BORROWER INFORMATIONOpen-End Voucher and Security Agreement • March 5th, 2010
CREDIT UNION USE ONLY REPAYMENT TERMS DAILY PERIODIC RATE ANNUAL PERCENTAGE RATE MARGIN OTHER FEES (Amount and Description) PREVIOUS BALANCE% % $ $ NEW BALANCE THIS SUBACCOUNT AMOUNT ADVANCED PAYMENT AMOUNT DATE DUE PAYMENT FREQUENCY LINE OF CREDIT LIMIT REMAINING LIMIT$ $ $ $ $ REQUESTED: MEMBER CHECK NUMBER: BRANCH NUMBER:PAYS FOR: PLAN/SUBACCOUNT NO.: PROCESSED BY: DATE APPROVED DENIED(Adverse Action Notice Sent) APPROVED SIGNATURE LINE OF CREDIT OTHER OTHER LIMITS:$ $ $ $ LOAN OFFICER COMMENTS:
