Print and complete the following form and send or fax to your Credit Union.
 
Torrance OfficeAnna Office East Liberty OfficeMarysville Office
P.O. Box 229012500 Meranda Rd 11000 S.R. 34719775 S.R. 739
Torrance CA 90509-2290 Anna, OH 45302 East Liberty, OH 43319Marysville, OH 43040
Fax: (310) 781-6616 Fax: (937) 498-5618 Fax: (937) 644-6768Fax: (937) 642-5184
Account/Associate Number_____________________ Date________________________

1 Instructions

 Whenever used in this application, the words Your and Your refer to the 
 applicants(s), and the words We, Us and Our refer to the Lender.

* Complete all the questions, or answer N/A.  We are unable to 
  process incomplete applications.

* Sign the Application

* Sign the Insurance Authorization on the reverse side.

* Complete Spouse information only if the following apply
	-This is for joint credit with Your Spouse.
	-Your Spouse will use Your Account.
	-You're relying on Your Spouse's income.
	-You live in a community property state: AZ, CA, ID, LA, NM, NV, 
	-TX, WA, WI (and Puerto Rico)

* Attach a copy of Your latest paycheck stub or tax return.

2 Type of Credit Applied For:

If you live in a community property state, are you:
Married    Separated   Unmarried (Single, Divorced, Widowed)

Married Applicants may apply for individual credit.  Would you like:
Individual Credit      Joint credit with your spouse

Amount Requested $_______________  Number of Months ____
Purpose _____________________________________________
Collateral Offered ______________________________________
*Vehicle _________________________________________________
Make ____________________  Model _____________________  Year ____ 

VISA Classic - No. of Cards
___________________________

VISA Gold - No. of Cards _______________________________________   

Yes, I want VISA Overdraft Protection for my Checking Account.
Yes, I want ATM Access on my VISA.

*Consolidation Loans _______________________________________
                         (Must List Bills to be Paid)
____________________________________________________________
____________________________________________________________
 
3 Applicant
Last Name ___________________________ First Name___________________ M.I._____
Address__________________________________________________________________________
City _______________________________  State ____________________  Zip __________
Drivers License Number_______________ Date of Birth ________________________
Social Security Number ______________ Home Telephone (___)________________
Name of Employer______________________________  Business Telephone (___)______________
Business Address___________________________________________________________________
Business City____________________________ Business State _________________________
Business Zip ____________________________  Hourly or Gross Monthly Pay ____________
Job Title/Shift__________________________ Date Employed _________________________
*Other Income (Source/Amount)_______________________________________________________
Number of Dependents______________ Mortgage Co/Landlord ________________________
Home: Rent  Own  Lease  Other   Mortgage or Rent $________________________________
Home Value $________________________  Total of all Monthly Payments $___________________
Child Support Payments $____________  401K and Investment Balances_________________
Auto Lease Payments $_______________ Deposit Balances _______________________
Personal Reference
Name _________________________________________
Address _______________________________________
City___________________________________________ State_________________ Zip __________
Telephone (___)___________________
*NOTE: Alimony, child support, or separate maintenance income need not be 
revealed if You do not choose to have it considered as a basis for this 
credit request.

4 Co-Applicant
Last Name ___________________________ First Name___________________ M.I._____
Address__________________________________________________________________________
City _______________________________  State ____________________  Zip __________
Drivers License Number_______________ Date of Birth ________________________
Social Security Number ______________ Home Telephone (___)________________
Name of Employer______________________________  Business Telephone (___)______________
Business Address___________________________________________________________________
Business City____________________________ Business State _________________________
Business Zip ____________________________  Hourly or Gross Monthly Pay ____________
Job Title/Shift__________________________ Date Employed _________________________
*Other Income (Source/Amount)_______________________________________________________
Number of Dependents______________ Mortgage Co/Landlord ________________________
Home: Rent  Own  Lease  Other   Mortgage or Rent $________________________________
Home Value $________________________  Total of all Monthly Payments $___________________
Child Support Payments $____________  401K and Investment Balances_________________
Auto Lease Payments $_______________ Deposit Balances _______________________
Personal Reference
Name _________________________________________
Address _______________________________________
City___________________________________________ State_________________ Zip __________
Telephone (___)___________________
*NOTE: Alimony, child support, or separate maintenance income need not be 
revealed if You do not choose to have it considered as a basis for this 
credit request.

5 Optional Credit Insurance

Credit Life and/or Credit Disability Insurance are not required to obtain credit
under this plan and, for Credit Line Accounts, will be included only if requested
immediately below by the APPLICANT.  The insurance ratse for Credit Line Accounts
are shown below.  For Credit Line Accounts, the insurance charge is calculated
each month by multiplying the outstanding balance of the Account on the last day
of that month by the rate shown.  For Closed-End loans, the total insurance premium
will be calculated and disclosed to You separately.

Monthly Premium Rates Per $1000 of Your Outstanding Loan Balance
You must CHECK ONE OR MORE of the boxes below.
CREDIT DISABILITY: Single Coverage - $2.59 Yes No            VISA (Single Coverage) - $2.59 Yes No
CREDIT LIFE: Single Coverage - $0.77 Yes No            Joint Coverage - $1.26 Yes No
Closed-End Loan Applicants - You must CHECK ONE OR MORE of the boxes below.
You are interested in Credit Disability Insurance    single coverage no
NOTE: For Closed-End loans, an appropriate disclosure will be furnished if Your credit is approved. If this application is for a Credit Line Account and You are applying for Credit Insurance. You authorize Us to add the required premiums to Your Account, charge a Finance Charge on the premiumsat the rate which applies to Your Account, and forward such premiums to the Insurance Company. X_________________________________________________________________________________________ SIGNATURE OF APPLICANT 6 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 this application is for any Feature Category contained in Our Credit Line Account Program, your agree and understand that if approved, You are contractually liable according to the applicable terms of the Credit Line Account Agreement and Disclosure and 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 will receive a copy of the Agreement and Disclosure no later than the time of Your first credit advance. 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. For Credit Card Applicants. 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. X___________________________________ X____________________________________ Applicant SIGNATURE Date Co-Applicant Signature Date 7 Important VISA Credit Card Disclosures The following disclosure represents important details concerning Your Credit Card. The information about cost of the Card are accurate as of the effective date shown below. You can call or write Us at Honda Federal Credit Union, Torrance Office, P.O. Box 2290, Torrance, CA 90509-9874, (800) 63-HONDA to inquire if any changes have occurred since the effective date.

 

 

ANNUAL

PERCENTAGE

RATE FOR PURCHASES

VISA Classic -

11.50% - 18.00% (2 )

VISA Gold -

6.90% (1 )

9.90% (1 )

Grace Period for Repayment of Balances for Purchases

25 days on average

Method of Computing the Balance for Purchases

Average Daily Balance

(including new purchases)

Annual Fees

None

Late Payment Fee

20% of the interest due, minimum $.05

Over the

Credit Limit Fee

$10.00

(1) Introductory Rate. Your Account will be subject to an Introductory Rate of 6.90%
for the 6-month period immediately following the date that Your Account is established.
Any balance outstanding our Your Account on or after the expiration of the Introductory
Rate period will be subject to an ANNUAL PERCENTAGE RATE of 11.50%

(2) Rates depend upon our underwriting criteria

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