Consumer Loan Application

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Submit this application today via our secured server, or stop by the credit union for more information. You may also print out this application and mail it or fax it in for processing.

You'll be glad you did.
Notice: Married Applicants may apply for a separate account. Check the appropriate box below to indicate the type of credit for which you are applying.
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CONSUMER LOAN TYPE
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Collateral Secured
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MARRIED APPLICANTS MAY APPLY FOR INDIVIDUAL ACCOUNTS, INDICATE BELOW THE TYPE OF CREDIT WANTED
Type of Application(*)

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Applicant: Complete for secured credit or if you live in a community property state
Applicant Marital Status(*)
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APPLICANT
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EMPLOYMENT AND INCOME
If self employed, attach financial statement and income tax return.
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OTHER INCOME
You need not list income from alimony, child support, or separate maintenance unless you wish it considered for purposes of granting this credit.
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APPLICANT PERSONAL REFERENCES
Nearest Relative Not Living With You
Name/Address/Phone
Relationship
Personal Reference (Not a Relative)
Name/Address/Phone
Known Since
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ASSETS AND DEPOSITS List all assets
Checking
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Savings
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IRA'S
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Automobiles
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Realestate
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CREDIT INFORMATION Be sure to list all open accounts with or without a balance.
Type of Loan
Name of Creditor
Account No
Balance
Monthly Payments
Mortgage or Rent
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Second Mortgage
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Auto Loan
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Credit Card
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Credit Card
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Other
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Other
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Other
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Please answer the following questions. If a yes answer is given, explain on an attached sheet.
Have you ever filed a petition for bankruptcy?(*)
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Have you ever had any auto, furniture or property repossessed?(*)
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Are you a co-maker or guarantor of any loan or lease?(*)
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Do you have any past due bills?(*)
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Is any income you have listed likely to reduce in the next two years?
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Have you ever had credit in any other name?
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Have you any suits pending, judgements filed, alimony or support awards against you?
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Are you other than a U.S. Citizen or resident alien?
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MARRIED CO-APPLICANTS MAY APPLY FOR INDIVIDUAL ACCOUNTS, INDICATE BELOW THE TYPE OF CREDIT WANTED
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Co-Applicant: Complete for secured credit or if you live in a community property state
Co-Applicant Marital Status
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CO-APPLICANT
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CO-APPLICANT EMPLOYMENT AND INCOME If self employed, attach financial statement and income tax return.
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CO-APPLICANT OTHER INCOME You need not list income from alimony, child support, or separate maintenance unless you wish it considered for purposes of granting this credit.
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CO-APPLICANT PERSONAL REFERENCES
Nearest Relative Not Living With You - Name/Address/Phone
Relationship
Personal Reference (Not a Relative) - Name/Address/Phone
Known Since
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CO-APPLICANT ASSETS AND DEPOSITS List all assets
Checking
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Savings
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IRA'S
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CREDIT INFORMATION Be sure to list all open accounts with or without a balance.
Type of Loan
Name of Creditor
Account No
Balance
Monthly Payments
Mortgage or Rent
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Second Mortgage
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Auto Loan
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Credit Card
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Credit Card
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Other
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Other
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Other
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Other
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Other
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Other
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Please answer the following questions. If a yes answer is given, explain on an attached sheet.
Have you ever filed a petition for bankruptcy?
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Have you ever had any auto, furniture or property repossessed?
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Are you a co-maker or guarantor of any loan or lease?
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Do you have any past due bills?
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Is any income you have listed likely to reduce in the next two years?
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Have you ever had credit in any other name?
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Have you any suits pending, judgements filed, alimony or support awards against you?
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Are you other than a U.S. Citizen or resident alien?
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You agree that everything stated in this application whether oral, written or through a fax machine, is true and correct to the best of your knowledge. The Credit Union or its agent is authorized to investigate your credit worthiness, employment history, and to obtain a credit report and to answer questions about their credit history with you. You understand that any false or misleading statements in your application may cause any loan to be in default. You agree that this application shall be the Credit Union's property whether or not this Credit Application is approved. You agree to fully insure any collateral offered against loss and damage. You may obtain this insurance through any insurance company of your choice, unless the Credit Union, for good cause, refuses to accept it. NOTICE: Consumer reports (credit reports) may be obtained in connection with this application. If you request, 1) You will be informed whether or not consumer reports were obtained; and 2) If reports were obtained, you will be informed of the names and addresses of the consumer reporting agencies (credit bureaus) that furnished the reports.
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