Merrick Bank Credit Card Application

STEP 1 Personal Information

Fields marked with * are required

Choose Your Card Design*

First Name*

Last Name*

Suffix

Address Type*

Street Address

P.O. Box

Rural Route

Street Number*

Street Name*

Unit/Apt/Suite#

City*

State*

Zip Code*

Box Number

City

State

Zip Code

A Physical Address is Required*

If you are using a P.O. Box as your mailing address, you must enter a physical address.

Street Number

Street Name

Unit/Apt/Suite#

City

State

Zip Code

Confirm Email

At least one phone number is required *

Home Phone Number

Mobile Number

Work Number

Providing this information is my express written consent for Merrick Bank and its service providers to contact me, including by use of auto-dialers and other automated means, in connection with my Account, at the phone numbers and e-mail address provided.

Date of Birth*

Month

Day

Year

Social Security Number*

Mothers Maiden Name*

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STEP 2 Financial Information

Fields marked with * are required

Summary:

Gross Annual Income*

Alimony, child support, or separate maintenance income need not be disclosed unless you want it to be considered as a basis for determining creditworthiness.

Check here if income source is non-taxable

Click here if you have no income*

Income Type*

Explain Source of Other Income*

Monthly Mortgage / Rent Payment*

Please confirm your monthly housing payment by re-entering it*

Do you have a bank account? *

Checking
Savings
Both
None

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STEP 3 E-Sign Disclosure

Fields marked with * are required

You have expressed an interest to Merrick Bank ("we" or "us") in applying for a credit card by completing, signing and delivering back to us the credit card application form, (which we refer to, collectively, as the "Application Packet"). Below is information regarding your receiving, signing and delivering to us the Application Packet electronically.

The E-Sign Disclosure and Consent ("E-Sign Disclosure") applies to all Communications (this means this Application Packet, any customer agreements or amendments thereto, monthly billing or account statements, tax statements, disclosures, notices, responses to claims, transaction history, privacy policies and all other information related to the product, service or Account) for those products, services and Accounts offered or accessible through or by us that are not otherwise governed by the terms and conditions of an electronic disclosure and consent. You may withdraw this consent at any time under the terms of the E-Sign Disclosure. PLEASE NOTE: Consenting to receive Communications under this E-Sign Disclosure will not automatically enroll you in our Paperless Statements program. You must complete a separate online enrollment to stop receiving by US Mail paper account statements.

Click here to obtain a copy of the full E-Sign Disclosure. To receive your account disclosures electronically on our website, your computer must be capable of printing or storing web pages and your browser must have 128-bit encryption security. To request a paper copy of any of these documents by mail, call us at 1-800-253-2322 and we will mail them to you at no charge.

I Agree *

I have read and agree to the terms in these disclosures and wish to receive my account disclosures, other communications, and Privacy Policy electronically. I confirm that my computer meets the standards described in the E-Sign Disclosure.
Note: You must check the box before submitting the application.

confirm to continue

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STEP 4 Summary of Terms

Merrick Bank will establish your initial credit limit and mail you the card you request ("Card") upon approval of your Online Application, in accordance with the terms set forth below. You agree that if you sign the Card or use your Account or the Card to obtain credit, that will constitute acceptance of the Cardholder Agreement that will be provided to you with your Card, which is governed by both Utah law and applicable Federal law.

Security Deposit

If your application is approved, the initial credit limit assigned to the Account will be equal to the amount of your security deposit, which can be between $200 and $3,000. The application submitted will not be complete until funds from the security deposit have been collected by Merrick Bank. Funds must be received within 30 days to complete the application process, incomplete applications will be declined. Approved applicants will not be allowed to make transactions using the security deposit account. The security deposit does not earn interest and will be available for withdrawal only after your credit card account has been closed and all amounts owing have been paid in full.

Interest Rates and Interest Charges

Annual Percentage Rate (APR) for Purchases	18.95% Your APR will vary with the market based on the Prime Rate.*
APR for Cash Advances	23.95% Your APR will vary with the market based on the Prime Rate.*
Paying Interest	Your Payment Due Date is at least 25 days after the close of each Billing Cycle. We will not charge you interest on Purchases if you pay your entire New Balance by the Payment Due Date each month. We will begin charging interest on Cash Advances on the transaction date.
Minimum Interest Charge	If you are charged interest, the charge will be no less than $1.00.
For Credit Card Tips from the Consumer Financial Protection Bureau	To learn more about factors to consider when applying for or using a credit card, visit the website of the Consumer Financial Protection Bureau at http://www.consumerfinance.gov/learnmore/

Fees

Set-up and Maintenance Fees	NOTICE: Some of these set-up and maintenance fees will be assessed before you begin using your card and will reduce the amount of credit you initially have available. For example, if your minimum credit limit is $200, your initial available credit limit will be only about $164.
Annual Fee	$36 the first year. Billed $3 per month thereafter.
Account Set-up Fee	$0

Transaction Fees
Cash Advance	Either $10 or 4% of the amount of each cash advance, whichever is greater.
Foreign Transaction	2% of each transaction in U.S. Dollars.
Penalty Fees
Late Payment	Up to $38
Over Limit	$0
Returned Payment	Up to $38

How We Will Calculate Your Balance: We use a method called "average daily balances (including new purchases)." See your Cardholder Agreement for more details.

