THIS IS A SECURE FORM
Check Appropriate Box
If you are applying for individual credit in your own name and are relying on your own income or assets and not in the income or assets of another person as the basis for repaying of the credit requested, complete Section A and C.
If you are married and live in a community property state, complete all Sections including Section B providing information about your spouse.
If this is an application for joint credit with another person, complete all Sections providing information in Section B about the Co-applicant.
NOTE: Applicant, if married, may apply for a separate account.
SECTION A. Information Regarding Applicant
Alimony, child support or separate maintenance income need not be revealed if you have it considered as a basis for repaying this obligation.