Business Credit Application

MasterCard Business

* Credit Limit Requested

* Please Check One

Sole Proprietorship

Partnership

Corporation

LLC

Issue Business Credit Cards To The Following Individuals

* Last Name

* First Name

* Middle Name

* SSN

* Company Title

* Division/Department

* Date of Birth (MM/DD/YYYY)

* Company Address

* City

* State

* Zip

* Signature

* Date

* Last Name

* First Name

* Middle Name

* SSN

* Company Title

* Division/Department

* Date of Birth

* Company Address

* City

* State

* Zip

* Signature

* Date

* Last Name

* First Name

* Middle Name

* SSN

* Company Title

* Division/Department

* Date of Birth

* Company Address

* City

* State

* Zip

* Signature

* Date

* Last Name

* First Name

* Middle Name

* SSN

* Company Title

* Division/Department

* Date of Birth

* Company Address

* City

* State

* Zip

* Signature

* Date

* Last Name

* First Name

* Middle Name

* SSN

* Company Title

* Division/Department

* Date of Birth

* Company Address

* City

* State

* Zip

* Signature

* Date

Credit Information

* Institution Name

Branch

* Institution Address

* City

* State

* Zip

* Checking Account No.

Savings Account No.

Trade Reference Name

Name on Account

Account No.

Balance

Monthly Payment

Trade Reference Name

Name on Account

Account No.

Balance

Monthly Payment

Trade Reference Name

Name on Account

Account No.

Balance

Monthly Payment

Condensed Business Financial Statement

* Current Assets

* Current Liabilities

* Total Assets

* Total Liabilities

* Net Worth (Total Assets Less Liabilities)

* Bank reserves the right to require additional financial information

Credit Disclosures
ANNUAL PERCENTAGE RATE (APR) FOR PURCHASES	10.75% * PENALTY RATE: 15.75%
OTHER ANNUAL PERCENTAGE RATES (APRs)	CASH ADVANCE: 15.75% CONVENIENCE CHECKS: 15.75% PENALTY RATE: 15.75%
ANNUAL MEMBERSHIP FEE	NONE
TRANSACTION FEE FOR CASH ADVANCES	2% OF THE AMOUNT
TRANSACTION FEE FOR CONVENIENCE CHECKS	2% OF THE AMOUNT
TRANSACTION FEE FOR BALANCE TRANSFERS	2% OF EACH AMOUNT, NOT MORE THAN $75 EACH
LATE PAYMENT FEE	$35.00
OVERLIMIT CHECK FEE	$35.00
RETURN FEE	$35.00
METHOD OF COMPUTING BALANCES FOR PURCHASES	Average Daily Balance Including New Purchases
GRACE PERIOD FOR PURCHASES AND BALANCE TRANSFERS	25 DAYS
GRACE PERIOD FOR CASH ADVANCES AND CONVENIENCE CHECKS	NONE
MINIMUM FINANCE CHARGE	$.50
TRANSACTION FEE FOR PURCHASES	NONE
* This APR may be applied to your account if your account becomes 60 or more days past due. If, for the next six months following your account being subject to the Penalty Rate, you make your payments by the due date your existing balances will return to the original Annual Percentage Rates. International transactions may be subject to applicable currency exchange fees through your Visa/Mastercard carrier. You will be in default if you fail to make any minimum payment within 25 days after the monthly statement closing date, which is your payment due date. You will be charged a late fee if a payment is not received within 10 days of the payment due date. THE ABOVE DISCLOSURES ARE ACCURATE AT THE DATE OF PRINTING (July 10, 2014). FIRST COMMUNITY BANK HAS THE AUTHORITY TO CHANGE THE ANNUAL PERCENTAGE RATE UPON 45 DAYS’ WRITTEN NOTICE TO THE CARDHOLDER. THE ANNUAL PERCENTAGE RATE WILL NEVER BE MORE THAN THE MAXIMUM RATE PERMITTED BY APPLICABLE LAW. BECAUSE RATE AND TERMS ARE SUBJECT TO CHANGE, YOU MAY CONTACT US FOR CURRENT INFORMATION BY WRITING TO: First Community Bank, P.O. Box 4327, Batesville, AR 72503. LOSS OF INTRODUCTORY APR: WE MAY END YOUR INTRODUCTORY APR AND APPLY THE PENALTY APR IF YOU MAKE A LATE PAYMENT. HOW WE WILL CALCULATE YOUR BALANCE: WE USE A METHOD CALLED "AVERAGE DAILY BALANCE" (INCLUDING NEW PURCHASES). AN EXPLANATION OF THIS METHOD IS PROVIDED IN YOUR ACCOUNT AGREEMENT BILLING RIGHTS: INFORMATION ON YOUR RIGHTS TO DISPUTE TRANSACTIONS AND HOW TO EXERCISE THOSE RIGHTS IS PROVIDED IN YOUR ACCOUNT AGREEMENT.

Signature(s)

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING: This statement is submitted to obtain credit and I / We certify that all information herein is true and complete. I / 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. I / 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.

* Applicant Signature

* Title

* Date

Transfer of Balance Request

Upon approval, I wish to transfer my present balance on the credit card account(s) listed below to my new credit card account.

Yes

* Credit Card Account No.

* Amount To Be Transferred

* Please attach a copy of your most recent statement(s)

Attach Files

Online Banking

MasterCard Business

Company Information

Issue Business Credit Cards To The Following Individuals

Credit Information

Condensed Business Financial Statement

Signature(s)

Transfer of Balance Request

Online Banking

Now Available