Annual Percentage Rates: Daily Periodic Rate for Purchases 0.05191%; Daily Periodic Rate for Cash Advances 0.06561%.

Variable Rate Information: Purchase Margin 14.20 percentage points; Cash Advance Margin 19.20 percentage points. Your APR for Purchases and Cash Advances may vary. The rate is determined by adding the appropriate margin shown to the Prime Rate*. If the Prime Rate* increases, your APR will increase accordingly, with no cap. An increase in your APR will result in an increase of your minimum payment amount.
*"Prime Rate" means the prime rate of interest published on the last business day of each month in The Wall Street Journal (or a comparable rate if The Wall Street Journal ceases publication).

Minimum Payment: All past-due amounts, any Annual Fee billed monthly, any Additional Card Fee billed monthly plus the greater of the following amounts: (i) 1% of your New Balance plus Late Fees, Cash Advance Transaction Fees, Over Limit Fees, Returned Payment Fees, and Interest Charges billed during the Billing Cycle for which the Minimum Payment is calculated, as shown on that periodic statement, rounded to the next-higher dollar; or (ii) $35. If the New Balance is less than $35, the Minimum Payment will be the total amount owed.

The information about the costs of the card described in this solicitation is accurate as of June 1, 2018. This information may have changed after that date. To find out what may have changed, and to get the most current rates, please write to us at Merrick Bank, P.O. Box 5000, Draper, Utah 84020-5000. Subject to applicable law, the Cardholder Agreement also permits Merrick Bank to make changes to the Terms and Conditions of the Account after the Account is opened.

If you are a married applicant, you may apply for credit in your own name.

California Residents: A married applicant may apply for a separate account. As required by law, you are hereby notified that a negative credit report reflecting on your credit record may be submitted to a credit reporting agency if you fail to fulfill the terms of your credit obligations.

Delaware Residents: Service charges not in excess of those permitted by law will be charged on the outstanding balances from month to month.

Illinois Residents: No applicant may be denied a credit card on account of race, religion, national origin, ancestry, age (between 40 and 70), sex, marital status, physical or mental handicap unrelated to the ability to pay or unfavorable discharge from military service. The applicant may request the reason for rejection of his or her application for a credit card. No person need reapply for a credit card solely because of a change in marital status unless the change has caused a deterioration in the person's financial position. A person may hold a credit card in any name permitted by law that he or she regularly uses or is known by, so long as no fraud is intended thereby.

Maryland Residents: Interest charges will be imposed on the outstanding balances from month to month in amounts or at rates not in excess of those permitted by law. You have the right under Maryland Commercial Law Code Section 12-510 to receive an answer to a written inquiry concerning the status of your account.

If you have any questions, you may contact Merrick Bank Customer Service at 1-877-727-6885.

New York Residents: Merrick Bank may obtain consumer reports on you in connection with an update, renewal or extension for which you have applied. Upon request, we will inform you whether or not we requested a consumer report on you and the name and address of the consumer agency that furnished the report. New York residents may contact the New York state department of financial services by telephone at 1-800-342-3736 or visit its website at www.dfs.ny.gov for free information on comparative credit card rates, fees and grace periods.

Ohio Residents: The Ohio law against discrimination requires that all creditors make credit equally available to all creditworthy customers, and that credit-reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

Wisconsin Residents: This offer is not valid for residents of Wisconsin.

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STEP 5 Fund Your Account

Fund Using Your Bank Account

Fields marked with * are required

Bank Routing Number*

Bank Information

Bank Account Number*

Confirm Account Number

Account Type*

Amount*

Your initital credit line with a Secured Account is equal to your security deposit. If you deposit $200, you have a $200 credit line. You can deposit any amount between $200 and $3,000.

I Agree *

By checking the box, I am authorizing you to initiate a debit from my eligible checking or savings account for the amount I have specified. I understand that this authorization will remain in effect until cancelled by you, my depository financial institution, or myself by contacting you at 800-204-5936 before you initiate the debit to my account.

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Other Funding Options

Visit any Western Union®location and have your funds electronically routed to Merrick Bank.

Visit any MoneyGram® location and have your funds electronically routed to Merrick Bank.

