Visa Credit Card Limit Increase Request Form

Date

Name

Member Number

Visa Credit Card Number

Amount of Limit Increase requested

Phone Number

Phone Number Type

Home Phone Number
Cell Phone Number

Email

Type

Individual
Joint

Primary Card Holder

Employer

Date of Employment

Occupation

Primary Card Holder annual income

Mortgage/Rent Amount

Mortgage or Rent?

Mortgage Payment
Rent Payment

Length of Residency

Co-Applicant

Employer — Co-Applicant

Date of Employment — Co-Applicant

Occupation — Co-Applicant

Annual Income — Co-Applicant

Home Phone Number — Co-Applicant

Cell Phone Number — Co-Applicant

Mortgage/Rent Amount — Co-Applicant

Mortgage or Rent? — Co-Applicant

Mortgage Payment
Rent Payment

Length of Residency — Co-Applicant

Limit increase approval is based on debt-to-income ratio and credit worthiness.

By submitting this application for limit increase to the Credit Union, I/we promise that everything stated herein is correct to the best of my/our knowledge. I/we authorize the Credit Union to obtain credit reports in connection with this application for limit increase and for any update, renewal or extension of the credit received; or in connection with any terms or options addressed in the Cardholder Agreement and Disclosures. I/we understand that the Credit Union will rely on both the representations I/we make in this application and the contents of any credit report it obtains when deciding whether to grant the credit requested. I/we agree to immediately notify you of changes to any of the information provided in this application. I/we agree that my/our account will be subject to the terms and conditions of all applicable Agreement and Disclosure Statement.