Credit Union Loan Application Form Page 2

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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 _________________________________________________ 
 
 

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