Simply mail your Security Deposit Coupon along with your check or money order.

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STEP 6 Application Summary

Please review your information. You may edit any field, if necessary.

Applicant:

DOB:

SSN:

Mailing Address:

Physical Address:

Home Phone:

Mobile Phone:

Work Phone:

Income:

Deposit Method:

Mortgage/Rent:

Security Deposit Information

Pay to:

Merrick Bank

Routing Number:

Account Number:

Account Type:

Deposit Amount:

BY SUBMITTING BELOW, I HEREBY CERTIFY THAT:

(1) I am requesting an account of the type described herein ("Account"), which I understand will be governed by the applicable Cardholder Agreement; (2) All the information I have provided on this Online Application or in connection with it is true, correct and complete, and acknowledge that false statements given in order to obtain an Account may be a crime; (3) Merrick Bank ("Merrick") may obtain consumer credit reports, for any legitimate purpose regarding this online application and/or any account established hereunder, including but not limited to reviewing, modifying, renewing and/or collecting any such account; (4) Merrick can provide and exchange information about me with any source of credit information to which Merrick may apply, including its affiliates; (5) I am at least 18 years old, have a valid Social Security Number, and have a verifiable, physical U.S. home address; (6) If I sign the

Card(s)

or use the Account or the

Card(s)

to obtain credit, I agree to be bound by the terms of the Cardholder Agreement that will be sent to me with my

Card(s)

if this Online Application is approved; (7) By submitting this Online Application to your offices in Utah, I consent to venue and jurisdiction in Utah and that our relationship will be governed by Utah state law and applicable Federal law.

This offer is not valid for: Existing Merrick Bank cardholders, individuals other than the offeree, individuals who are not of legal contracting age in the state in which they reside, residents of Wisconsin, or individuals with foreign addresses.

ACH Terms and Conditions One-Time Online Payment by Electronic Transfer of Funds. I am authorizing you to initiate an ACH Debit from my eligible checking or savings account. I understand that this authority will remain in effect until cancelled in writing by you, my financial institution or me. By submitting this authorization, I represent that I have sufficient funds in my checking or savings account to make this payment.

IF YOU CHOOSE TO SUBMIT YOUR ONLINE APPLICATION, YOU UNDERSTAND AND INTEND THAT BY ENTERING YOUR INITIALS AND CLICKING ON THE "SUBMIT" BUTTON ON THE LAST PAGE OF THE ACCEPTANCE PROCESS IT SHALL OPERATE AS AN ORIGINAL SIGNATURE AND THAT YOU WILL HAVE AGREED TO THE CARDHOLDER TERMS AND CONDITIONS BY SIGNING AND SUBMITTING YOUR CREDIT CARD ONLINE APPLICATION ELECTRONICALLY.

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means for you: When you open an account, we will ask for your name, physical address, date of birth, and other information that will allow us to verify your identity. We may also ask you to provide copies of your driver's license or other identifying documents.

Card(s)

or use the Account or the

Card(s)

to obtain credit, I agree to be bound by the terms of the Cardholder Agreement that will be sent to me with my

Card(s)

if this Online Application is approved; (7) By submitting this Online Application to your offices in Utah, I consent to venue and jurisdiction in Utah and that our relationship will be governed by Utah state law and applicable Federal law.

This offer is not valid for: Existing Merrick Bank cardholders, individuals other than the offeree, individuals who are not of legal contracting age in the state in which they reside, residents of Wisconsin, or individuals with foreign addresses.

IF YOU CHOOSE TO SUBMIT YOUR ONLINE APPLICATION, YOU UNDERSTAND AND INTEND THAT BY ENTERING YOUR INITIALS AND CLICKING ON THE "SUBMIT" BUTTON ON THE LAST PAGE OF THE ACCEPTANCE PROCESS IT SHALL OPERATE AS AN ORIGINAL SIGNATURE AND THAT YOU WILL HAVE AGREED TO THE CARDHOLDER TERMS AND CONDITIONS BY SIGNING AND SUBMITTING YOUR CREDIT CARD ONLINE APPLICATION ELECTRONICALLY.

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means for you: When you open an account, we will ask for your name, physical address, date of birth, and other information that will allow us to verify your identity. We may also ask you to provide copies of your driver's license or other identifying documents.

I Accept the Terms and Conditions above and Authorize Merrick Bank to use ACH to fund my Deposit *

By clicking the “Submit” button below, you are submitting your request for a Merrick Bank Visa Credit Card and certify that you have read and agree to the Terms and Conditions above.

By clicking the "Submit" button below, you are submitting your request for a Merrick Bank Secured Visa Card and certify that you have read and agree to the Terms and Conditions above.

Initials*

Type Initials to Confirm