Individual Application	Joint Application
Yes, I would like to apply for overdraft protection and        attach  it  to my ACU NOW/Checking Account	I do not have a ACU Checking Account       Please have a representative call me to arrange an account.
My NOW/Checking Account Number is	My daytime phone number is
My Savings Account Number is       I request Overdraft Protection credit line amount of $                                                                                    (minimum $500, Maximum $5,000)

Application Disclosure information is provided on the attached Overdraft Protection Agreement. Detach and save for your records.

In order to process your application, we require 2 recent (30 days or less) payroll check stubs for you and any co-applicants. If you are self-employed, we require copies of your most recent tax returns.

 

Complete the information below.	Complete the information below.
APPLICANT	CO-APPLICANT
NAME	NAME
ADDRESS	ADDRESS
CITY STATE   ZIP	CITY STATE    ZIP
SOCIAL SECURITY	SOCIAL SECURITY
HOME PHONE	HOME PHONE
OWN OR RENT OwnRent  YR./MO THERE  MONTHLY PAYMENT	OWN OR RENT  OwnRent YR./MO THERE  MONTHLY PAYMENT
EMPLOYER NAME	EMPLOYER NAME
ADDRESS	ADDRESS
POSITION	POSITION
YR/MO	YR/MO
BUSINESS PHONE                   GROSS MONTHLY SALARY	BUSINESS PHONE                 GROSS MONTHLY SALARY
NAME OF NEAREST RELATIVE NOT LIVING WITH YOU	NAME OF NEAREST RELATIVE NOT LIVING WITH YOU
RELATIONSHIP	RELATIONSHIP
ADDRESS	ADDRESS
TELEPHONE	TELEPHONE
E-MAIL ADDRESS	E-MAIL ADDRESS

Annual Percentage Rate	18.00%
Minimum Monthly Payment %	2.00%
Minimum Monthly Payment Dollar Amount	$20.00
Grace period for repayment of balances	You have no grace period before a finance charge will be imposed
Method of computing the balances for advances	Average Daily Balance: See explanation, paragraph 3*
Minimum finance charge	$ 0.00
Late payment fee	$10.00 or 10% of the unpaid payment, whichever is less
Over-the-credit-limit fee	$20.00
Document copy fee	$10.00
Returned check fee	$  2.50

SIGNATURE OF APPLICANT(S) All Joint account holders must sign. Use additional applications if necessary.
The statement is submitted to obtain credit and I/we certify that all information herein is true and complete. I/We also authorize the credit union to verify or obtain further information the credit union may deem necessary concerning my/our credit standing. If this application is approved, the undersigned applicant(s) by signing or using the Overdraft Protection agree(s) that the applicant(s) will be bound by the terms and conditions of the Overdraft Protection Agreement, a copy of which I/we hereby acknowledge receipt of.

Signature of Applicant      Date

Signature of Co-Applicant     Date

 

FOR CREDIT UNION USE ONLY ____  Approved:  Credit Limit   _______________ Loan Officer ____________________________Date _______________ ____  Denied Credit Commitee ____________________________________________________________________________________

  PLEASE PRINT PRIOR TO SUBMITTING AND SAVE INFORMATION FOR YOUR RECORDS