Wii           X (SEAL} xX {SEAL) OTHEA SIGNATURE               APPLICANT'S SIGNATURE FOR 08s ee CREDIT UNION E1 APPROV USE-ONLY: 80) EI DECLINED,                OF GARIDS - CREDIT COMMITTEE GF LOAN OFFICER SI                               Asm ; fo oy Oe DE S sSs2 57:3]: a "| eon = 2=|F/F( 7p = ae | =o w + = atup = co olmifoa = £o | MW)! wales aoa eee ¢ fF ZF aweo mre ila ei = = as i co 5 mask af oF |p:aa =. a= /7)a/a2 mo ZS 3-2 FS RBBREE =ae cooly i/2e2 5 wee lon (me aS | Oo) Be 2am a & » S2Sa FCs Se lj |F ago = goy;o/92 B= pe) Bo oes 5 on 3-0 wm a > i] ue mom yg ao 220 Slaanm|s2 o= 3 SFlala/st {mg aoO psp @®@ aaa = |/ota 2 | ™ — "Sia la|« & Nhe goo —~ J e@hes = Soicis moO Ss Sle | om a res) Soa 3 Sot? oe l/Vwat*ia en so = ajar] 2 co) cone ass a @ Aa2' HI22 lee SBa| & tilela| 3 = age 32 @ € 38 e235 |B8 ax| 2 2/2/%| & gw Q mm ch 6D mn 4 2S = | a a = — =i ja o oc P wo m ‘<= se fay aie a = isia ~ oO =e fa) fa] = ait 3 = > ‘a a he wa oo For] mn 7 crs fof mo + = i=) oe | CO f ca orf fae] — = Ss te re = =| SE ———s = 1 cb o2 = ee : cD cD o na a5 =} @ mn a Os = £D m poled ppd tine, | oOo 290 a = “ p= oo ao a eS B * =e 54 Ea oo ad a nn im a —} an] — RG = A Tes =y = = 1 NS a a Ss mae ao (of QT ee os fe 30 = Sy. se 8 S602 — —. = c — a: Now SRSeR28 & &B\SS |B | [Pea jszlssslala] |B] ee Sa) ie Soaeattan a2 pw | o 3 25/75 /2="2 l5/,| Go | Fo Soog ese mers ao m JeZtBlS=/F®S5;/S)S] + Sao” o ono mo + |r {BoB lSeanlcHe|2/2! «2 c ° oO ome = wo Pa ho |) oa 2535 Bia f=) : 7 aS =a Soe, =|Sai2®io Ge o pn = SS | onan 2 E=] aS oe og ~ a Poo o a beac] > +954 = SB loo moe /o@iaas Oo wo Oe oC om S= as SES /38 |@oR o tn es 8 op af HS a+ |=  _, rd 3a 3 oy; = jeg, /22 28% > cs 20 SR 8 SSR |sojpese 3 = creo                      Please return completed Application to the address below in a stamped envelope. Cut off the Application and Solicitation Disclosure and retain for your records. TWO HARBORS FEDERAL CREDIT UNION 626 SECOND AVENUE TWO HARBORS MN 55616   1-1VXROB04 A CUAA Mutual Groin 9000 40 19 All Rinhte Aacervad CCMO02 ayrmind                The Credit Union Difference        Credit Card Application Visa Two Harbors Federal eee Credit Union 626 Second Avenue Two Harbors, MN 55616 218-834-2266 Fax: 218-834-2250 www.thicu.org AMERICA'S A nv CREDIT UNIONS"  8} Medstacskae | Tavst ¢ SeeraMore : LepeelJore wa tm Loar ol Senna fiewarte thal etoers pou tua” |                             BE         Gan | go directly to a retailer's website tO SNOp and carn more Bonus Points? No. To earn ScoreMore Bonus Points for qualified oniine purchases, you must access the participating retailer website from the ScoreMore link on scorecardrewards.com. Once you’ve accessed the retailer site, simply use your ScoreCard Rewards card to make your purchase. Why co | need to sign my purchase recelot when shopping in-store at pericipating ScoreMiore retailers? When you are using your Rewards card at one of the Participating ScoreMore retailers, you must select “Credit” and SIGN your receipt to earn more Bonus Points. If you select PIN, you will not earn any extra Bonus Points for purchases made at participating ScoreMore retailers.   CAUSE LIFE SHOULD BE Mow can | see (f | Bonus Points thr Log in to scorecardrewe the link located on the menu at the top of the either “Transaction His to view the current mc earnings. You may als Headquarters at 800-€ to confirm Bonus Poin ScoreMore purchase. When will the acie ‘ye earned throu. in my account? tea ScoreMore Points for Purchases are typical (7) days of transactior Purchases are typical days of transaction pc for some retailer offer: processing time. Poin retailers are awarded planned travel. Please for details on point ea issuance. What happens to   scoreMore Bonus Po return purchases. Nave 2 questic whe can | comtac! You may contact Score ait 1-800-854-0790, 2. closed major holidays.                   Shop at participating online retailers by visiting and fogging in. Click on ScoreMore and make ail your purchases using your Rewards card - you'll automatically earn more Bonus Points! In-store shopping is just as easy. Anytime you shop at a participating ScoreMore retailer, be sure to use your Rewards card with a signature and earn more Bonus Paints.         Swipe - Sign - Earn              24 hour SM #7905 07/11          1-800-854-0790 support; closed major holidays Rewards From ScoreCard* ScoreCard Rewards Card & Earn More Points!       Hewards From Scorecard”