MONROEVILLE BORO FEDERAL CREDIT UNION
APPLICATION FOR A LOAN
APPLICANT’S STATEMENT
I OR MY CO‐APPLICANT IS INDEBTED TO THE FOLLOWIN CREDITORS (LIST ALL DEBTORS INCLUDING DOCTORS, LOANS, MORTGAGES, ETC. )
CREDITOR
MONTHLY PAYMENT AMOUNT OWING CO‐MAKER (Y/N) (ATTACH ADDITIONAL SHEET IF NECESSARY)
$ $
Home
$ $
Auto
$ $
Other
$ $
Other
Employed By: _________________________________________ Years Employed ________ Position ____________________________________
Salary (bi‐weekly/monthly/annually) ______________________Business Phone ___________________ Home Phone______________________
Date of Birth _____/______/_____ # of dependents _________ Other Income: ______________(alimony, child support income not required)
Auto(s) Owned: CO‐MAKER (Y/N)___ Make __________________ Model _______________________ Year ____ Market Value ______________
Residence Market Value _____________________ or Monthly Rent ________________________
I certify that the above statements are true and complete:
Date ___________
Signature of Applicant ____________________________________________________
Signature of Co‐Applicant _________________________________________________