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Loan Application

What can we do for you?

Only current members in good standing may apply for a loan.

You can learn more about becoming a member HERE!

APPLICATION INFORMATION
Married Applicants may apply for an individual loan/separate account. *
TYPE OF CREDIT. Check the type of credit for which you wish to apply.
Spouse Information
You must also complete the Spouse section if any of the following apply: (1) your spouse will use your account; (2) you are relying on your spouse's income as a source of repayment; (3) you live in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI or Puerto Rico); or (4) you are an Alaska resident and are currently subject to a community property agreement or community property trust.
TYPE OF CREDIT APPLIED FOR
(months)
Payment Method *
Payment Frequency *
If you answer "yes" the Credit Union will disclose the cost of optional payment protection to you. A separate election that discloses the terms and conditions must be signed for protection to become effective. ARE YOU INTERESTED IN HAVING THIS LOAN PROTECTED?
APPLICANT/CO-SIGNER *
Complete only if: (a) credit will be secured by collateral; or (b) you live in a community property state; or (c) you are an Alaska resident subject to a community property agreement or community property trust:
STATUS *
APPLICANT NAME *
APPLICANT NAME
The state where your Driver's License was issued.
BIRTHDATE *
BIRTHDATE
HOME PHONE NO.
HOME PHONE NO.
CELL PHONE *
CELL PHONE
DO YOU *
CURRENT STREET ADDRESS *
CURRENT STREET ADDRESS
FORMER ADDRESS (if current less than 2 years)
FORMER ADDRESS (if current less than 2 years)
PERSONAL REFERENCE 1
Personal Reference Name *
Personal Reference Name
Address *
Address
PHONE NO. *
PHONE NO.
EMPLOYMENT & INCOME
If you are self-employed, provide a financial statement and your most recent income tax return.
HIRE DATE
HIRE DATE
CURRENT ADDRESS
CURRENT ADDRESS
WORK PHONE NO.
WORK PHONE NO.
$
(If current less than 2 years)
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.
$
Spouse/Co-Applicant Information
SPOUSE/CO-APPLICANT
Complete only if: (a) credit will be secured by collateral; or (b) you live in a community property state; or (c) you are an Alaska resident subject to a community property agreement or community property trust:
STATUS
MARRIED SEPARATED UNMARRIED (Single, Divorced, Widowed)
SPOUSE/CO-APPLICANT NAME
SPOUSE/CO-APPLICANT NAME
The state where your Driver's License was issued.
BIRTH DATE
BIRTH DATE
HOME PHONE NO.
HOME PHONE NO.
CELL PHONE NO.
CELL PHONE NO.
DO YOU
CURRENT STREET ADDRESS
CURRENT STREET ADDRESS
SINCE
SINCE
FORMER ADDRESS (if current less than 2 years)
FORMER ADDRESS (if current less than 2 years)
PERSONAL REFERENCE
PERSONAL REFERENCE
PHONE NO.
PHONE NO.
EMPLOYMENT & INCOME
If you are self-employed, provide a financial statement and your most recent income tax return.
HIRE DATE
HIRE DATE
CURRENT ADDRESS
CURRENT ADDRESS
WORK PHONE NO.
WORK PHONE NO.
$
(If current less than 2 years)
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.
$
ASSETS & DEPOSITS
Please check the appropriate box below. INDICATE: A - Applicant OR C - Spouse/Co-Applicant
Select One
$
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$
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$
$
$
$
CREDIT INFORMATION
Be sure to list all open accounts with or without a balance. LIST ALL OBLIGATIONS INCLUDING CREDIT UNION LOANS
Select One
$
$
Select One
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$
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$
$
Select One
$
$
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$
$
Select One
$
$
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$
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FINANCIAL INFORMATION
PLEASE ANSWER THE FOLLOWING QUESTIONS.
HAVE YOU EVER FILED FOR BANKRUPTCY OR HAD A DEBT ADJUSTMENT PLAN CONFIRMED UNDER CHAPTER 13?
CHECK ALL THAT APPLY
DO YOU HAVE ANY OUTSTANDING ADJUSTMENTS?
CHECK ALL THAT APPLY.
HAVE YOU HAD PROPERTY FORECLOSED UPON OR GIVEN A DEED IN LIEU OF FORECLOSURE IN THE LAST 7 YEARS?
CHECK ALL THAT APPLY
ARE YOU A PARTY IN A LAWSUIT?
CHECK ALL THAT APPLY
ARE YOU OTHER THAN A U.S. CITIZEN OR PERMANENT RESIDENT ALIEN?
CHECK ALL THAT APPLY
IS YOUR INCOME LIKELY TO DECLINE IN THE NEXT TWO YEARS?
CHECK ALL THAT APPLY
ARE YOU A CO-MAKER, CO-SIGNER OR GUARANTOR ON ANY LOAN NOT LISTED ABOVE?
CHECK ALL THAT APPLY
(Name of other obligated on loan)
(Name of Creditor)
By submitting this online application, you knowledge the following:
You promise that the information stated in this Loan Application is true and correct to the best of your knowledge. You authorize the Credit Union to obtain credit reports when updating its records in connection with any review, increase, extension or renewal of credit, and in connection with any collection activities involving credit extended to you. The Credit Union may also obtain credit reports to update, increase, extend, renew or collection of the credit received by you. 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 application is approved. You will notify the Credit Union in writing immediately of any changes in your name, address or employment. You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information to obtain credit. If you request, you will be provided the name and address of any credit bureau from which we received a credit report. You understand and agree that if your application is approved, that any collateral described in any security agreement, pledge, advance disbursement voucher or similar document that may be executed, now or in the future, in connection with such credit will secure the Credit Union for repayment of funds advanced to you, subject to the terms and conditions of such security agreement, pledge, advance disbursement voucher or similar document.
IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT:
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.
OHIO RESIDENTS:
The Ohio laws against discrimination requires that all creditors make credit equally available to all worthy customers and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio civil rights commission administers compliance with this law.
WISCONSIN RESIDENTS
For any provision of any marital property agreement, court decree under WI ST § 766.60, or statement under WI ST §766.59 to adversely affect the rights of the Credit Union, the Credit Union must be provided with a copy of the Agreement, decree or statement or have actual knowledge of its terms before any credit is approved or account opened.
Are you applying for this loan with your spouse?