MONROEVILLE BORO FEDERAL CREDIT UNION
APPLICATION FOR A LOAN
To be completed by Treasurer: Account # ______________
Share Balance:_____________ Social Security # __________________
Note # _________________
Loan Balance: _____________
I, ___________________________________________________, hereby apply for a loan of $_________________ for a period of _____months,
To be repaid (monthly/semi‐monthly) installments of $_________________ plus interest; and the balance of the payment credited to my share
account. I prefer the first payment to fall due on ___________________. I desire this loan for the following purpose (explain fully):
I hereby certify that all statements made, including those on the revere side hereof, are true and complete and submitted for the purpose of
obtaining credit. I have no other debts. The credit union is authorized to check my credit and employment history and to answer questions
about its credit experience with me.
Date: ______________ Signature: _____________________________________ Address:____________________________________________
Monroeville PA 15146
THE INFORMATION BELOW INCLUDING APPROPRIATE SIGNATURE(S), IS TO BE FILLED IN BY THE CREDIT COMMITTEE.
On _______________________, We approved a loan in the amount and on the conditions requested by the above applicant, except as follows:
Approved by: CREDIT COMMITTEE:
Signature: _______________________________________________
Signature: _______________________________________________ Signature: ______________________________________________