Application - Business Credit Card

Names and Signatures of Individuals Authorized to be Issued Credit Cards
Shared Account Individual accounts


Last	First	Middle Initial	Social Security #	Date of Birth

Credit Limit Requested	Account Number (Bank use only)		Date

Signature		Accountholder Address



Last	First	Middle Initial	Social Security #	Date of Birth

Credit Limit Requested	Account Number (Bank use only)		Date

Signature		Accountholder Address



Last	First	Middle Initial	Social Security #	Date of Birth

Credit Limit Requested	Account Number (Bank use only)		Date

Signature		Accountholder Address



Last	First	Middle Initial	Social Security #	Date of Birth

Credit Limit Requested	Account Number (Bank use only)		Date

Signature		Accountholder Address

Warranties
1. , ("The Company") agrees to be bound by the terms and conditions set forth in the Cardholder Agreement accompanying the card(s) and any renewals or replacement card(s) issued to the Company by First National Bank of Muscatine ("The Creditor"). When issued, the card(s) will permit the Company to make purchases and obtain cash advances which will constitute extensions of credit by the Creditor.
2. The undersigned represents and warrants to Creditor that:
a. The Company has taken all precautions required by its organizational documents to authorize the individuals whose names and signatures appear above and any future additions to act on behalf of the Company; and
b. The specimen signature(s) set forth above for each Authorized User is (are) the true signature(s) of said Authorized User(s); and
c. The undersigned have full authority to execute this Agreement.
3. The Company represents and warrants that the information provided herein is accurate and agrees to immediately notify Creditor, in writing, if any Authorized User(s) are deleted or new Authorized User(s) named, or if any other information changes, or is rescinded or modified in any way.

This Agreement must be signed by:

(A) All general partners, if a Partnership
(B) Company owner, if a Sole Proprietorship
(C) Authorized officers, if a Corporation
(D) All Members or designated Manager(s), if a Limited Liability Company
(E) Governing Board, if a Public Office account

The undersigned agrees that if this Application is accepted and a card(s) issued, The Company will be bound by the terms and conditions within the Cardholder Agreement accompanying the card(s) an any renewal or replacement card(s). To the extent permitted by law, The Company shall be responsible and liable for any unauthorized use of any card(s) and any renewal or replacement card(s) issued to The Company pursuant to this Application. The Company will be bound to pay for all purchases, cash advances, and finance charges on all cards issued by Creditor on behalf of The Company. It is The Company's responsibility to secure all credit card(s) from terminated employees. The Creditor is authorized to verify the statements contained herein, and may make whatever credit inquiries it deems necessary.

Company (Organization) Name:

By:

Title:

By:

Title:

By:

Title:

By:

Title:

^{Attach additional on a separate
page.}

*Please attach corporate and/or personal financial statements for the prior three years, and for the current year to date, as well as, copies of applicable corporate minutes and resolution papers.

Comments:

REMINDER: If you wish to send your application to us online, we want to remind you that e-mail applications are not necessarily secure against interception. Applications, by their nature, include personal and confidential information such as: your social security number and financial information. Therefore, you may wish to consider printing our application, completing it, and sending it to us via U.S. postal mail.

Once we receive this application we will be in touch with you to follow-up and receive your signature(s).

If you choose to print this application at this time, please select the landscape option in the "Page Setup" function for best viewing.

Signature Date

Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account in order to help the government fight the funding of terrorism and money laundering activities. This means that when you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.