Master Loan Application  (Please print document, complete, and mail to the credit union.)
NOTICE TO MARRIED APPLICANTS: You have the right to apply for a separate account in your name.

CHECK TYPE OF CREDIT REQUESTED

Individual Credit  Joint Credit

 

I/WE WOULD LIKE A LOAN OF: $ __________________________ FOR THE FOLLOWING PURPOSE: _________________________ SECURITY OFFERED: ____________________________________ ACCOUNT NUMBER: _____________________________________

A. INFORMATION REGARDING APPLICANT

 MARRIED    UNMARRIED    SEPARATED

 

NAME_________________________________________	DATE OF BIRTH__________________________________
SOC. SEC. NO._________________________________	DRIVER'S LIC. # & STATE__________________________
PRESENT ADDRESS____________________________	HOW LONG? _______________YRS. _____________MOS.
PREVIOUS ADDRESS___________________________	HOW LONG? _______________YRS. _____________MOS.
HOME PHONE_________________________________	AGES OF DEPENDENTS____________________________

PRESENT EMPLOYER'S NAME ___________________________________________________________________DATE EMPLOYED______________
OCCUPATION__________________________________	MONTHLY GROSS PAY____________________________
SUPERVISOR'S NAME__________________________	WORK PHONE_____________________________________

PREVIOUS EMPLOYER'S NAME & ADDRESS _______________________________________________________________________________________________
OCCUPATION________________________________	HOW LONG? ______________YRS. _______________MOS.
SOURCE OF OTHER INCOME____________________	AMOUNT OF OTHER INCOME___________________/month

OTHER INCOME NOTICE: Do not list alimony, child or spousal support or separate maintenance payments unless you wish them considered as a basis for repayment of the credit requested. If listed, verification may be requested.

ESTIMATED VALUE OF HOME ____________________________________________________________________

B. INFORMATION REGARDING  CO-APPLICANT    GUARANTOR  

NAME________________________________________	DATE OF BIRTH____________________________________
SOC. SEC. NO.________________________________	DRIVER'S LIC. # & STATE___________________________
PRESENT ADDRESS_______________________________________________________________________________
HOME PHONE_________________________________	HOW LONG? YRS._______________ MOS.______________

PRESENT EMPLOYER'S NAME & ADDRESS ___________________________________________________________________DATE EMPLOYED______________
OCCUPATION_________________________________	MONTHLY TAKE HOME PAY_________________________
WORK PHONE_________________________________	AMOUNT OF OTHER INCOME________________________
SOURCE OF OTHER INCOME___________________	TOTAL MONTHLY INCOME (B) $______________________

OTHER INCOME NOTICE: Do not list alimony, child or spousal support or separate maintenance payments unless you wish them considered as a basis for repayment of the credit requested. If listed, verification may be requested.

C. FINANCIAL INFORMATION & REFERENCES

 

NAME AND ADDRESS OF RELATIVE NOT LIVING WITH YOU ________________________________________________________________________________________________ PHONE NUMBER:__________________________________ RELATIONSHIP:______________________________ NAME AND ADDRESS OF PERSONAL REFERENCE NOT RELATED TO YOU ________________________________________________________________________________________________ PHONE NUMBER:__________________________________ NAME AND ADDRESS OF BANK OR OTHER FINANCIAL INSTITUTION ________________________________________________________________________________________________ TYPE OF ACCOUNTS:______________________________

If you answer "yes" to any of these questions, please attach details.
ARE ANY OF YOUR DEBTS PAST DUE?    YES    NO
HAVE YOU EVER HAD YOUR AUTO, FURNITURE OR PROPERTY REPOSSESSED?    YES    NO
HAVE YOU OR YOUR CO-APPLICANT EVER DECLARED BANKRUPTCY?    YES    NO
ARE YOU CURRENTLY A CO-MAKER ON A LOAN?    YES    NO

D. LIST ALL EXISTING DEBTS OF APPLICANT (and Co-Applicant or Spouse if any part of section C is applicable)

 

App	Co-App	Name & Addresses of Creditor	Account #	Original Amt	Present Bal	Monthly Payment
		Home Mortgage or Landlord		$	$	$
		Credit Card/Other		$	$	$
		Automobile Loan/creditor	Auto Make	Model & Year	$	$
		List alimony, child support or child care paid monthly:				$
Do not omit any debts! If more space is needed, use separate sheet. Incomplete applications cannot be processed.
Total Monthly Obligations $__________________________

F. INSURANCE INFORMATION

 I would like information on the insurance coverage(s) checked below.

 Single Credit Life    Joint Credit Life    Credit Disability

MASTER APPLICATION SIGNATURES

APPLICANT'S SIGNATURE_______________________________________________________DATE___________ OTHER SIGNATURE (Where Applicable)___________________________________________________DATE___________ HAVE YOU OMITTED ANYTHING? REMEMBER: INCOMPLETE APPLICATIONS CANNOT BE PROCESSED.

 

ADDITIONAL COMMENTS: