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Credit Card Application - Sheboygan County residents only. If you live outside of the area. Please contact us.

Please provide all the requested information. When you have completed the form, press the Submit button to send your application or print it and mail it to us. You'll hear back from us as soon as possible, usually within one business day. All our forms are encrypted for your security    

Card  Information
* =  Required Fields
Card Type 
Limit requested  *
Are you an existing Oostburg State Bank customer? 
If yes, what is your Account Number    
Credit Type  

You may apply for individual or joint credit, but choose only one of the following.  Thank you.

Notice to married applicant:  No provision of a marital property agreement, a unilateral statement under Wis. Stat. sec 766.59 or a court decree under Wis Stat. sec 766.70 adversely affects the interests of the credit union unless prior to the time the credit is extended, the credit union is furnished with a copy of the agreement statement or decree, or has actual knowledge of the adverse provision when the obligation to the credit union is incurred.

Personal Information
First Name:  *
Middle Initial:    
Last Name:  *
Social Security Number:  *
Marital Status:
(Unmarried includes single, widowed and divorced)
Birthdate  * (xx/xx/xxxx)
Home Street Address:  *
   City:  *
   State:    
   Zip:    
How Long?    

Employment Information
Work Phone Number:    
Employer name:  *
Position:    
Gross Income per Month:  *
How Long Employed:    
Source of other income    
Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Amount per month:    

Joint or Other Applicant Information

If your loan application is for joint credit, for individual credit relying on income or assets from other sources, or you are married and reside in a  community property state, you must also fill out this section of the application.  If you are applying for individual credit, you can skip this section.
Name:
Social Security Number:
Marital Status:
(Unmarried includes single, widowed and divorced)
Birth date (xx/xx/xxxx)
Home Street Address:
   City:
   State:
   Zip:
How Long?
Home Phone Number:

 

Employment Information
Work Phone Number:
Employer name:
Position:
Gross Income per Month:
How Long Employed:
Source of other income
Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Amount per month:

 Asset Information
Savings/Checking balance
Real Estate- locations, value
Auto - year, make model
Other Asset
Other Asset

Debt Information 

List all debts and credit accounts, replacing "Other" with description. If those listed do not apply, please say "None" for  balance & payment..

Balance

Monthly Payment
Rent or Mortgage
Credit Card
Auto Payments

 Automatic Payment Method

 You do not have to select an automatic payment method to obtain credit. These are offered to you as a service from our institution.  We will contact you with full details on this method of payment if you select it as an option. 

Automatic Loan Payment (Payment is transferred monthly on the due date.)
From Savings
From Checking

 
Any comments or questions you may have for us?
Please indicate preferred method and time to contact you

Email Address: 

By submitting this application, I/We certify that this information has been supplied truthfully, accurately and voluntarily, and therefore authorize Oostburg State Bank. to investigate our creditworthiness, credit history and financial responsibility through any credit bureau or by any other reasonable means for consideration for the loan applied for, or for any other services offered.  This application does not constitute a contract for the extension of credit.  

Thank You.  Upon receipt of this application, someone at Oostburg State Bank will review your information and get back to you to extend credit, with additional questions or to request  further information. We appreciate this opportunity to be your financial partner.

CREDIT TERMS

The following information is a general summary of plan options and is accurate as of : 

The information is subject to change.  You may obtain current information by writing to us at  Oostburg State Bank, PO Box 700198, Oostburg, WI 53070 

Annual Percentage Rate for Purchases

Other APR’s

Variable Rate Information

Grace Period

Method for Computing the Balance for Purchases

Annual Fee

7.25% VISA Classic Card

10.75% VISA Gold Card

Balance Transfer APR:  7.25% or 10.75%

Cash Advance APR: 7.25% or 10.75%

The annual percentage rate may vary.  The rate is determined by the highest prime rate published in The Money & Investing Section of The Wall Street Journal of the prior month (“Index) plus 4 percentage points for a VISA Classic Card and 7.5 percentage points for a VISA Gold Card.

25 Days 

Average Daily Balance Including New Purchases

None

Late Fee: $25.00, Overlimit Fee: $25.00, Cash Advance Transaction Fee: 2.5% per Cash Advance Transaction with a minimum fee of $2.00 and maximum fee of $5.00.

FOR MARRIED WISCONSIN APPLICANTS ONLY

I certify that the credit being applied for, if granted, will be incurred in the interest of my marriage or family.
 
REMINDER: This application is for residents of Sheboygan County. If you live outside of this area please contact us.

 

Copyright © 2009 Oostburg State Bank, P.O. Box 700198, 905 Center Avenue, Oostburg, WI 53070-0198.  All Rights Reserved.
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