Credit Card Application

Agreement *

Agreement I agree. I have read the E-sign Consent Form and agree to the Terms and Conditions described therein.
PERSONAL INFORMATION
Name Name * First Middle Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Time at Present Address
Years / Months
Date of Birth Date of Birth * / MM / DD YYYY

If you have not attained the age of 21 and are applying for individual credit, we will consider your independent ability to pay with the information you provide. You may include a cosigner with this application who has attained the age of 21 in which we will consider their ability to pay with the information provided with the application.
Mother's Maiden Name
Housing Arrangements

Housing Arrangements Rent Own/Mortgage Board
Monthly Mortgage/Rent Payment $ Dollars . Cents
Home Telephone Number Home Telephone Number * - ### - ### ####
Cell Phone Number Cell Phone Number - ### - ### ####
Email *
Social Security Number *
Do you have an account with us? *

Do you have an account with us? Yes No
Credit Union Member Number *
EMPLOYMENT AND INCOME
Employment Status *
Employer
Business Telephone Number Business Telephone Number - ### - ### ####
Employer Street Address Employer Street Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Current Position
Time With This Company
Years / Months
Annual Income $ Dollars . Cents
Income such as alimony, child support or separate maintenance income need not be disclosed if you do not wish to have it considered as a basis for repaying this obligation.
Previous Employer

(If less than 2 years at present employer)
Time at Previous Employer
Years / Months

(If less than 2 years at present employer)
JOINT APPLICANT INFORMATION
Do you have a Joint Applicant? *

Do you have a Joint Applicant? Yes No
Joint Applicant Name Joint Applicant Name * First Middle Last
Join Applicant Address Join Applicant Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Joint Applicant Time at Present Address
Years / Months
Joint Applicant Date of Birth Joint Applicant Date of Birth * / MM / DD YYYY
Joint Applicant Mother's Maiden Name
Joint Applicant Housing Arrangements

Joint Applicant Housing Arrangements Rent Own/Mortgage Board
Joint Applicant Phone Joint Applicant Phone * - ### - ### ####
Joint Applicant Email *
Joint Applicant Social Security Number *
Does the Joint Applicant have an account with us? *

Does the Joint Applicant have an account with us? Yes No
Joint Applicant Account Number
JOINT APPLICANT-EMPLOYMENT
Joint Applicant Employment Status *
Joint Applicant Current Employer
Joint Applicant Business Telephone Number Joint Applicant Business Telephone Number - ### - ### ####
Joint Applicant Employer Street Address Joint Applicant Employer Street Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Joint Applicant Current Position
Joint Applicant Time With This Company
Years / Months
Joint Applicant Annual Income $ Dollars . Cents
Income such as alimony, child support or separate maintenance income need not be disclosed if you do not wish to have it considered as a basis for repaying this obligation.
AUTHORIZED USER INFORMATION
Do you wish to add an Authorized User? *

Do you wish to add an Authorized User? Yes No
Authorized User's Name Authorized User's Name * First Middle Last
Authorized User's Address Authorized User's Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Authorized User's Time at Present Address
Years / Months
Authorized User's Date of Birth Authorized User's Date of Birth * / MM / DD YYYY
Authorized User's Mother's Maiden Name
Authorized User's Housing Arrangements

Authorized User's Housing Arrangements Rent Own/Mortgage Board
Authorized User's Phone Authorized User's Phone * - ### - ### ####
Authorized User's Email *
Authorized User's Social Security Number *
Does your Authorized User have an account with us? *

Does your Authorized User have an account with us? Yes No
Authorized User's Account Number
AUTHORIZED USER'S EMPLOYMENT
Authorized User's Employment Status *
Authorized User's Current Employer
Authorized User's Business Telephone Number Authorized User's Business Telephone Number - ### - ### ####
Authorized User's Employer Street Address Authorized User's Employer Street Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Authorized User's Current Position
Authorized User's Time With This Company
Years / Months
Authorized User's Annual Income $ Dollars . Cents
Income such as alimony, child support or separate maintenance income need not be disclosed if you do not wish to have it considered as a basis for repaying this obligation.
PERSONAL REFERENCE
Name of a Close Friend or Relative Not Living With You Name of a Close Friend or Relative Not Living With You First Last
Reference Relationship

Reference Relationship Friend Family Other
Reference Address Reference Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Reference Home Telephone Number Reference Home Telephone Number - ### - ### ####
Reference Cell Phone Number Reference Cell Phone Number - ### - ### ####
Additional Comments
Terms and Conditions

By clicking Submit, you are giving TEXAR Federal Credit Union authorization to pull your credit report and the credit report of your joint applicant and/or co-signer (if applicable).
Agreement *

Agreement I have read and agree to the Terms and Conditions
Please draw your signature into the box below. *

Clear
Please click the Submit button once:

Credit Card Application

Credit Card Application

PERSONAL INFORMATION

EMPLOYMENT AND INCOME

JOINT APPLICANT INFORMATION

JOINT APPLICANT-EMPLOYMENT

AUTHORIZED USER INFORMATION

AUTHORIZED USER'S EMPLOYMENT

PERSONAL REFERENCE

Terms and Conditions

Please click the Submit button once: