Visa Credit Card Application-Business

    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, address, date of birth and other information that allows us to identify you. We may ask to see your driver's license or other identifying documents.

  • OK Legal Name of the Business is required
  • Optional OK Company or DBA Name is required
  • OK Business Street Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required
  • Optional OK Business Mailing Address is required
  • Optional OK City is required
  • Optional OK State is required
  • Optional OK Zip Code is required
  • OK Business Phone Number is required
  • Optional OK Business Website is required
  • OK Contact Person is required
  • OK Phone Number is required
  • OK Email Address is required
  • OK Federal Tax Identification Number is required
  • OK Service Provided/Nature of Business is required
  • OK Annual Business Revenue is required
  • OK Number of Years in Business Under Current Owner is required
  • OK Number of Employees is required
  • OK State of Legal Formation is required
    OK is required

    • All Holders of 20% (twenty percent) or more ownership in a company or partnership must complete the information below

Principal 1

  • OK First name is required
  • Optional OK Middle Initial is required
  • OK Last Name is required
  • OK Title is required
  • OK Home Street Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

  • SSN

    - -
    OK SSN is required

  • Date of Birth

    OK Date of Birth is required
  • OK Mother's Maiden Name is required
  • OK Email is required
  • OK Primary Phone is required
  • Optional OK Work Phone is required
  • Optional OK Secondary Phone is required
  • OK % Ownership is required
  • OK Monthly Income is required

  • Add a Secondary Principal?

    OK Add a Secondary Principal? is required

Principal 2

  • OK First Name is required
  • Optional OK Middle Name is required
  • OK Last Name is required
  • OK Home Street Address is required
  • OK City is required
  • OK State is required
  • OK Zip Code is required

  • SSN

    - -
    OK SSN is required

  • Date of Birth

    OK Date of Birth is required
  • OK Primary Phone is required
  • Optional OK Work Phone is required
  • Optional OK Secondary Phone is required
  • OK Monthly Income is required
  • OK % Ownership is required

    Please read the following carefully before signing: You, the undersigned, as an individual and an Officer of the Business with the authority to bind the Business A) are requesting The First National Bank of Henning, Ottertail and Battle Lake to open a VISA credit card account in the name of the business, B) are representing that all cards issued on the account will only be used for commercial or business purposes C) are agreeing to be jointly and severally liable with the Business for all charges to the account D) are certifying that all information supplied in or with the Application is accurate and complete E) are agreeing that inquiries may be made to verify information, that a credit bureau report may be obtained and that information regarding the account may be reported to the credit bureaus F) are requesting The First National Bank of Henning, Ottertail and Battle Lake issue cards as you direct above or as you direct in the future. You agree to be bound by the Business Card Terms and Conditions, and the Business Card Loan Agreement. You understand and agree that by signing below, you will have personally guaranteed any and all credit extended under the account now and in the future.

    E-Sign Act Disclosure and Consent

    • Before proceeding you must confirm that you have read and agree to the terms of the Electronic Signature Act Disclosure available at the link below.
      • OK
        You must read and agree to the terms of the E-Sign Act disclosure. Please make sure that you read it carefully and keep a copy for your records. Please agree to the E-Sign disclosure to continue.

      List additional employees who you wish to receive cards (Authorized Users not financially liable for charges to the account)

    Employee 1

    • Optional OK Name to appear on Card is required
    • Optional OK Credit Limit is required

    • SSN

      - -
      Optional OK SSN is required

    • Date of Birth

      Optional OK Date of Birth is required

    • Would you like to add another employee?

      Optional OK Would you like to add another employee? is required

    Employee 2

    • OK Name to appear on Card is required
    • OK Credit Limit is required

    • SSN

      - -
      OK SSN is required

    • Date of Birth

      OK Date of Birth is required

    • Would you like to add another employee?

      OK Would you like to add another employee? is required

    Employee 3

    • OK Name to appear on Card is required
    • OK Credit Limit is required

    • Social Security Number

      - -
      OK Social Security Number is required

    • Date of Birth

      OK Date of Birth is required

    Consumer Agreement

      Consumer Agreement

      E-Sign Act Disclosure and Consent

      • Before proceeding you must confirm that you have read and agree to the terms of the Electronic Signature Act Disclosure available at the link below.
        • OK
          You must read and agree to the terms of the E-Sign Act disclosure. Please make sure that you read it carefully and keep a copy for your records. Please agree to the E-Sign disclosure to continue.
      • OK New NoCaptcha is required
      • Visa Credit Card Application - Business

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