Loan Application In order to apply for a loan you must be a member of the Credit Union in good standing. Note: A Student Loan Application is a different application. Click here to complete a Student Loan Application. Please provide all the requested information. When you have completed the form, click on the Submit button to send your application. A Credit Union Representative will contact you regarding the status of your loan the next business day. *Required Information Will there be a co-applicant on this loan application? Yes No *Type of loan requested New Vehicle Used Vehicle Boat RV Motorcycle Vacation Consolidation Holiday Personal Computer Home Equity Home Improvement Mortgage Other Line of Credit Savings Secured VISA Credit Card VISA Debit Card *If personal loan is being applied for, purpose of loan is required! *Amount requested Primary Applicant *Member No. *Last Name *First Name *Social Security No. *Date of Birth *Address *City *State AK AL AR AZ CA CO CT DE FL GA HA IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NE NH NJ NM NV NC ND NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY *ZIP Code *Home Phone No. *Time we can reach you at this No. Alternative Phone No. Time we can reach you at this No. E-Mail Address *Employer's Name *Employer's Phone No. *Job Start Date *Annual Gross Income *Job Title Alimony, child support, or separate maintenance income need not be listed unless you choose to have such income considered regarding extension and repayment of the credit requested. Other Income Ethnicity Please complete only if you are applying for a Real Estate Loan Hispanic or Latino Not Hispanic or Latino Race Please complete only if you are applying for a Real Estate Loan American Indian or Alaska Native Asian African American Native Hawaiian or other Pacific Islander White Sex - Please complete only if you are applying for a Real Estate Loan Male Female HMDA (Home Mortgage Disclosure Act) requires the Credit Union to collect monitoring information when it accepts home purchase, home improvement, and refinance loan applications. Joint Applicant (if applicable) Member No. Last Name First Name Social Security No. Date of Birth Address City State AK AL AR AZ CA CO CT DE FL GA HA IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NE NH NJ NM NV NC ND NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY ZIP Code Home Phone No. E-Mail Address Employer's Name Employer's Phone No. Job Start Date Annual Gross Income Job Title Alimony, child support, or separate maintenance income need not be listed unless you choose to have such income considered regarding extension and repayment of the credit requested. Other Income Ethnicity Please complete only if you are applying for a Real Estate Loan Hispanic or Latino Not Hispanic or Latino Race Please complete only if you are applying for a Real Estate Loan American Indian or Alaska Native Asian African American Native Hawaiian or other Pacific Islander White Sex - Please complete only if you are applying for a Real Estate Loan Male Female HMDA (Home Mortgage Disclosure Act) requires the Credit Union to collect monitoring information when it accepts home purchase, home improvement, and refinance loan applications. Monthly Financial Obligations DescriptionAmount If these descriptions do not apply, enter a zero. In addition to rent or mortgage, 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. Please note: Income verification is required; other information may be required. 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 of a Federal Credit Union.) APPLY FOR A LOAN | INFORMATION DESK | PRODUCTS AND SERVICES WHAT'S NEW | RATES | SAFARI KID'S CLUB E-MAIL | E-MAIL THE BOARD | E-MAIL THE SUPERVISORY COMMITTEE | HOME Rev. 11/16/2000
Loan Application In order to apply for a loan you must be a member of the Credit Union in good standing. Note: A Student Loan Application is a different application. Click here to complete a Student Loan Application. Please provide all the requested information. When you have completed the form, click on the Submit button to send your application. A Credit Union Representative will contact you regarding the status of your loan the next business day. *Required Information Will there be a co-applicant on this loan application? Yes No *Type of loan requested New Vehicle Used Vehicle Boat RV Motorcycle Vacation Consolidation Holiday Personal Computer Home Equity Home Improvement Mortgage Other Line of Credit Savings Secured VISA Credit Card VISA Debit Card *If personal loan is being applied for, purpose of loan is required! *Amount requested Primary Applicant *Member No. *Last Name *First Name *Social Security No. *Date of Birth *Address *City *State AK AL AR AZ CA CO CT DE FL GA HA IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NE NH NJ NM NV NC ND NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY *ZIP Code *Home Phone No. *Time we can reach you at this No. Alternative Phone No. Time we can reach you at this No. E-Mail Address *Employer's Name *Employer's Phone No. *Job Start Date *Annual Gross Income *Job Title Alimony, child support, or separate maintenance income need not be listed unless you choose to have such income considered regarding extension and repayment of the credit requested. Other Income Ethnicity Please complete only if you are applying for a Real Estate Loan Hispanic or Latino Not Hispanic or Latino Race Please complete only if you are applying for a Real Estate Loan American Indian or Alaska Native Asian African American Native Hawaiian or other Pacific Islander White Sex - Please complete only if you are applying for a Real Estate Loan Male Female HMDA (Home Mortgage Disclosure Act) requires the Credit Union to collect monitoring information when it accepts home purchase, home improvement, and refinance loan applications. Joint Applicant (if applicable) Member No. Last Name First Name Social Security No. Date of Birth Address City State AK AL AR AZ CA CO CT DE FL GA HA IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NE NH NJ NM NV NC ND NY OH OK OR PA RI SC SD TN TX UT VT VA WA WI WV WY ZIP Code Home Phone No. E-Mail Address Employer's Name Employer's Phone No. Job Start Date Annual Gross Income Job Title Alimony, child support, or separate maintenance income need not be listed unless you choose to have such income considered regarding extension and repayment of the credit requested. Other Income Ethnicity Please complete only if you are applying for a Real Estate Loan Hispanic or Latino Not Hispanic or Latino Race Please complete only if you are applying for a Real Estate Loan American Indian or Alaska Native Asian African American Native Hawaiian or other Pacific Islander White Sex - Please complete only if you are applying for a Real Estate Loan Male Female HMDA (Home Mortgage Disclosure Act) requires the Credit Union to collect monitoring information when it accepts home purchase, home improvement, and refinance loan applications. Monthly Financial Obligations DescriptionAmount If these descriptions do not apply, enter a zero. In addition to rent or mortgage, 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. Please note: Income verification is required; other information may be required. 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 of a Federal Credit Union.)
Note: A Student Loan Application is a different application. Click here to complete a Student Loan Application.
Please provide all the requested information. When you have completed the form, click on the Submit button to send your application. A Credit Union Representative will contact you regarding the status of your loan the next business day.
*Required Information
Will there be a co-applicant on this loan application? Yes No
Monthly Financial Obligations
In addition to rent or mortgage, 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. Please note: Income verification is required; other information may be required. 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 of a Federal Credit Union.)
