Credit Builder Secured Visa® Credit Card
Smart money management begins with good credit.
You are applying for a secured credit card, a product designed to help establish or rebuild credit.
You will need to deposit an amount into a savings account equal to the credit limit you are requesting. You can request an amount from $300 up to $3,000.
As an example, if you are applying for a $500 Secured Credit Card, you will need to deposit $500 into a savings account. You will then be expected to make monthly payments equal to at least the minimum payment amount shown on your monthly statement.

Bolded items are required. What will I need to apply? Agreement and Disclosure
Your personal information is confidential and secure with Armed Forces Bank. We will not share your personal information without your permission.
Important Information
To help the government fight the funding of terrorism and money laundering activities, U.S. Federal Law requires all financial institutions to obtain, verify and record information that identifies each person who opens an account. As you open an account, we will ask you for your name, address, date of birth and other information that will allow us to identify you. We may ask to see your drivers license or other identifying documents.
Primary Applicant Information:
Primary Applicant Liability:
Co-Applicant For Joint Account:
Co-Applicant Liability:
Security Data
Why do you need to provide this information?
This information will be used for additional account verification purposes once your account has been established. It is used to identify you when you use forms on our website.
  City, State
Why do you need to provide this information?
State of Issuance:
Driver's License Number:
Expiration Date:
State of Issuance:
State ID Number:
Expiration Date:
Branch of Service:
Miltary ID number:
Expiration Date:
Passport Number:
Passport Issuing Authority:
Issued Date:
Expiration Date:
Employment Status
  Format: xxx-xxx-xxxx
Gross Income From Employment
Yearly (Annual)
Federal Law requires that we collect income information to determine your ability to pay.
Yearly (Annual)
  Why do we ask for this?
Income from alimony, child support, or separate maintenance payment need not be revealed if you do not wish us to consider it as a basis for repayment.
Yearly (Annual)
  Why do we ask for this?
Due to requirements in the Credit CARD Act of 2009, your maximum credit line amount will be based on your individual ability to pay - which is determined by the income you provide.
Nearest Relative
This information will be used only if there is an issue with your account and we are not able to reach you.
Full Name:
TIN/Backup Withholding:
Important: Under penalties of perjury, I certify that the Social Security Number I have provided [XXX-XX-] is my correct taxpayer identification number and that (check appropriate box):

Your security deposit will not be withdrawn until your new account has been approved.
  • Please select your preferred credit limit (minimum of $300 security deposit, maximum of $3,000 security deposit).
  • The credit limit on your card will be determined by the security deposit you make in your Credit Builder savings account.
  • Your Credit Builder savings account will not be funded until your new Credit Builder account is approved.
  • Please note, if you are funding your Credit Builder savings account with funds from another BankName account, the funds must be available in the selected funding account.
Why do we ask for this?
Note: First year annual fee is assessed at card opening and will lower your available credit during the first month.
How would you like to fund the security deposit for your Credit Builder Secured Visa Credit Card?
Name on the Card:
Card Type:
Card Number:
Expiration Date:
Card Security Code:
What's this?
Bank Name:
Armed Forces Bank
Routing Number:
Deposit Account Number:
Please select your preferred monthly due date:
Would you like to sign up for automatic payments of your Credit Builder monthly balance?
If less than the minimum payment, the minimum payment will be charged.
The following disclosures apply to your "Credit Builder" Secured Visa® Credit Card:
AGREEMENT I/we certify that the above is true and complete. I/we have read the entire application and agree to its disclosures. By signing, using or permitting another to use the card or by failing to cancel the account in writing within 30 days after receiving the card, I/we agree to be bound by the Cardholder Agreement. I/we authorize you to gather whatever credit information you consider necessary and appropriate. If the requested card is granted, I/we also authorize you to give such information to others who have legitimate reason for the information.

By checking the "I Agree" box and pressing the "Continue" button below, you will have electronically signed this agreement.
If the co-applicant is currently unavailable to complete his or her part of the application, a single account will be opened for you. The co-applicant will have 72 hours to log into the system and complete the application process to become a joint owner.
Is the co-applicant present and able to complete his/her part of the application?
  1. Confirm your Identity and Submit.
     Print Signature Card » 
  2. Sign Signature Card.
  3. Please fax or mail the signature card along with a copy of your government-issued ID. Submitting these documents is optional but recommended in order to safeguard your identify and your account.

    Fax: 1-866-635-3616
    Armed Forces Bank
    P.O. Box 26744
    Kansas City, MO 64196
  4. A digital copy of this document, created through the online account opening process and subject to the Account Terms and Conditions, serves as your authorization to open the account.
A signed copy of this document on file will assist us in verifying your identity when you conduct business in person, through the Customer Care Center, or through Internet Banking. We will require verification for any transactions that allow "funds" to leave the bank.