Please note that by selecting this link, you will be directed to Lea County State Bank’s Application site.  Certain portions of this site are maintained by a third party that has been selected and approved by Lea County State Bank.



Credit Card Application – Personal

Please provide all the requested information. When you have completed the form, press the Submit button to send your application. If necessary, we will contact you for additional information.

The items marked with (*) are required fields.

By selecting 'Submit Application' below, I agree to the terms and conditions listed in the disclosures.

LCSB Credit Card Disclosure

Important Information About Procedures for Opening a New 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 to You:

When you open a new 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.

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General Information

Will you be applying for Individual or Joint Credit?

(If Joint, the co-applicant section has the same required fields as the primary applicant.)

Marital Status: Complete marital status if this loan is for: a. Joint or secured credit, or b. You reside in or rely on property located in a Community Property State. (AZ, CA, ID, LA, NM, NV, TX, WA, WI)

Marital Status
Type of Card Requested *

Primary Applicant

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Home Address

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Time at Current Residence

Residence Type

Previous Address

Time at Previous Residence

Residence Type

Present Employer

*

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.

Previous Employer

CoApplicant

Home Address

Residence Type

Previous Address

Time at Previous Residence

Residence Type

Present Employer

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.

Previous Employer

References

Nearest Relative Not Living With You

Additional Information

How would you prefer to be contacted?

Income verification is required; other information may be required.

I certify that statements on this application are true and complete, by submitting this application, I authorize the Financial Institution to make any investigation of my credit, either directly or through any agency. (Sec. 1014, Title 18, U.S. Code makes it a Federal Crime to knowingly make a false statement on this application.)

I agree to the terms and conditions listed in the disclosures. *

Military Lending APR:

Effective October 1, 2017, 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 percent. This rate must include, as applicable to the credit transaction or account: the cost 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).

 

IMPORTANT: Please only select "Submit" once. It may take a few moments for the confirmation to appear.