Loan Application |

United Credit Union Loan Application

I. LOAN INFORMATION
ARE YOU A MEMBER?*
- Yes
- No
MEMBER ACCOUNT NUMBER
AMOUNT OF LOAN REQUEST*
PURPOSE OF LOAN REQUEST*
II. MEMBER APPLICANT
Name*
First Middle Last
PRESENT ADDRESS*
Street Address Address Line 2 City State ZIP Code
YEARS THERE*
BIRTHDATE*
MM slash DD slash YYYY
EMAIL*
MONTHLY MORTGAGE / RENT PAYMENTS
PRESENT EMPLOYER*
POSITION
YEARS THERE
PHONE
HOME PHONE
CELL PHONE
$ GROSS MONTHLY SALARY
$ OTHER INCOME SOURCES
$ TOTAL MONTHLY INCOME
III. CO-APPLICANT
IS THERE A CO-APPLICANT FOR THIS LOAN?*
- Yes
- No
Name
First Middle Last
CO-APPLICANT PRESENT ADDRESS
Street Address Address Line 2 City State ZIP Code
CO-APPLICANT YEARS THERE
CO-APPLICANT BIRTHDATE
MM slash DD slash YYYY
CO-APPLICANT EMAIL
CO-APPLICANT HOUSING
- Rent
- Own
CO-APPLICANT PRESENT EMPLOYER
CO-APPLICANT POSITION
CO-APPLICANT YEARS THERE
CO-APPLICANT WORK PHONE
CO-APPLICANT HOME PHONE
CO-APPLICANT CELL PHONE
CO-APPLICANT $ GROSS MONTHLY SALARY
CO-APPLICANT $ OTHER INCOME SOURCES
CO-APPLICANT $ TOTAL MONTHLY INCOME
ACCEPTANCE SIGNATURE(S)
I am not indebted to any other Credit Union, bank or loan agency either as maker or endorser, except as stated herein. No consideration has passed or will pass from me, as the borrower, to an endorser for his endorsement. The statements herein are made for the purpose of inducing the Credit Union to make a loan. "For the purpose of determining my eligibility for credit, you are authorized to procure consumer reporting agencies and to obtain personal and credit information from persons other than consumer reporting agencies." I hereby voluntarily represent and warrant to the Credit Union, their, successors, or assigns that I am of legal age to contract, that all of the statements as to my present financial responsibility and status as set forth herein this application are complete, true, and correct. I have no Claims, Suits, nor Judgments against me: neither have I been involved in Bankruptcy Proceedings, except as stated herein.
PRIMARY APPLICANT'S SIGNATURE*
Date
MM slash DD slash YYYY
SIGNATURE OF JOINT INSURED (CO-BORROWER)*
Date
MM slash DD slash YYYY

Loan Application

United Credit Union Loan Application

ACCEPTANCE SIGNATURE(S)