13.90% Fixed urchases   13.90% Fixed   None   Your due date is at least 25 days after the close of each billing cycle. We will not charge you interest on retail purchases, cash advances and balance transfers if you pay your entire balance by the due date.   If you are charged interest, the charge will be no less than $0.00   To learn more about factors to consider when applying for or using a credit card, visit the web site of the Consumer Financial Protection Bureau at http://www.consumerfinance.gov/learnmore. umer Financial     $10.00        7   CREDIT APPLICATION Credit Limit Requested $   Check Account Choice: (Signature required for joint applicant) Visa® Gold Individual Account ‘J Joint Account We intend to apply for joint credit Applicant Initials = Co-Applicant initials ‘1 Credit Line Increase     information that will allow us to identi SS Last Name ur driver's license or other identifying documents. IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: To help the government fight the funding of terrorism and money pias activities, Federal laws require all financial institutions to obtain, verify and record information that identifies each person who opens an Account. What this means to you: When you open an Account, we will ask ‘ou. We may also ask to see i lor your name, address, date of birth, and other     Middle Social Security Number   Date of Birth No. of Dependents   Cell Phone ( ) ( }   Own Rent Other J = = Monthly Payment $   Current Address State Zip Code How Long (yrs)   Mailing Address (if different from above) City State Zip Code How Long (yrs)   Previous Address (if less than 2 years al present address) City   State Zip Code   How Long (yrs)   Employer LNVOMdd¥ Self Employed Yes No   Work Phone (3) Date Employed   Address Alajaidivos ina pay eq pinoys sudndes ageandd     Position/Occupation Monthly Gross Income $   vonjeoydde nox Guissagcud ul Aejap plone 9} I |IWy -ION Name and Address of Previous Employer (if less than 2 years at present employer) How Long (yrs}   Source of Additional Income: Income from alimony, child support or separate | maintenance need not be revealed if it is not considered in determining creditworthiness Amount per Month $   Nearest Relative (Not Living With You) Home Phone { } Relatonship   None None None   If the minimum required payment is not received within 10 days after the closing date subsequent to the payment due date, a late payment fee of up to 5.0% will be imposed. None None   None       a method called “average daily balance" (including new purchases).* An explanation of this method is provided in your account agreement. jute transactions and how to exercise those rights is provided in your account agreement. Last Name First Middle Social Security Number   Date of Birth No. of Dependents   Home Phone Cell Phone { } { 43   Own Rent Other fo Q fa Monthly Payment $   Current Address UE Jo) peuin City State Zip Code How Lang {yrs}   Previous Address {if less than 2 years at present address) qunoo9e |enpiAIpUl City   State Zip Code   How Long (yrs}   INVIMTddV-09 Siu) ‘Wuesinide Lule! 40) pepualuy Employer be) FOU S| UORBUWOJU! Self Employed Yes INo   Work Phone ( ) Date Employed   Address   Position/Occupation Monthly Gross Income $   Name and Address of Creditor Name under Which Account is Carried Account Number Balance Monthly Payment   1. Home Mortgage/Rent   2. Bank Credit Card/Bank Name and Address   Aessacan || s}aays (BUOKIPPY YOeIy OJIN! LIdaYS         x   Applicant Sig nature x   Date Co-Applicant Signature       Visa Account No. PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING: This statement is submitted to obtain credit and |/we certify that all information herein is true and complete. |/We agree that inquiries may be made to verify information and that credit references or verification may be given based on inquiries from other parties. This offer is subject to the credit policies of this institution. I/We agree to be bound by the terms and conditions of the cardholder agreement, a copy of which will be mailed to the applicant if this application is granted, receipt of such agreement and acceptance of such terms fo be conclusively presumed by the applicant's use. If you intend to apply for joint credit, the undersigned shall be jointly and severally liable for any and all credit extended from time ta time. We may report information about your account to the credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in your credit report.   Date     INO 40d SSYNIVNOIS | TWNYSLNI Date Approved Credit Line   Approved By       | Cache Valley Bank, Logan, UT 84323-3227 All contents ar   FOLD AND SECURE WITH TAPE FOR MAILING Tuniges that   ave been made after prit wv please call (435) 753-3020.    Applic jon ©2009 FIS* 08/13