* Indicates Required

• Step 1

  Eligibility

  Please select your eligibility *

  I live or work in Appanoose County, Davis County, Jefferson County, Keokuk County, Mahaska County, Van Buren County, or Wapello County. I am an immediate family member of a current Meridian CU member.

  Whether you are eligible is required

  How did you hear about us? *

  Friend/Family Internet TV Social Media Other Other:

  How you heard about us is required

  Credit Card Information

  What type of card are you applying for? *

  Individual Joint

  Application Type is required

  Credit Limit Requested *
• Step 2

  Tell us about you

  First Name *

  Last Name *

  Date of Birth *

  Social Security Number *

  Government Issued Photo ID *

  Driver's License Passport State-Issued ID Card U.S. Government ID

  ID Number *

  Primary Phone *

  Work Phone *

  Email *

  How would you prefer we contact you? *

  Primary Phone Work Phone Email

  Preferred Contact Method is required
• Step 3

  Where do you live?

  Address *

  Address Line 2

  City *

  State *

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip *

  Do you own your house? *

  Rent Own Live With Parents

  Housing Type is required

  Do you owe mortgage? *

  Yes No

  Whether you owe mortgage is required

  Mortgage Holder *

  Mortgage Balance *

  Mortgage Payment *

  Landlord Name *

  Monthly rent or board *

  Have you lived at your current residence for more than 2 years? *

  Yes No

  Whether you have lived at your current residence for more than 2 years is required

  Tell us about your previous address

  Previous Address

  Previous Address Line 2

  Previous City

  Previous State

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Previous Zip
• Step 4

  Employment Information

  What is your current employment status? *

  Self Employed Employed Unemployed

  Employment Status is required

  Yearly Income

  Have you been self employed for more than two years? *

  Yes No

  How long you have been self-employed is required

  Tell us about your previous job

  Job Title*

  Employer Name*

  Employer Address*

  City*

  State*

  Alabama Alaska Arizona Arkansas Cadivfornia Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carodivna North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carodivna South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip*

  Employed From*

  To*

  Gross salary per pay period

  Pay frequency*

  Monthly Bi-weekly Weekly Semi-monthly

  Have you worked at another job within the past 2 years?*

  Yes No

  Whether you have another previous employment is required

  Previous Job

  Job Title*

  Employer Name*

  Employer Address*

  City*

  State*

  Alabama Alaska Arizona Arkansas Cadivfornia Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carodivna North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carodivna South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip*

  Employed From*

  To*

  Gross salary per pay period

  Pay frequency*

  Monthly Bi-weekly Weekly Semi-monthly

  Have you worked at another job within the past 2 years?*

  Yes No

  Whether you have another previous employment is required

  Previous Job

  Job Title*

  Employer Name*

  Employer Address*

  City*

  State*

  Alabama Alaska Arizona Arkansas Cadivfornia Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carodivna North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carodivna South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip*

  Employed From*

  To*

  Gross salary per pay period

  Pay frequency*

  Monthly Bi-weekly Weekly Semi-monthly

  Have you worked at another job within the past 2 years?*

  Yes No

  Whether you have another previous employment is required

  Previous Job

  Job Title*

  Employer Name*

  Employer Address*

  City*

  State*

  Alabama Alaska Arizona Arkansas Cadivfornia Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carodivna North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carodivna South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip*

  Employed From*

  To*

  Gross salary per pay period

  Pay frequency*

  Monthly Bi-weekly Weekly Semi-monthly
• Step 5
  Do you have an additional source of income? *

  Yes No

  Whether you have additional income is required

  Additional income source *

  Part Time Rental Income Alimony Child Support Other

  Additional income source is required

  Additional Income: Other Source

  Additional Income Gross Monthly Amount

  Is your income likely to decline in the next two years? *

  Yes No

  Whether your income is likely to decline is required
• Step 6

  Joint Applicant Information

  Authorized User Information

  We also need information about your Joint Applicant the Authorized User! The next few pages (with "Joint ApplicantAuthorized User Information" at the top) ask questions about your Joint Applicantthe Authorized User.

