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Overdraft Protection Application

Overdraft Application

First Community Bank
4300 E. Broad Street
Columbus, OH 43213
614-239-4600
Member F.D.I.C.

Avoid the embarrassment of a returned check on your First Community Bank checking account with Overdraft Protection. Overdraft Protection gives you peace of mind that your checks will be paid, even if there are not enough funds in your checking account. Consider our Overdraft Protection a superior value when the cost of only one returned check is more than a whole year of overdraft protection.
Please complete the application below, print it out, sign it and return to the above address for processing. Subject to credit approval. When complete, press your browser's back button to return to our site.

 

Applicant

Your Account Number:
Amount Requested: $
Prefix:
First Name:
Middle Initial:
Last Name:
Date of Birth:
/ /
mm/dd/yyyy
Social Security Number: - -
Street Address
City:
State:
Zip:
Home Phone: ( ) -
How long at this address:
E-Mail Address:
Employer Name/Address:
Work Phone: ( )
Annual Salary (including bonuses and/or overtime:
Additional Income*:
Previous Employer (if less than 2 years):

Co-Applicant if any

 
Prefix:
First Name:
Middle Initial:
Last Name:
Date of Birth:
/ /
mm/dd/yyyy
Social Security Number: - -
Street Address
City:
State:
Zip:
Home Phone: ( ) -
E-Mail Address:
Employer Name/Address:
Work Phone: ( )
 

*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.

The periodic rate of FINANCE CHARGE today is .041096% which is equal to an ANNUAL PERCENTAGE RATE of 15%. Monthly fee of $2. Minimum interest charge of $.50 for each cycle use.

By signing and returning this application, I (we) certify that everything I (we) have stated in this application is correct. By signing below I (we) hereby authorize you to check my (our) credit and employment history and to answer questions others may ask you about my (our) credit record with you. Ohio Laws against discrimination require that all creditors made credit equally available to all creditworthy customers, and that credit-reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

 
Signature (1):
Date: / / mm/dd/yyyy
Signature (2) if any:
Date: / / mm/dd/yyyy

By signing and returning this form, you have read, understand and agree to all terms and conditions of this account and all applicable rules and regulations adopted by First Community Bank. You may request these documents before opening your account(s), or verify current offers by calling 614-239-4600.

If you have questions, you may call us at 614-239-4600 during regular business hours, e-mail us or send your message or special instructions below with your completed application. We look forward to serving you.

Please type in any additional details or comments below. We always appreciate any feedback on how you found our site and any comments about the site as well.

For Bank Use Only:
Action: ________________________________________
Amount $: ___________________Date: _______________
By: ______________/______________
Reason: ________________________________________