Personal RediReserv Application | Bank of Travelers Rest

Required Fields

Applicant

Are you applying for joint credit?

First Name Middle Name Last Name Social Security Number Birthdate Email Address Primary Telephone Number Check here if this is a cell phone. Secondary Telephone Number Check here if this is a cell phone.

Present Street Address

Present Street Address City State Zip Code

Length of Residence

Years Months

Previous Street Address (If less than two years)

Previous Street Address City State Zip Code

Length of Residence

Years Months

Housing Status

Buying
Renting

Monthly Payment

Present Employment Information

Present Employment Status

Employed
Retired
Other
Describe Other

Present Employer Name Present Employer Telephone Number Position Present Employer Street Address City State Zip Code

Length of Employment

Years Months

Previous Employment Information (If less than two years)

Previous Employer Name Previous Employer Telephone Number Position Previous Employer Street Address City State Zip Code

Length of Employment

Years Months

Financial Information

Gross Annual Household Income

Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Bank of Travelers Rest Account Number

Last 4 digits of Checking Account Number to which RediReserv will be connected

Last 4 digits Checking Account

Co-Applicant

Complete this section if the checking account has two or more signers.

Present Street Address

Present Street Address City State Zip Code

Length of Residence

Years Months

Previous Street Address (If less than two years)

Previous Street Address City State Zip Code

Length of Residence

Years Months

Housing Status

Buying
Renting

Monthly Payment

Present Employment Information

Present Employment Status

Employed
Retired
Other
Describe Other

Present Employer Name Present Employer Telephone Number Position Present Employer Street Address City State Zip Code

Length of Employment

Years Months

Previous Employment Information (If less than two years)

Previous Employer Name Previous Employer Telephone Number Position Previous Employer Street Address City State Zip Code

Length of Employment

Years Months

Financial Information

Gross Annual Household Income

Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Insurance Option

I would like to request the Optional Insurance option

Single credit life insurance is available for the applicant who has not reached age 66 at the time of applying for insurance. Single credit life insurance covers the total balance of the account for a maximum of $5,000.00 at a cost in each billing cycle for the applicant of 10.0 cents per $100.00 of the total new balance for that billing cycle. Joint credit life insurance is also available if the co-applicant has not reached age 66 at the time of application. Joint credit life insurance covers the total balance for the account for a maximum of $5,000.00 at a cost in each billing cycle for both applicants of 16.6 cents per $100.00 of the total new balance for that billing cycle. Insurance rates are subject to change as determined by South Carolina law. CONSUMER CREDIT INSURANCE IS NOT REQUIRED TO OBTAIN CREDIT AND WILL NOT BE PROVIDED UNLESS YOU SIGN AND AGREE TO PAY THE ADDITIONAL COST. The premium will be charged to the account and will be subject to the same terms and interest charges as the regular line of credit. Coverage is effective on the first day of the month during which premiums are first billed to the account. The account holder may terminate credit life insurance coverage at any time upon written notice to the issuing bank

I/We understand that I/we will not be covered unless the conditions stated above are met.

I request Single Credit Life Insurance (I agree this applies to Applicant only)
We request Joint Credit Life Insurance (We agree this applies to Applicant and Co-Applicant)

Authorization

I/We certify that all information is complete and correct. I/We give this information for the purpose of obtaining credit and authorize the obtaining of information concerning any statement made herein. I/We agree to abide by the terms and conditions set forth in the RediReserv Agreement and Disclosure Table which will be mailed to you. If this application is for joint credit, Applicant and Co-Applicant each agree that we intend to apply for joint credit.