Member FDIC JOF 5/1/20
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Joint Owner’s Total Annual Income
Monthly Housing Payment
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.
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.