Loan Application

You must be a member to apply for a loan.
Type of Loan *
example: $5,000
Auto loans up to 8 years, Share secured 1 to 5 years, Personal (Signature) from 1 to 5 years.
Desired Payment Schedule *
Will you provide collateral if required? *
(ie. yr, make, model)
Applicant's Information
Name *
Name
Date of Birth *
Date of Birth
Home Phone *
Home Phone
Cell Phone
Cell Phone
Physical Address *
Physical Address
Do You: *
Employer Address *
Employer Address
Co-Applicant's Information
Name
Name
Date of Birth
Date of Birth
Phone
Phone
Physical Address
Physical Address
Do you:
Employer Address
Employer Address
Additional Information
Lender/ Type/ Balance/ Min. Payment
Description / Value
Reference *
Reference
Reference's Phone # *
Reference's Phone #
Reference's Address *
Reference's Address
By selecting this box, I agree to the terms stated below. *

BY SUBMITTING THIS APPLICATION YOU AFFIRM THE FOLLOWING:

  • Effective October 15, 2012, an application fee will be charged on all loans processed (excluding first mortgage loans) of $50.00 per loan. Arrangements must be made for payment of application fee before the loan is processed. The payment may be made by cash, check, share or withdrawal. 

  • THE INFORMATION YOU HAVE STATED IN THIS APPLICATION IS CORRECT TO THE BEST OF YOUR KNOWLEDGE;

  • YOU AUTHORIZE THE CREDIT UNION TO OBTAIN A COPY OF YOUR CREDIT REPORT AND VERIFY YOUR EMPLOYMENT;

  • THE CREDIT UNION WILL RELY ON THE INFORMATION IN THIS APPLICATION AND YOUR CREDIT REPORT TO MAKE ITS DECISION;

  • IT IS A CRIME TO WILLFULLY AND DELIBERATELY PROVIDE INCOMPLETE OR INCORRECT INFORMATION ON THIS APPLICATION.