Loan Application


General Information: ( Required fields are marked with an *) - This application is not used for Mortgages, HELOC, and VISA. Please contact the credit union for further details.

Will there be a co-applicant on this application?
(If Yes, the co-applicant section has the same required fields as the primary applicant.)
If requesting a vehicle loan, provide the following information about the vehicle.
Applicant Information
Name *
Name
Marital Status: Complete marital status if this loan is for: Joint or secured credit, or you reside in or rely on property located in a Community Property State. (AZ, CA, ID, LA, NM, NV, TX, WA, WI)
Applicant Home Address
Address
Address
Years/Months
Type
Main Contact Phone
Main Contact Phone
Cell Phone
Cell Phone
Work Phone
Work Phone
Applicant Present Employer
Phone
Phone
Applicant Debts / Monthly Payments
List all other debts (for example, auto loans, credit cards, second mortgage, home assoc. dues, alimony, child support, child care, medical utilities, auto insurance, IRS liabilities, etc.) Please use a separate line for each credit card and auto loan.
Co-Applicant: Complete this section ONLY if applying for a joint loan.
I/WE UNDERSTAND THAT BY COMPLETING THE CO-APPLICANT INFORMATION THAT THE CREDIT UNION MAY NOTIFY ME AND THE COAPPLICANT IN WRITING OR BY TELEPHONE TO VERIFY THEIR WISHES TO BE CO-APPLICANT AND THAT I/WE FULLY UNDERSTAND THIS APPLICATION IS FOR JOINT CREDIT.
First & Last Name
First & Last Name
(if not a member put: NONE)
Co-Applicant Home Address
Address
Address
Years/Months
Main Contact Number
Main Contact Number
Work Phone
Work Phone
Cell Phone
Cell Phone
Co-Applicant Present Employer
Phone Number
Phone Number
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.
Additional Information
How would you prefer to be contacted
Income verification is required. Other information may be required. Loan Approval and Interest Rate is determined by your credit history. I certify that statements on this application are true and complete. I authorize any person, association, firm or corporation to furnish, on request of this Credit Union, information concerning me or my affairs. (Sec. 1014, Title 13, U.S. Code makes it a Federal Crime to knowingly make a false statement on this application.)