Business Edition® Secured Visa® Card

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* Field is required

Company Information

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No P.O. Boxes allowed
Name as it should appear on the card (limit of 22 characters and spaces)

Mailing Address

Financial Reference

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Authorized Company Representative

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No P.O. Boxes allowed
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Alimony, child support or separate maintenance income need not to be revealed if you do not wish to have it considered as a basis for repaying this obligation.
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Secured Credit Card Deposit Information

A security deposit is required to obtain a Secured Credit Card. The amount of your security deposit is 110% of the amount of your credit limit. By submitting this application, you are authorizing us to electronically withdraw the amount indicated below. The amount must be at least $2,200, at most $110,000, and in $50 increments.
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This withdrawal may occur as soon as your application is approved. You may revoke this authorization only by contacting the Secured Card Group at 1-800-444-6220 before your application is approved. You will receive a letter confirming this transaction in 7-10 business days.

Substitute W-9

Under penalties of perjury, you (the applicant) certify that:

1. The number shown on your application for a Secured Credit Card is your correct taxpayer identification number;

AND

2. You ARE NOT subject to backup withholding because: (a) You are exempt from backup withholding, or (b) You have not been notified by the Internal Revenue Service (IRS) that you are subject to backup withholding as a result of failure to report all interest or dividends, or (c) the IRS has notified you that you are no longer subject to backup withholding;

OR

  You ARE subject to backup withholding. Certification instructions. You must check this box if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.

AND

3. You are a U.S. person (including a resident alien).

The Internal Revenue Service does not require your consent to any provision other than the backup withholding certifications set forth above.

By clicking the Continue button you are making the above certifications.

Additional Employee Cards

You may authorize the employee(s) identified below to receive and use Business Edition® Secured Visa® Card on behalf of the company. Each employee identified will be issued a card. The employee must affix his or her signature on the reverse side of the card.

Note, we accept up to five (5) additional employee card requests at the time of application. For additional cardholders, you must click Add before submitting the application.