SEATTLE METROPOLITAN
CREDIT UNION P.O. Box 780
CREDIT LINE ACCOUNT
AND PERSONAL LOAN APPLICATION
Seattle, WA 98111-0780 (206) 398-5500^(800) 334-2489					ACCOUNT NUMBER - APPLICANT						ACCOUNT NUMBER - CO-APPLICANT						DATE	
Applicant Information print or type all information	Spouse/Co-Applicant Information . ,_w	...	..	. . .	5	5. Complete Spouse/Co-Applicant Information only if: 1. If You live in a community property state, are You:	_T. x	x ..x .iUX, o	xu '	. ■ •	* a. This is for joint credit with Your Spouse or other Co-Applicant; or □ Married 1 1 Separated 1 1 Unmarried (Includes Single, Divorced and Widowed)	b.	Your Spouse will use Your Account; or .	.	. .....	.	c.	You are relying on Your Spouse's income as a source of repayment for the credit requested;	or 2.	Married applicants can apply for individual credit. Indicate if You would Hke:	d.	You live in a community property state: Arizona, California, Idaho, Louisiana, Nevada, □ Individual Credit □ Joint Credit with Your Spouse/Co-Applicant	New Mexico’ Texas. Washmgton, Wsconsm (or Puerto Rico). 3.	Method of Payment: □ Payroll Deduction □ Automatic Transfer □ Cash Payment	6. Definitions: Whenever used in this application, the words “You” and “Your” refer to the Applicant(s) 4.	Frequency of Payment: □ Weekly □ Bi-Weekly □ Semi-Monthly □ Monthly	or Spouse/Co-Applicant and the words “We”, “Us”, and “Our” refer to the Lender.																		
TYPE OF CREDIT APPLIED FOR	□ Other	 □ Line of Credit (including overdraft protection)	□ Unsecured	□ Amount Applied For: $	Credit Limit Applied For: $	 □ Share Secured	□ Vehicle	□ Closed-End	□ Credit Card	Purpose:																			
There are costs associated with the use of any Credit Card issued to You by Us. You may request specific information about these costs by contacting Us by telephone at (800) 334-2489 or by writing Us at P.O. Box 780, Seattle, WA 98111.																		
APPLICANT										SPOUSE/CO-APPLICANT								
FIRST NAME		INITIAL	LAST NAME							FIRST NAME			INITIAL	LAST NAME				
SOCIAL SECURITY NUMBER		DRIVER’S LICENCE NUMBER					BIRTHDATE			SOCIAL SECURITY NUMBER			DRIVER’S LICENCE NUMBER					BIRTHDATE
CURRENT STREET ADDRESS				APT. NO.		SINCE (MO. YR.)				CURRENT STREET ADDRESS					APT. NO.	SINCE (MO. YR.)		
CITY				STATE		ZIP				CITY					STATE	ZIP		
FORMER ADDRESS (COMPLETE IF PREVIOUS ADDRESS IS LESS THAN 3 YEARS)								YEARS THERE		FORMER ADDRESS (COMPLETE IF PREVIOUS ADDRESS IS LESS THAN 3 YEARS)								YEARS THERE
DO YOU: □ OWN □ RENT □ OTHER	MONTHLY RENT/MORTGAGE PAYMENT $									DO YOU: □ OWN □ RENT □ OTHER		MONTHLY RENT/MORTGAGE PAYMENT $						
HOME TELEPHONE			NO. OF DEP.			AGES OF DEPENDENTS				HOME TELEPHONE				NO. OF DEP.		AGES OF DEPENDENTS		
NAME, ADDRESS AND TELEPHONE OF NEAREST RELATIVE NOT LIVING WITH YOU										NAME, ADDRESS AND TELEPHONE OF NEAREST RELATIVE NOT LIVING WITH YOU								
PERSONAL REFERENCE - NAME, ADDRESS, TELEPHONE										PERSONAL REFERENCE - NAME, ADDRESS, TELEPHONE								
EMPLOYMENT AND INCOME If self-employed or retired, attach financial statement or income tax returns.																		
CURRENT EMPLOYER			EMPLOYMENT DATE			CURRENT EMPLOYER			EMPLOYMENT DATE	
ADDRESS/CITY/STATE/ZIP						ADD RESS/CITY/STAT E/ZIP				
WORK TELEPHONE	POSITION		MO. GROSS INCOME $			WORK TELEPHONE	POSITION		MO. GROSS INCOME $	
FORMER EMPLOYER		POSITION		YEARS THERE		FORMER EMPLOYER		POSITION		YEARS THERE
OTHER INCOME SOURCE*			MONTHLY AMOUNT $			OTHER INCOME SOURCE*			MONTHLY AMOUNT $	
*You need not list income from alimony, child support, or separate maintenance payments unless You want it considered in evaluating this credit application.
OPTIONAL DEBT PROTECTION An appropriate application/disclosure will be furnished at the time Your credit is approved.
Debt Protection is not required to obtain credit under this plan and all information will be provided only if requested immediately below by the APPLICANT.
PLEASE CHECK ONE OR MORE OF THE BOXES BELOW.
You are interested in Debt Protection - single coverage □ joint coverage □	You are not interested in Debt Protection □
SIGNATURES
You warrant the truth of the above information and You realize that it will be relied upon by Us in deciding whether or not to grant the credit applied for. You hereby authorize Us, Our employees and agents to investigate and verify any information provided to Us by You. If You have applied for any Feature Category contained in Our Open-End Credit Line Account Agreement and Disclosure, You agree and understand that if approved, You are contractually liable according to the applicable terms of the Open-End Credit Line Account Agreement and Disclosure. You will receive a copy of that Agreement no later than the time of Your first credit advance and You promise to pay all amounts charged to Your Account according to its terms. If this is a joint application, You agree that such liability is joint and several. You authorize Us to accept Your facsimile signatures on this application and agree that Your facsimile signature will have the same legal force and effect as Your original signature. You assume any risk that may be associated with permitting Us to accept Your facsimile signature. If You are issued a credit card, by signing below, You grant and consent to a lien on Your shares with Us (except IRA and Keogh Accounts) and any dividends due or to become due to You from Us to the extent You owe on any unpaid credit card balance.
You hereby acknowledge Your intent to apply for joint credit______________________________________________
Applicant’s Initials	Co-Applicant’s Initials
X	X
SIGNATURE OF APPLICANT	DATE	SIGNATURE OF SPOUSE/CO-APPLICANT	DATE
Copyright Oak Tree Business Systems, Inc., 2003-2012. All Rights Reserved.	OTBS 015 SEAT (8/12)