Checking Account Line of Credit Required Disclosure


INSURANCE DISCLOSURE

As required by law, this insurance disclosure is being provided to you at the time you apply for credit from Solvay Bank.
  • Solvay Bank may not condition an extension of credit on either your purchase of an insurance product from the Bank or your agreement not to obtain, or a prohibition on you from obtaining, an insurance product from an unaffiliated entity;
  • The insurance product is not a deposit or other obligation of, or guaranteed by, Solvay Bank;
  • The insurance product is not insured by the Federal Deposit Insurance Corporation (FDIC) or any other agency of the United States or Solvay Bank;
  • There is investment risk associated with the insurance product including the possible loss of value.
*By checking this box I/(we) acknowledge that the foregoing disclosures were provided at the time I (we) applied for credit from Solvay Bank and before the initial sale of the insurance product was completed.

INSURANCE INFORMATION

Group Credit Life Insurance is available to you. The insurance is provided by a Group Policy which we have issued to TRUSTEES OF THE NEW YORK STATE BANKERS GROUP CREDITORS INSURANCE TRUST. The insurance is subject to the terms and conditions of that policy. If we accept you for insurance, your insurance will start on the date you open your Bank Credit Card/Revolving Credit Account, or the date you ask for insurance.

Group Credit Insurance -- The purchase of credit insurance coverage is voluntary and not required for credit. Group Credit Life Insurance is available to you through an insurance company selected by the Bank. The Credit Life Insurance covers the balance owed on your account subject to a Policy Maximum. Upon acceptance by the insurer, you will be given a Certificate more fully describing the insurance.

Check one of the required fields below:
I request Joint Life Insurance (Two Borrowers Insured) and agree to pay the insurance charges.
I request Single Life Insurance (One Borrower Insured) and agree to pay the insurance charges.
I Decline Credit Life Insurance at this time.
The cost of this insurance is computed for each $1,000 of outstanding balance per month. Single life monthly rate of $1.04. Joint life a monthly rate of $1.664. (The rates can be changed in the future if there is a change in the Group Policy.)

CREDIT INQUIRIES

"I/We certify that the above statements are true and complete, and I/We agree that the answers furnished in this application as well as any other relevant credit information may be investigated and exchanged with others. You may request a consumer report (credit report) and subsequent consumer reports in connection with this application and any update, renewal or extension of the applied credit. Upon my/our request, you will advise me/us (1) whether or not a consumer report was requested and (2) the name of consumer reporting agency that furnished the report."
All information set forth in this application is declared to be true representation of facts for the purpose of obtaining the credit requested and any willful misrepresentation on the application could result in criminal action.

*By checking this box I/(we) acknowledge that I (we) have read the above Credit Inquiry disclosure. I (we) agree to and accept all terms and conditions within.

These disclosures are accurate as of 3/1/2007.  The terms are subject to change.   You can contact Solvay Bank at 1537 Milton Avenue, Solvay, NY 13209 (315) 468-1661, for changes in the information disclosed.
 
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