Date: Thu, 18 Dec 1997 13:27:38 GMT Server: Apache/1.2.4 Last-Modified: Wed, 17 Dec 1997 11:16:24 GMT ETag: "e106d-4d1a-3497b488" Content-Length: 19738 Accept-Ranges: bytes Connection: close Content-Type: text/html Adams National Bank





        

Credit Application


Please note: in the interest of your security, Adams.com currently provides this credit application for client-side purposes only. In other words, we encourage you to fill out this form, print it, and mail it to your nearest branch.

Look for on-line application forms in coming months at Adams.com.

Please note that at this time, The Adams National Bank is only accepting credit card applications from those individuals that reside within the banks lending area. Our lending area is the District of Columbia, Maryland and Virginia.

Credit Limit Requested



Check card choice (only one)
Visa
Visa Gold

Check account choice (only one)
Individual Account
Joint Account
Credit Limit Increase
Applicant [Note: All Applicable Sections Should Be Filled Out Completely. If Not, Processing Of Your Application May Be Delayed.]

Last Name, First Name, Middle Name:
Social Security Number: Date of Birth (mm/dd/yy):
Number of Dependants:
Home Phone: Do you: Monthly Payment:
Current Address, City, State, Zip:
How Long at Above Address (years/months):
Mailing Address (if different from above):
How Long at Above Address (years/months):
Previous Address, City, State, Zip:
How Long at Above Address (years/months):
Employer : Self-employed?:
How Long in Present Job (years/months): Work Phone:

Employer Address, City, State, Zip:
Job/Occupation: Monthly Gross Income $:
Previous Employer Address:
How Long in Previous Job (years/months):
Source of Additional Income*:
Amount per Month $:
Nearest Relative (Not Living With You):
Home Phone: Relationship:
Their Address, City, State, Zip:

*You Need Not Furnish Alimony, Child Support or Maintenance Income Information If You Do Not Want Us To Consider It In Evaluating Your Application.

Co-Applicant or Spouse [Complete This Section Only If Co-Applicant or Spouse Is Applying For a Joint Account.]

Last Name, First Name, Middle Name:
Social Security Number: Date of Birth (mm/dd/yy):
Number of Dependants:
Home Phone: Do you: Monthly Payment:
Current Address, City, State, Zip:
How Long at Above Address (years/months):
Previous Address, City, State, Zip:
How Long at Above Address (years/months):
Employer : Self-employed?:
How Long in Present Job (years/months): Work Phone:
Employer Address, City, State, Zip:
Job/Occupation: Monthly Gross Income $:
Previous Employer Address:
How Long in Previous Job (years/months):
Source of Additional Income*:
Amount per Month $:

*You Need Not Furnish Alimony, Child Support or Maintenance Income Information If You Do Not Want Us To Consider It In Evaluating Your Application.

Credit Information
Bank Name and Address:
Branch:
Loans: Loan Status:
Checking Account Number:
Name Listed on Checking:
Savings Account Number:
Name Listed on Savings:
AUTOMOBILE:(if appropriate)
Name and Address of Creditor:
Name Under Which Account is Carried:
Account Number: Balance:
Monthly Payment:
HOME MORTGAGE:(if appropriate)
Name and Address of Creditor:
Name Under Which Account is Carried:
Account Number: Balance:
Monthly Payment:
BANK CREDIT CARD:(if appropriate)
Name and Address of Creditor:
Name Under Which Account is Carried:
Account Number: Balance:
Monthly Payment:
OTHER:(if appropriate)
Name and Address of Creditor:
Name Under Which Account is Carried:
Account Number: Balance:
Monthly Payment:
View Credit Disclosures

SIGNATURE(S):
Please read the following carefully before signing: This statement is submitted to obtain credit and I/We certify that all information herein is true and complete. I/We agree that inquiries may be made to verify information and that credit referen ces or verification may be given based on inquiries from other parties. This offer is subject to the credit policies of this institution. I/We agree to be bound by the terms and conditions of the bank card agreement, a copy of which will be mailed to th e applicant if this application is granted, receipt of such agreement and acceptance of such terms to be conclusively presumed by the applicant's use. If this is a joint application, the undersigned shall be jointly and severally liable for any and all c redit extended from time to time.

X __________________________________
Applicant Signature/Date
X __________________________________
Co-Applicant Signature/Date



TRANSFER OF BALANCE REQUEST
Upon approval, I wish to transfer my present balance on the credit card account(s) listed below to my new credit card account.
Visa Account Number:
MasterCard Account Number:
Signature _____________________________________
Please send a copy of your last STATEMENT.

PLEASE PRINT THIS DOCUMENT, SIGN IT, THEN MAIL IT TO:
The Adams National Bank
1627 K Street N.W.
Washington, DC 20006

Thank you. We look forward to serving you.


FOR INTERNAL USE ONLY
Visa Account Number:
Date Approved: Credit Line:
Approved By:

Visa Gold Account Number:
Date Approved: Credit Line:
Approved By:

Adams National Bank: Credit Disclosures

At the date this application was printed the information listed above was accurate.

Because rates and terms are subject to change, you may view current rates on the Adams Web, or contact us for the current information by writing to the business reply address shown below:

The Adams National Bank
1627 K Street N.W.
Washington, DC 20006


* A Finance Charge will be impsed on Credit Purchases only if you elect not to pay the entire New Balance shown on your monthly statement for the previous billing cycle within 25 days from the closing date of that statement. If you elect not to pay the entire New Balance shown on your previous monthly statement within that 25-day period, a Finance Charge will be imposed on the unpaid average daily balance of such Credit Purchases from the previous statement closing date and on new Credit Purchases from the date of posting to your account during the current billing cycle, and will continue to accrue until the closing date of the billing cycle preceding the date on which the entire New Balance is paid in full or until the date of payment if more than 25 days from the closing date.

The Finance Charge for a billing cycle is computed by applying the monthly Periodic Rate to the average daily balance of Credit Purchases, which is determined by dividing the sum of the daily balances during the billing cycle by the number of days in the cycle. Each daily balance of Credit Purchases is determined by adding to the outstanding unpaid balance of Credit Purchases at the beginning of the billing cycle any new Credit Purchases posed to your account, and subtracting any payments as received and credits as posted to your account, but excluding any unpaid Finance Charges.

A finance charge will be assessed on cash advanced from the date of the cash advance, or the first day of the billing cycle in which the cash advance is posted, whichever is later, and will continue to accrue until payment in full is made. Variable Rate Information: The variable Annual Percentage Rate (APR) for the VISA Gold is the "Prime Rate of interest" plus your margin as disclosed in your Cardholder Agreement per annum. The APR may change on the last day of each month if the "Prime Rate of interest" increases or decreases. If the Wall Street Journal is not published on the last business day of the month then the "Prime Rate of interes" published on the next business day will be used. The "Prime Rate of interest' shall be defined as the annual "Prime Rate of interest" from time to time quoted by the Wall Street Jouirnal, appearing in its "Money Rates" section or such other place as "Prime Rate of interest" quotations regularly appear therein. If more than one "Prime Rate of interest" quotation is given, then the highest rate shall apply.

Go back to signature area of application.



©1997 The Adams National Bank
Member FDIC
An Equal Housing Lender