  Tell us about you

  First Name *

  Last Name *

  Date of Birth *

  Social Security Number *

  Government Issued Photo ID *

  Driver's License Passport State-Issued ID Card U.S. Government ID

  ID Number *

  Primary Phone *

  Work Phone *

  Email *

  How would you prefer we contact you? *

  Primary Phone Work Phone Email

  Preferred Contact Method is required
• Step 7

  Joint Applicant Information

  Authorized User Information

  Where do you live?

  Address *

  Address Line 2

  City *

  State *

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip *

  Do you own your house? *

  Rent Own Live With Parents

  Housing Type is required

  Do you owe mortgage? *

  Yes No

  Whether you owe mortgage is required

  Mortgage Holder *

  Mortgage Balance *

  Mortgage Payment *

  Landlord Name *

  Monthly rent or board *

  Have you lived at your current residence for more than 2 years? *

  Yes No

  Whether you have lived at your current residence for more than 2 years is required

  Tell us about your previous address

  Previous Address

  Previous Address Line 2

  Previous City

  Previous State

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Previous Zip
• Step 8

  Joint Applicant Information

  Authorized User Information

  Employment Information

  What is your current employment status? *

  Self Employed Employed Unemployed

  Employment Status is required

  Yearly Income

  Have you been self employed for more than two years? *

  Yes No

  How long you have been self-employed is required

  Tell us about your previous job

  Job Title*

  Employer Name*

  Employer Address*

  City*

  State*

  Alabama Alaska Arizona Arkansas Cadivfornia Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carodivna North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carodivna South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip*

  Employed From*

  To*

  Gross salary per pay period

  Pay frequency*

  Monthly Bi-weekly Weekly Semi-monthly

  Have you worked at another job within the past 2 years?*

  Yes No

  Whether you have another previous employment is required

  Previous Job

  Job Title*

  Employer Name*

  Employer Address*

  City*

  State*

  Alabama Alaska Arizona Arkansas Cadivfornia Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carodivna North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carodivna South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip*

  Employed From*

  To*

  Gross salary per pay period

  Pay frequency*

  Monthly Bi-weekly Weekly Semi-monthly

  Have you worked at another job within the past 2 years?*

  Yes No

  Whether you have another previous employment is required

  Previous Job

  Job Title*

  Employer Name*

  Employer Address*

  City*

  State*

  Alabama Alaska Arizona Arkansas Cadivfornia Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carodivna North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carodivna South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip*

  Employed From*

  To*

  Gross salary per pay period

  Pay frequency*

  Monthly Bi-weekly Weekly Semi-monthly

  Have you worked at another job within the past 2 years?*

  Yes No

  Whether you have another previous employment is required

  Previous Job

  Job Title*

  Employer Name*

  Employer Address*

  City*

  State*

  Alabama Alaska Arizona Arkansas Cadivfornia Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carodivna North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carodivna South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Zip*

