Fillable Joint Owner Application

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Joint Owner Application

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  • 26 check-boxes
  • 53 other fields

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Joint Owner Application
Add a Joint Owner
A Joint Owner is a person you request to add to your U.S. Bank Card Account. In the case of a joint account, each Cardmember
has the right to use the Account to the extent of the Account credit limit and will be liable for all credit extended under the Account.
For your protection, we require your written authorization to add an individual to your Account and we require the signature
and agreement of the Joint Owner. To request an addition, fax or mail this completed form back to us at the number/address
noted below. Your Account terms will not change.
Do not use this form to add a joint owner for the U.S. Bank Altitude
®
Reserve Visa Infinite
®
Card Account. This card has a separate
Joint Owner form.
_________________________________________________________________________________________________________
Primary Owner Name (please print as it appears on your card)
U.S. Bank Credit Card Account Number:
___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___
Income from alimony, child support, or separate maintenance need not be revealed if you do not wish to have it considered as
a basis for repaying this obligation.
____________________________________________________________________________________________________________
Total Annual Income
1, 2
Monthly Housing Payment p
Own p
Other
1
Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis
for repaying this obligation.
2
Include personal and, if applicable, spousal/domestic partner income. Total annual income can include wages, retirement income, investments,
rental properties, etc. APPLICANTS UNDER 21: Only provide income earned by the applicant.
____________________________________________________________________________________________________________
Primary Owner Signature Date
____________________________________________________________________________________________________________
Joint Owner Name (First, Middle, Last - please print) Suffix Date of Birth
____________________________________________________________________________________________________________
Social Security Number Home Phone Cell Phone Email Address
3
3
We use email to communicate information about your credit card application and booked credit card accounts. Confidential, personal
or financial information will never be sent or requested using the email provided.
____________________________________________________________________________________________________________
Street Address (No P.O. Boxes, U.S. Addresses only)
____________________________________________________________________________________________________________
City State ZIP Code
____________________________________________________________________________________________________________
Mailing Address (if different than above)
____________________________________________________________________________________________________________
City State ZIP Code
____________________________________________________________________________________________________________
Country(ies) of Citizenship
Joint Owner Employment Status (Check One) p Full-Time Employment p Part-Time Employment p Unemployed* p Self Employed
p Homemaker p Retired* p Student p Military
____________________________________________________________________________________________________________
Employer Occupation (Enter name of your current or most recent* occupation or explain why you cannot)
____________________________________________________________________________________________________________
Work Phone Number Employed
Years Months
$
1 of 2
$
usbank.com
Member FDIC JOF 5/1/20
2 of 2
____________________________________________________________________________________________________________
Joint Owner’s Total Annual Income
4, 5
Monthly Housing Payment
p
Own
p
Other
4
Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a
basis for repaying this obligation.
5
Include personal and, if applicable, spousal/domestic partner income that was not already included by the primary cardmember. Total annual income
can include wages, retirement income, investments, rental properties, etc. APPLICANTS UNDER 21: Only provide income earned by the applicant.
Main Source of Joint Applicant’s Annual Income (Check One) p Employment Income p Sale of Property p Investments p Inheritance
p Rental Income p Business Ownership/Sole Proprietorship p Government Program p Social Security p Trust Fund Disbursements
p Pension/Retirement Income p Other ________________________________________
For Wisconsin residents only: Married Wisconsin residents must provide the name and address of their spouse below. If this credit Account
is opened, we may give notice of the opening to the applicant’s spouse. I am: p Unmarried p Married (and the name of my spouse is):
____________________________________________________________________________________________________________
Spouse Name (First, Middle, Last - please print) Suffix Date of Birth
Spouse resides at: p The address shown on page 1 or at:
____________________________________________________________________________________________________________
Street Address (No P.O. Boxes, U.S. Addresses only)
____________________________________________________________________________________________________________
City State ZIP Code
U.S. Bank National Association (“we,” “us” and “our”) may request consumer credit reports about you for evaluating this
request and in the future for reviewing Account credit limits, for Account renewal, for servicing and collection purposes, and
for other legitimate purposes associated with your Account. Upon your request, we will inform you if a consumer report was
requested and, if it was, provide you with the name and address of the consumer reporting agency that furnished the report.
By providing us with a telephone number for a cellular phone or other wireless device, including a number that you later convert
to a cellular number, you are expressly consenting to receiving communications – including but not limited to prerecorded or
artificial voice message calls, text messages, and calls made by an automatic telephone dialing system – from us and our affiliates
and agents at that number. This express consent applies to each such telephone number that you provide to us now or in the future
and permits such calls for non-marketing purposes. Calls and messages may incur access fees from your cellular provider.
By signing below as a Joint Owner, I understand that I will be individually and jointly liable for credit extended on this Account,
and I agree that information I have provided on this form is true and correct and that I will abide by the terms of the Cardmember
Agreement, which will arrive with my Card.
____________________________________________________________________________________________________________
Joint Owner Signature Date
IMPORTANT INFORMATION ABOUT ADDING A NEW ACCOUNT HOLDER TO AN 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.
Notice to Married Wisconsin Residents: No provision of any marital property agreement, unilateral statement under section 766.59 of the
Wisconsin statutes or court decree under section 766.70, adversely affects our interest unless we, prior to the time the credit is granted or an
open-end credit plan is entered into, are furnished a copy of the agreement, decree or court order, or have actual knowledge of the adverse
provisions. IF YOU ARE A MARRIED WISCONSIN RESIDENT, CREDIT EXTENDED UNDER THIS ACCOUNT WILL BE INCURRED IN THE
INTEREST OF YOUR MARRIAGE OR FAMILY.
Please fax your completed form to: 1-866-568-7729
Or mail to: U.S. Bank National Association, PO Box 6352, Fargo, ND 58125-6352
The creditor and issuer of these Cards is U.S. Bank National Association, pursuant to separate licenses from Visa U.S.A. Inc.,
Mastercard International Incorporated and American Express. Mastercard is a registered trademark, and the circles design is a
trademark of Mastercard International Incorporated. American Express is a federally registered service mark of American Express.
©2020 U.S. Bank National Association. All rights reserved.
$ $
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Joint Owner Application

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Completed 29 September 2020

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