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Amplify FCU
PO Box 85300
Austin, TX 78708
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ONLINE APPLICATION


Fill out this Application, and one of our
business representatives will contact you

First Name
Last Name
Are you a CTAN member?
Loan Purpose
Loan Amount
Business Name
Tax ID Number (if applicable)
SSN (if business is a DBA)
Is Business a Start Up?
Length of Time in Business
Business Address 1
Business Address 2
Business City
Business State
Business Zip
Business Phone Number
Type of Business/Service
Number of Employees
Owner/Principal Name
Ownership %
Social Security Number
Date of Birth
Home Address 1
Home Address 2
Home City
Home State
Home Zip
Best Contact Number
Email Address
  I have read and agree to the disclosure.

If your application for business credit is denied, you
have the right to a written statement of the specific
reasons for the denial. To obtain the statement,
please write to Amplify Federal Credit Union, P.O.
Box 78708, Austin, TX 78578, within 60 days from the
date you are notified of our decision. We will send
you a written statement of reasons for the denial
within 30 days of receiving your request for the
statement.

Equal Credit Opportunity Act Notice: The federal
Equal Credit Opportunity Act prohibits creditors
form discriminating against applicants on the basis
of race, color, religion, national origin, sex,
marital status, age (provided that the applicant has
the capacity to enter into a binding contract);
because all or part of the applicant's income
derives from any public assistance program; or
because the applicant has in good faith exercised
any right under the Equal Credit Opportunity Act.
The federal agency that administers compliance
with this law concerning this credit union is:

National Credit Union Administration, Office of
Consumer Protection (OCP), Division of Consumer
Compliance and Outreach (DCCO), 1775 Duke Street,
Alexandria, Virginia 22314

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If your application for business credit is denied, you have the right to a written statement of the specific reasons
for the denial. To obtain the statement, please write to Amplify Federal Credit Union, P.O. Box 78708, Austin, TX 78578,
within 60 days from the date you are notified of our decision. We will send you a written statement of reasons for the
denial within 30 days of receiving your request for the statement.

Equal Credit Opportunity Act Notice: The federal Equal Credit Opportunity Act prohibits creditors form discriminating
against applicants on the baiss of race, color, religion, national origin, sex, marital status, age (provided that the
applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives
from any public assistance program; or because the applicant has in good faith exercised any right under the Equal
Credit Opportunity Act. The federal agency that administers compliance with this law concerning this credit union is:

National Credit Union Administration, Office of Consumer Protection (OCP), Division of Consumer Compliance and Outreach
(DCCO), 1775 Duke Street, Alexandria, Virginia 22314

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