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Military Lending Act Disclosure

Federal law provides important protections to members of the Armed Forces and their dependents relating to extensions of consumer credit. In general, the cost of consumer credit to a member of the Armed Forces and his or her dependent may not exceed an annual percentage rate of 36%. This rate must include, as applicable to the credit transaction or account; the costs associated with credit insurance premiums; fees for ancillary products sold in connection with the credit transaction; any application fee charged (other than certain application fees for specified credit transactions or accounts); and any participation fee charged (other than certain participation fees for a credit card account).

If you would like to hear about your Military Lending Act rights, please contact us at 1-888-537-8772.
 

* Indicates Required Information
Primary Applicant Information
 
First Name*
 MI
 Last Name*
 Suffix
Name Displayed on Card*
 Email Address
Social Security Number*
 		 Birth Date*
(yyyy)
Mother's Maiden Name*
 Primary Phone Number*
 Mobile Phone Number
Is your mailing address the same as your residential street address?* Yes No
Mailing Address*
 Address Line 2
 City*
 State*
 Zip Code*
Residential Street Address*
 Address Line 2
 City*
 State*
 Zip Code*
Time at Current Residence*
Years    Months 		Please choose housing situation*
 Drivers License Number*
 Drivers License State*
Are you a US Citizen or Permanent Resident?* Yes No
Current Employer Name*

(If Self Employed, please list your company name.)		 Time with Employer*
Years    Months 		Business Phone Number
Do you have a checking or savings account with Peoples Bank of Alabama?*  Yes No
Gross Monthly Income*
$ .00		 Monthly Amount of Other Income1
$ .00		 Source of Other Income1
 Requested Credit Limit
$ .00
1Alimony, child support, or separate maintenance payments need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Co-Applicant Information (Optional)
 
First Name
MI
 Last Name
Suffix
Name Displayed on Card
 Email Address
Social Security Number
 		 Birth Date
(yyyy)
Mother's Maiden Name
 Primary Phone Number
Mobile Phone Number
Please provide the co-applicant's address if it is different from the primary applicant's address.
Is the Co-Applicant's mailing address the same as their residential address? Yes No
Mailing Address*
Address Line 2
City*
State*
Zip Code*
Residential Street Address
Address Line 2
City
State
Zip Code
Time at Current Residence
Years    Months 		Please choose housing situation
 Drivers License Number
 Drivers License State
Current Employer Name

(If Self Employed, please list your company name.)		 Time with Employer
Years    Months 		Business Phone Number
Gross Monthly Income
$ .00		 Monthly Amount of Other Income1
$ .00		 Source of Other Income1
 Requested Credit Limit
$ .00
1Alimony, child support, or separate maintenance payments need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Balance Transfer Information (optional)
Please continue to pay all creditors until your balance transfer request appears on your statement. If your balance transfer request exceeds your assigned credit line, we will elect to pay off creditors in the order in which they appear on your application. Each balance transfer request must be at least $250.

View Disclosures
1.  Name of Creditor
 Account Number

 Transfer Amount
$ .00
  Payment Address
 Address Line 2
 City
 State
 Zip Code
2.  Name of Creditor
 Account Number

 Transfer Amount
$ .00
  Payment Address
 Address Line 2
 City
 State
 Zip Code
3.  Name of Creditor
 Account Number

 Transfer Amount
$ .00
  Payment Address
 Address Line 2
 City
 State
 Zip Code
Add Authorized Users (optional)
1.   
First Name
 MI
 Last Name
 Suffix
Name Displayed on Card
 Relationship
  Social Security Number
 		 Birth Date
(yyyy)
Primary Phone Number
  Number of cards requested
2.   
First Name
 MI
 Last Name
 Suffix
Name Displayed on Card
 Relationship
  Social Security Number
 		 Birth Date
(yyyy)
Primary Phone Number
  Number of cards requested
3.   
First Name
 MI
 Last Name
 Suffix
Name Displayed on Card
 Relationship
  Social Security Number
 		 Birth Date
(yyyy)
Primary Phone Number
  Number of cards requested

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