  Employed From*

  To*

  Gross salary per pay period

  Pay frequency*

  Monthly Bi-weekly Weekly Semi-monthly
• Step 9

  Joint Applicant Information

  Authorized User Information

  Do you have an additional source of income? *

  Yes No

  Whether you have additional income is required

  Additional income source *

  Part Time Rental Income Alimony Child Support Other

  Additional income source is required

  Additional Income: Other Source

  Additional Income Gross Monthly Amount

  Is your income likely to decline in the next two years? *

  Yes No

  Whether your income is likely to decline is required

• Debts

  Do you currently owe any debts? *

  Yes No

  Whether you have any debts is required

  Debt 1

  Debt Type

  Select Installment Revolving Mortgage

  Creditor Name

  Interest Rate

  Present Balance

  Monthly Payment

  Owed By

  Applicant Joint ApplicantAuthorized User

  Debt 2

  Debt Type

  Select Installment Revolving Mortgage

  Creditor Name

  Interest Rate

  Present Balance

  Monthly Payment

  Owed By

  Applicant Joint ApplicantAuthorized User

  Debt 3

  Debt Type

  Select Installment Revolving Mortgage

  Creditor Name

  Interest Rate

  Present Balance

  Monthly Payment

  Owed By

  Applicant Joint ApplicantAuthorized User

  Debt 4

  Debt Type

  Select Installment Revolving Mortgage

  Creditor Name

  Interest Rate

  Present Balance

  Monthly Payment

  Owed By

  Applicant Joint ApplicantAuthorized User

  Debt 5

  Debt Type

  Select Installment Revolving Mortgage

  Creditor Name

  Interest Rate

  Present Balance

  Monthly Payment

  Owed By

  Applicant Joint ApplicantAuthorized User

  Debt 6

  Debt Type

  Select Installment Revolving Mortgage

  Creditor Name

  Interest Rate

  Present Balance

  Monthly Payment

  Owed By

  Applicant Joint ApplicantAuthorized User

  Debt 7

  Debt Type

  Select Installment Revolving Mortgage

  Creditor Name

  Interest Rate

  Present Balance

  Monthly Payment

  Owed By

  Applicant Joint ApplicantAuthorized User

  Debt 8

  Debt Type

  Select Installment Revolving Mortgage

  Creditor Name

  Interest Rate

  Present Balance

  Monthly Payment

  Owed By

  Applicant Joint ApplicantAuthorized User

  Totals

  Present Balance

  Monthly Payment
• Step 12

  References

  Reference 1

  This reference should be your nearest relative not living with you.

  Type of Reference *

  Reference Name *

  Reference Phone Number *

  Reference Address *

  Reference Address Line 2

  Reference City

  Reference State *

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Reference Zip *

  Reference 2

  Examples of valid references: a colleague, a supervisor, or a community leader who knows you well. This reference should not be a relative.

  Type of Reference *

  Reference Name *

  Reference Phone Number *

  Reference Address *

  Reference Address Line 2

  Reference City

  Reference State *

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Reference Zip *

  Reference 1 (Joint Applicant)

  This reference should be your nearest relative not living with you.

  Type of Reference *

  Reference Name *

  Reference Phone Number *

  Reference Address *

  Reference Address Line 2

  Reference City

  Reference State *

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Reference Zip *

  Reference 2 (Joint Applicant)

  Examples of valid references: a colleague, a supervisor, or a community leader who knows you well. This reference should not be a relative.

  Type of Reference *

  Reference Name *

  Reference Phone Number *

  Reference Address *

  Reference Address Line 2

  Reference City

  Reference State *

  Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

  Reference Zip *
• Step 13

  Final Questions

  Do you have any outstanding judgments? *

  Yes No

  Whether you have outstanding judgments is required

  Have you ever filed for bankruptcy or had a debt adjustment plan confirmed under Chapter 13?*

  Yes No

  Chapter 13 Status is required

  Have you had property foreclosed upon or repossessed in the last 7 years?*

  Yes No

  Whether your property has been foreclosed is required

  Are you a U.S. Citizen or permanent resident alien? *

  Yes No

  Citizenship Status is required

  Are you liable for alimony, child support or maintenance programs? *

  Yes No

  Child Support Status is required

  What is the monthly payment? *

  Agreement

  By submitting this application, you affirm the following:

  1. The information you have stated in this application is correct to the best of your knowledge.
  2. You authorize the Credit Union to obtain a copy of your credit report and verify your employment information.
  3. The Credit Union will rely on the information in this application and your credit report to make its decision.
  4. It is a crime to willfully and deliberately provide incomplete or incorrect information on this application.

  Primary Applicant Date *

  Joint Applicant Authorized User Date *