Business Preferred Rate Credit Card Application

Required Field

Business Information

Business Legal Name Business Name on Card, If Different from Legal Name Federal Tax ID Date of Establishment Street Address City State Zip Code Mailing address is different than street address

Mailing Address City State Zip Code

Business Phone Number Business Type Industry Annual Gross Sales Estimated Monthly Spend

Is your business legally formed or organized outside of the US

Is the business any of the following? (select all that apply)

Marijuana/Marijuana Related/Medical Marijuana Business
Directly engaged in the cultivation/distribution/sale/dispensing of marijuana, products containing or derived from marijuana, drug paraphernalia, or directly providing goods or services to these types of businesses.
Core Money Service Business
50% or more of your revenue comes from: currency dealing or exchange; check cashing; issue, sale or redemption of checks, money orders, or stored value; and/or money transmission.
Internet Gaming/Gambling Business
Receives/transmits a bet or wager using the Internet (customary activities of a financial transaction provider, interactive computer service or telecommunications service are excluded.
None of the Above

Primary Cardholder Information

Authorized to borrow on behalf of business?

Ownership Percentage in Business Role in Business First Name Middle Name Last Name Suffix Social Security Number Birth Date Residential Address City State Zip Code Country of Residence Mobile Phone Number Home Phone Number E-mail Address Annual Income Primary Source of Income

Housing Status

Rent
Own

Monthly Housing Payment

Are you a US Citizen?

Add Additional Cardholders

Would you like to add additional card holders?

(Click the + sign to add additional card holders)

First Name Last Name Social Security Number

 Add Another User

Acknowledgements and Agreements

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 will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

I hereby apply for the credit described in this application. I certify that I have made no misrepresentations in this application or in any related documents. I also certify that all information is true and complete and that I did not omit any information.

United Community Bank (UCB) reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. They may also access information about me from a consumer reporting agency, such as a copy of my credit report, before opening any account. By submitting this form, I authorize UCB to check my credit and verify identity.

By clicking submit below, I acknowledge that I have read the Electronic Record and Signature Disclosure, the Application and Solicitation Disclosure, and Privacy Policy and agree to the terms and conditions described therein. I also agree that the Internet access device(s) I will use to receive the related legal disclosures and agreements meet(s) the system requirements described in the disclosure presented below; and I consent to receiving the related legal disclosures and agreements.

I have read and agree to the Electronic Record and Signature Disclosure and the Application and Solicitation Disclosure.

Click Here to view the Electronic Record and Signature Disclosure and the Application and Solicitation Disclosure.