Business Credit Card Application

Services

Business Credit Card Application

General Information

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Business Financial Information

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Business Owner/Officer and/or Co-Applicant Information

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Required Notice: The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Reserve Bank, 20th Street and Constitution Avenue NW, Washington, D.C. 20551

The Applicant(s), in signing this Application, certify the information given herein is true and correct, and agrees to pay all charges on such account when due in accordance with the Cardholder Agreement that is provided with this Application. Applicant acknowledges receipt of the Important Cost Information disclosure provided with this Application.

To All Applicant(s): Applicant(s) applies to Platte Valley Bank, a Nebraska State Bank (“Issuer”) for a credit card account (“Account”) as indicated in this Application. Platte Valley Bank is a Nebraska state banking corporation that, among other things, issues credit card to its customers and customers of its affiliates including Mountain Valley Bank, a Colorado state banking corporation and Platte Valley Bank, a Wyoming state banking corporation. If this application is accepted and credit card(s) issued, Platte Valley Bank, a Nebraska State Bank, will be the issuer of the credit card(s) and owner of the Account, and Applicant will be deemed to be in agreement with the cardholder agreement and disclosures that are provided with this application.

The Applicant authorizes the Issuer to obtain a credit report in connection with this Application and from time to time after the Account is established, the Issuer may verify that the Applicant continues to qualify for the Account. Issuer may verify Applicant credit, employment history and other information relating to the Applicant and to answer questions about the Issuer’s experience with Applicant. The Applicant acknowledges and agrees that such information may be used to establish, administer or collect the Account, or for any legitimate purpose relating to the Account.