Consumer Loan Application

* Required Fields

Individual Credit: You must complete the Applicant section about yourself and the Other section about your spouse if:

1.  you live in or the property pledged as collateral is located in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI),
2.  your spouse will use the account, or
3.  you are relying on your spouse's income as a basis for repayment. If you are relying on income from alimony, child support, or separate maintenance, complete the Other section to the extent possible about the person on whose payments you are relying.

Joint Credit: Each Applicant must individually complete the appropriate section below. If Co-Borrower is spouse of the Applicant, mark the Co-Applicant box.

Guarantor: Complete the Other section if you are a guarantor on an account/loan.

Check below to indicate the type of account(s) and type of credit for which you are applying. Married Applicants may apply for a separate account:
AMOUNT REQUESTED
COLLATERAL
Choose One:
PURPOSE
Purpose of Loan:
REPAYMENT OPTIONS
How would you like to pay your monthly payment?
PAYMENT PROTECTION
Are you interested in having your loan protected?
If you answer, "yes", then the credit union will disclose the cost of this voluntary payment protection to you. A separate election which discloses the terms and conditions must be signed for protection to be effective.
Birth Date:
 /   / 
Own/Rent:
Own/Rent:
Complete for joint credit, secured credit or if you live in a community property state:
NOTICE: ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED IF YOU DO NOT CHOOSE TO HAVE IT CONSIDERED.
Per:
Type:
Per:
Previous Employment Starting Date:
 /   / 
Previous Employment Ending Date:
 /   / 
Military: Is duty station transfer expected during next year?
If yes, ending/separation date:
 /   / 
Other Applicant Type:
Birth Date:
 /   / 
Own/Rent:
Own/Rent:
Complete for joint credit, secured credit or if you live in a community property state:
Start Date:
 /   / 
NOTICE: ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED IF YOU DO NOT CHOOSE TO HAVE IT CONSIDERED.
Per:
Type:
Per:
Starting Date:
 /   / 
Ending Date:
 /   / 
Military: Is duty station transfer expected during next year?
If yes, ending/separation date:
 /   / 
Owed By:
Pledged Collateral For Another Loan?
Owned By :
If you answer "Yes" to any question other than #1, upload Additional Information
1. Are you a U.S. citizen or permanent resident alien?
2. Do you currently have any outstanding judgments or have you ever filed for bankruptcy, had a debt adjustment plan confirmed under Chapter 13, had property foreclosed upon or repossessed in the last 7 years, or been a party In a lawsuit:
3. Is your income likely to decline in the next two years?
4. Are you a co-maker, co-signer or guarantor on any loan not listed above?
If you answer "Yes" to any question other than #1, upload Additional Information
1. Are you a U.S. citizen or permanent resident alien?
2. Do you currently have any outstanding judgments or have you ever filed for bankruptcy, had a debt adjustment plan confirmed under Chapter 13, had property foreclosed upon or repossessed in the last 7 years, or been a party in a lawsuit:
3. Is your income likely to decline in the next two years?
4. Are you a co-maker, co-signer or guarantor on any loan not listed above?
Security Code:

CONSENT AND SUBMISSION

By clicking submit below, you promise that everything you have stated in this application is correct to the best of your knowledge and that the above information is a complete listing of what you owe. If there are any important changes you will notify us in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, increase, renewal, extension or collection of the credit received. You understand that the Credit Union will rely on this information in this application and your credit report to make its decision. If you request, the Credit Union will tell you the name and address of any credit bureau from which it received a credit report on you. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federal credit unions or state chartered credit unions insured by NCUA.

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