CREDIT Check Account Choice: (Only One) (4 Sole Owner (I Increase | APPLICATION Visa® Business Card (J Partnership LI Acct. # Total Credit Limit Requested $ (4 Corporation   a IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT: To help the government fight the funding of terrorism and money laundering 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 for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.                                 COMPANY INFORMATION Name of Company Tax |.D. Number Company Address City State Zip Code Business Phone Type of Business How Many Years in Business ISSUE BUSINESS CREDIT CARDS TO THE FOLLOWING INDIVIDUALS: The information gathered for the individuals to receive the credit cards includes the signature at the bottom of each box. Attach additional sheet if necessary (with signatures) Last Name First Middle Social Security Number Company Title Division / Department Date of Birth Home Address City State Zip Home Phone Signature Limit for this Individual Card: $ Date Last Name First Middle Social Security Number Company Title Division / Department Date of Birth Home Address City State Zip Home Phone Signature Limit for this Individual Card: $ Date CREDIT INFORMATION Attach additional sheet if necessary (with signatures)   Institution Name and Address   Branch Loans Q Open Q Closed |   Checking Account Number / Name Listed Savings Account Number / Name Listed         Name and Address of Trade References Name Under Which Account Is Carried Account Number Balance Monthly Payment 4 $ $ 2. $ $   3. Institution Credit Card / Institution Name and Address $ $       CONDENSED BUSINESS FINANCIAL STATEMENT Bank reserves the right to require additional information           CURRENT ASSETS $ CURRENT LIABILITIES $ TOTAL ASSETS $ TOTAL LIABILITIES $ IMPORTANT: ELETED BEFORE YOUR APPLICATION CAN BE PROCESSED COM | AEal Assols Less Liabilities) ‘ SIGNATURE(S)     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. | / We agree to be bound by the terms and conditions of the bank card 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 to be conclusively presumed by the applicant’s use. If this is a joint application, the undersigned shall be jointly and severally liable for any and all credit extended from time to time. AUTHORIZED OFFICER MUST BE ONE OF THE FOLLOWING (check one):                                                                       _____ PRESIDENT/CHAIRMAN __ VP. _____ TREASURER ____ OWNER ____ PARTNER X X Applicant Signature Title Date Authorizing Signature Title Date PERSONAL GUARANTY X X Applicant Signature/Personal Guaranty _Title Date Applicant Signature/Personal Guaranty Title Date CREDIT DISCLOSURES Annual Percentage Rate | 6 90% Grace Period for re-payment of 25 Days* for Purchases JU 7/0 balances for purchases ¥ Annual Percentage Rate | aI 90% Method of Computing the Balance for Average Daily Balance for Cash Advances . 9 Purchases Including New Purchases* *A finance charge will be imposed Pn Credit Purchases only if you elect iy to pay the entire new poke shown on your monthly statement for the previous billing cycle within 25 days from the closing date o P enalty APR NONE that statement. If you elect not to pay the entire new balance shown on your previous monthly statement within that 25-day period, a finance charge will be imposed on the unpaid average daily balance of such Credit Purchases from the previous statement closing date and on new Credit Purchases from the date _ ‘ of posting to your account during the current billing cycle, and will continue to accrue until the closing date Minimum Finance Charge NONE of the billing cycle preceding the date on which the entire new balance is paid in full or until the date of payment if more than 25 days from the closing date. The finance charge for a billing cycle is computed by applying the monthly periodic rate to the average daily balance of Credit Purchases, which is determined by dividing the sum of the daily balances during the billing cycle by the number of days in the cycle. Each Annual Fee $50 00 daily balance of Credit Purchases is determined by adding to the outstanding unpaid balance of Credit . Purchases at the beginning of the billing cycle any new Credit Purchases posted to your account, and subtracting any payments as received or credits as posted to your account, but excluding any unpaid finance charges. Balance Transfer Fee NONE A finance charge will be imposed on Cash Advances from the date made or from the first day of the billing cycle in which the Cash Advance is posted to your account, whichever is later, and will continue to accrue on the unpaid average daily balance of such Cash Advances until the date of payment if paid auing oe same ile ac or eh Min oe shi a the a ae preceding the date on which the entire new balance is paid in full or until the date of payment i Cash Advance Fee NONE more than 25 days from the closing date. If the new balance shown on your monthly statement for the prior billing cycle is paid in full within 25 days of the closing date of that statement, no finance charges will be imposed during the current billing cycle for Cash Advances posted to . P t duri i billi les. Foreign Transaction Fee NONE 7A a a **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 5.0% will be imposed. Up to 5.0% Late Payment Fee of past due Over-the-Credit Limit Fee NONE Return Payment Fee NONE Other Fees NONE The information about the costs of the cards described above is accurate as of August 2013. This information is subject to change. To receive the most up to date information, write us at Cache Valley Bank, PO Box 3227, Logan, UT 84323-3227. FOR INTERNAL USE ONLY ACCOUNT NO. (1) ACCOUNT NO. (2) DATE APPROVED CREDIT LINE APPROVED BY DATE APPROVED | CREDIT LINE APPROVED BY NO. CARDS PRO. CODE NO. CARDS PRO. CODE Cache Valley Bank, Logan, UT 84323-3227 FOLD AND SECURE WITH TAPE FOR MAILING Application ©2009 FIS* 08/13 All contents are accurate at the time of printing, for changes that may have been made after printing please call (435) 753-3020.  dY3SH dNVLS AOV1d       LZZE-ETEVS LN ‘uebo7 LEZE XOG Od yueg Age ayoeg uilding a successful financial plan When you use the... takes the right resources. That's why we work hard to provide CACHE VALLEY you with quality financial services and BANK     products. Like our convenient, flexible Visa® Business Credit Cards. It's accepted Visa® Business Credit Card at thousands of locations worldwide for for the purchase of goods just about any type of purchase you can r a lowi dream up. And, unlike those big out-of- or services, the following town institutions, our card comes with the benefits are yours! personal, friendly service you've come to SCORECARD’ BONUS POINTS expect from us. So, whatever your plans,   Earn Bonus Points for every net retail purchase choose the credit card that gives you all you make with our Cache Valley Bank Credit the value and buying power you need to Card! You can redeem Bonus Points for brand- get your projects off the drawing board. name merchandise and exciting travel awards. Apply for yours today! Visit www.scorecardrewards.com and browse the current award selections. You'll be amazed at what ScoreCard® has to offer! To find out how the plan works, ask one of our friendly   representatives.       CACHE VALLEY CACHE VALLEY BANK BANK Member FDIC Member FDIC     07/13 HAA17