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Wells Fargo Home Projects Credit Card Account Application

Applicant(s) Infomation

1119

Check Account Choice: Individual Joint
Applicant First Name
Middle Initial
Last Name
Date of Birth

Social Security #

//

Housing: Own Rent
Physical Street Address & Unit/Apt#
P.O. Box (If any)
City
State Initials
Zip
Email Address
Home Phone

Cell Phone

Work Phone

Net Annual Income*
Employer

* You need not list income from alimony, child support, or separate maintenance payments unless you wish it considered as basis for repaying this obligation. You may include income that you earn or own, inluding funds regularly deposited into accounts you own. If you are age 21 or older, you may also include accessible income which is not earned or owned by you but is regularly accessed or used to pay your expenses.

Married Wisconsin Residents: If you are applying either individually or jointly with someone other than your spouse, please contact us immediately at: 1-855-412-2787 and provide us with the name and address of your spouse. We are required by law to inform your spouse that you have opened an account with us.

Co-Applicant First Name
Middle Initial
Last Name
Date of Birth

Social Security #

//

Physical Street Address, P.O. Box, City, State and Zip code
are the same as Applicant's:
Yes No
Housing: Own Rent
Physical Street Address & Unit/Apt#
P.O. Box (If any)
City
State Initials
Zip
Home Phone

Cell Phone

Work Phone

Net Annual Income*
Employer

* You need not list income from alimony, child support, or separate maintenance payments unless you wish it considered as basis for repaying this obligation. You may include income that you earn or own, inluding funds regularly deposited into accounts you own. If you are age 21 or older, you may also include accessible income which is not earned or owned by you but is regularly accessed or used to pay your expenses.

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 and 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.

Acknowledgement: You acknowledge receipt of a copy of the Credit Card Agreement including the important terms of Your Credit Card Account. You acknowledge the existence of the Arbitration Agreement contained in the Credit Card Agreement and you specifically agree to be bound by its terms. You acknowledge receipt of a copy of the Wells Fargo Financial Nation Bank Privacy Notice. Please refer to your Credit Card Agreement, inluding the Important Terms of Your Credit Card Account, for additional information about rates, fees and other costs.

Signature: Your signature means that you have read and agree to the terms of our Credit Card Agreement, including the Important Terms of Your Credit Card Account, and our Arbitration Agreement. You acknowledge receipt of a copy of our Credit Card Agreement, our Arbitration Agreement and the Wells Fargo Financial National Bank Privacy Notice. You give us and we will retain a purchase-money security interest in goods purchased under this Agreemen. Please note that the arbitration agreement may not apply to you if you are on active duty military service (including active guard or reserve service) or you are a spouse or dependent of a person who is on such active duty military service (please see the Important Statement Concerning Active Duty Military Service paragraph in the Credit Card Agreement for more information). If this credit application is for join credit, you acknowledge that you intend to apply for join credit that you both will use.

Signature of Applicant
Date
Signature of Co-Applicant
Date
Page 9 of 12NOTICE: See reverse side for important information. In Terms and Conditions.