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Loan Application

* Required Fields


    • Best Phone # To Reach You
      ( ) - ext










    • Applying for a Joint Account



    • PLEASE TELL US ABOUT YOURSELF (PRIMARY BORROWER)









    • Home Phone
      ( ) - ext
    • Work Phone
      ( ) - ext







    • Are you a Co-Borrower on any other loans?



    • PLEASE TELL US ABOUT YOUR JOB (PRIMARY BORROWER)


    • Phone Number
      ( ) - ext


    • Note: 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 EMPLOYMENT


    • Phone Number
      ( ) - ext


    • Note: 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


    • PLEASE TELL US ABOUT YOURSELF (CO-BORROWER)





    • Home Phone
      ( ) - ext
    • Work Phone
      ( ) - ext




    • PLEASE TELL US ABOUT YOUR JOB (CO-BORROWER)


    • Phone Number
      ( ) - ext


    • Note: 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


    • PLEASE LIST NEAREST RELATIVE NOT LIVING WITH YOU




    • Phone Number
      ( ) - ext

    • PLEASE LIST AN ADDITIONAL RELATIVE
      NOT LIVING WITH YOU




    • Phone Number
      ( ) - ext

    • MONTHLY PAYMENTS












































    • AGREEMENT
    • This application initiates the loan process. Final signature(s) will be required to advance funds, including signatures for joint applicants. We will contact you the next business day.
    • DISCLAIMER: I/WE HEREBY CERTIFY THAT ALL STATEMENTS MADE ARE TRUE AND COMPLETE, ARE SUBMITTED FOR THE PURPOSE OF OBTAINING CREDIT, AND THAT THE CREDIT UNION MAY RELY ON THEM FOR SUCH DETERMINATION. WE UNDERSTAND THAT FEDERAL LAW REQUIRES THE VERIFICATION OF IDENTIFICATION FOR ALL NEW ACCOUNTS SHOULD I NOT HAVE AN EXISTING ACCOUNT. I/WE AUTHORIZE YOU TO OBTAIN SUCH INFORMATION AS YOU MAY REQUIRE CONCERNING THE STATEMENTS MADE IN THIS APPLICATION AND PROPER IDENTIFICATION, AND AGREE THAT THE APPLICATION SHALL REMAIN YOUR PROPERTY, AND YOU ARE AUTHORIZED TO ANSWER QUESTIONS ABOUT YOUR CREDIT EXPERIENCE WITH ME/US.

    • Applicant Signature: __________________________________

      Date: _____________________________________________


      Co-Applicant Signature _________________________________

      Date: ______________________________________________

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