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Account Details

Account Number

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Desired Credit Line Amount

Card Selection

We offer 2 Platinum Mastercard^® credit card options, one of which is sure to fit your needs.

Platinum Rewards Mastercard®

Platinum Mastercard®

Platinum Mastercard^® Highlights:

Accepted worldwide
Our most competitive rate - lower than most banks
Great introductory rates!

Platinum Rewards Mastercard^® Highlights:

Low competitive rate - lower than most banks
Earn Points when you spend
Redeem points for cash back, gifts, and merchandise at any time.

Identity Information

First Name

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Middle Initial

Last Name

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Social Security Number

Driver's License #

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Driver's License State

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This field is invalid

Birthdate

Contact Information

Preferred Contact Method

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Primary Phone

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Select

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Current Address

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City

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State

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Zip

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Select Occupancy Type

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Monthly Housing Payment

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Years At Current Address

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Previous Address

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City

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State

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Zip

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Employment Information

Monthly Gross Income

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Employment Status

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Current Employer

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Position

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Employer City

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Employer State

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Hours Worked Per Week

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Start Date

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Previous Employer

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Position

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Previous Employment Start Date

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Previous Employment End Date

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Other Monthly Income

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You do not need to include alimony, child support, or separate maintenance if you do not wish to have it relied upon for this application.

Additional Information

Have you ever filed for bankruptcy or had a debt adjustment plan confirmed under Chapter 13?

Yes

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Do you have outstanding judgements?

Yes

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Are you party in a lawsuit?

Yes

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Have you had property foreclosed upon or given a deed in lieu of foreclosure in the last 7 years?

Yes

{{getError('primary.has_past_foreclosure','Please enter a valid value.')}}

Is any income you have listed likely to reduce in the next 2 years?

Yes

{{getError('primary.has_income_may_decline','Please enter a valid value.')}}

Are you other than a U.S. Citizen or Permanent Resident Alien?

Yes - Not a US Citizen or Permanent Resident Alien

No - US Citizen or Permanent Resident Alien

Special Offers

Yes, I am interested in Credit Life and Disability insurance.

Would you like extra protection for your loan?

Optional Credit Life and Disability Insurance, underwritten by CMFG Life Insurance Company, may pay your loan balance or payments in case of a covered life event.

Life is wonderful, but it isn't always easy. When times get tough, feel confident that you're prepared. In case of an unexpected life event, Credit Life and Credit Disability Insurance helps with your covered loan payments so your loved ones can focus on you.

CDCL-5036213.2-1124-0127 © TruStage | Important Disclosures

Add Co-applicant?

Co-Applicant Identity Information

First Name

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Middle Initial

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Last Name

{{getError('coapplicant.last_name','Please enter your family name.')}}

Social Security Number

Driver's License #

{{getError('coapplicant.drivers_license.number','Enter Drivers License or ID Number')}}

Driver's License State

{{getError('coapplicant.drivers_license.state','Please enter a valid value.')}}

This field is invalid

Birthdate

Co-Applicant Contact Information

Preferred Contact Method

{{getError('coapplicant.preferred_contact_method','Please enter a valid value.')}}

Primary Phone

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Select

This field is invalid

Current Address

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City

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State

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Zip

{{getError('coapplicant.address.zip','Please enter a valid value.')}}

Select Occupancy Type

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Monthly Housing Payment

{{getError('coapplicant.housing_payment','Please enter a valid value.')}}

Years At Current Address

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Previous Address

{{getError('coapplicant.previous_address.street','Please enter a valid value.')}}

City

{{getError('coapplicant.previous_address.city','Please enter a valid value.')}}

State

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Zip

{{getError('coapplicant.previous_address.zip','Please enter a valid value.')}}

Co-Applicant Employment Information

Monthly Gross Income

{{getError('coapplicant.monthly_gross_income','Please enter a valid value.')}}

Employment Status

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Current Employer

{{getError('coapplicant.employment.current.employer','Please enter a valid value.')}}

Position

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Employer City

{{getError('coapplicant.employment.current.address.city','This field is invalid')}}

Employer State

{{getError('coapplicant.employment.current.address.state','This field is invalid')}}

This field is invalid

Hours Worked Per Week

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Start Date

{{getError('coapplicant.employment.current.start_date','Please enter a valid value.')}}

Previous Employer

{{getError('coapplicant.employment.previous.employer','Please enter a valid value.')}}

Position

{{getError('coapplicant.employment.previous.position','Please enter a valid value.')}}

Previous Employment Start Date

{{getError('coapplicant.employment.previous.start_date','Please enter a valid value.')}}

Previous Employment End Date

{{getError('coapplicant.employment.previous.end_date','Please enter a valid value.')}}

Co-Applicant Additional Information

Have you ever filed for bankruptcy or had a debt adjustment plan confirmed under Chapter 13?

Yes

{{getError('coapplicant.has_bankruptcy','Please enter a valid value.')}}

Do you have outstanding judgements?

Yes

{{getError('coapplicant.has_judgement','Please enter a valid value.')}}

Are you party in a lawsuit?

Yes

{{getError('coapplicant.has_lawsuit','Please enter a valid value.')}}

Have you had property foreclosed upon or given a deed in lieu of foreclosure in the last 7 years?

Yes

{{getError('coapplicant.has_past_foreclosure','Please enter a valid value.')}}

Is any income you have listed likely to reduce in the next 2 years?

Yes

{{getError('coapplicant.has_income_may_decline','Please enter a valid value.')}}

Are you other than a U.S. Citizen or Permanent Resident Alien?

Yes - Not a US Citizen or Permanent Resident Alien

No - US Citizen or Permanent Resident Alien

{{getError('coapplicant.is_citizen','Please enter a valid value.')}}

I, {{primary.first_name}} {{primary.last_name}}, agree to the terms, conditions, and disclosures of this request as the Primary Applicant.

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By checking the box above and submitting this request, all parties named are agreeing to the terms, conditions and disclosures associated with this request.

Disclosures

Credit Report Authorization: By submitting this request, you authorize the Credit Union to obtain credit reports in connection with this request for credit and for any update, increase, renewal, extension, or collection of the credit received and for other accounts, products, or services we may offer you or for which you may qualify. You understand that the Credit Union will rely on information in this request and your credit report to make its decision. When applicable, spousal information may be requested as a part of this request. If you request, the Credit Union will tell you the name and address of any credit bureau from which it received a credit report on you.

Accuracy of Information: It is a crime to willfully and deliberately provide incomplete or incorrect information in this request.

Credit Card products are subject to these Terms and Conditions.

Account Details

Card Selection

Platinum Mastercard® Highlights:

Platinum Rewards Mastercard® Highlights:

Identity Information

Contact Information

Employment Information

Additional Information

Special Offers

Co-Applicant Identity Information

Co-Applicant Contact Information

Co-Applicant Employment Information

Co-Applicant Additional Information

Platinum Mastercard^® Highlights:

Platinum Rewards Mastercard^® Highlights: