Norfolk Fire Department Fire Department Credit Union
4100 E. Virginia Beach Blvd Norfolk, VA 23502
Loan Liner A
pplication
Application
Applicant
Co-Applicant
Spouse
Guarantor
N
: (L
, F
I
)
N
: (L
, F
I
)
AME
AST
IRST
NITIAL
AME
AST
IRST
NITIAL
M
’
M
N
:
M
’
M
N
:
OTHER
S
AIDEN
AME
OTHER
S
AIDEN
AME
NFDFCU A
N
:
NFDFCU A
N
:
CCOUNT
UMBER
CCOUNT
UMBER
S
. S
. N
S
. S
. N
OC
EC
UMBER
OC
EC
UMBER
D
L
N
/S
D
L
N
/S
RIVERS
ICENSE
UMBER
TATE
RIVERS
ICENSE
UMBER
TATE
A
D
A
D
GES OF
EPENDENTS NOT LISTED BY OTHER APPLICANT
GES OF
EPENDENTS NOT LISTED BY OTHER APPLICANT
D
B
(MM/DD/YY)
D
B
(MM/DD/YY)
ATE OF
IRTH
ATE OF
IRTH
P
H
/C
/B
P
H
/C
/B
HONE
OME
ELL
USINESS
HONE
OME
ELL
USINESS
E
A
E
A
MAIL
DDRESS
MAIL
DDRESS
P
A
(S
– C
- S
– Z
)
O
P
A
(S
– C
- S
– Z
)
O
RESENT
DDRESS
TREET
ITY
TATE
IP
WN
RESENT
DDRESS
TREET
ITY
TATE
IP
WN
R
R
ENT
ENT
P
A
(S
– C
– S
- Z
)
O
P
A
(S
– C
– S
- Z
)
O
REVIOUS
DDRESS
TREET
ITY
TATE
IP
WN
REVIOUS
DDRESS
TREET
ITY
TATE
IP
WN
R
R
ENT
ENT
C
J
C
, S
C
C
J
C
, S
C
OMPLETE FOR
OINT
REDIT
ECURED
REDIT OR IF YOU
OMPLETE FOR
OINT
REDIT
ECURED
REDIT OR IF YOU LIVE
:
M
:
M
S
LIVE IN A COMMUNITY PROPERTY STATE
ARRIED
IN A COMMUNITY PROPERTY STATE
ARRIED
EPARATED
S
U
(S
-D
-W
)
EPARATED
NMARRIED
INGLE
IVORCED
IDOWED
U
(S
-D
-W
)
NMARRIED
INGLE
IVORCED
IDOWED
Employment/Income
Employment/Income
N
E
:
N
E
:
AME OF
MPLOYER
AME OF
MPLOYER
E
A
:
E
A
:
MPLOYER
DDRESS
MPLOYER
DDRESS
T
/G
T
/G
ITLE
RADE
ITLE
RADE
S
D
S
D
TART
ATE
TART
ATE
H
W
H
W
OURS AT
ORK
OURS AT
ORK
S
N
S
N
UPERVISOR
AME
UPERVISOR
AME
I
,
I
,
F SELF EMPLOYED
TYPE OF BUSINESS
F SELF EMPLOYED
TYPE OF BUSINESS
E
I
:
N
G
E
I
:
N
G
MPLOYMENT
NCOME
ET
ROSS
MPLOYMENT
NCOME
ET
ROSS
$__________
_______
$__________
_______
PER
PER
O
I
:
N
G
O
I
:
N
G
THER
NCOME
ET
ROSS
THER
NCOME
ET
ROSS
$__________
_______
$__________
_______
PER
PER
M
:
M
:
ILITARY
IS DUTY STATION TRANSFER EXPECTED DURING
ILITARY
IS DUTY STATION TRANSFER EXPECTED DURING THE
:
Y
N
I
,
:
Y
N
I
,
THE NEXT YEAR
ES
O
F YES
WHERE
NEXT YEAR
ES
O
F YES
WHERE
S
D
S
D
EPARATION
ATE
EPARATION
ATE
P
P
REVIOUS EMPLOYER NAME AND ADDRESS IF EMPLOYED LESS
REVIOUS EMPLOYER NAME AND ADDRESS IF EMPLOYED LESS
THAN FIVE YEARS
THAN FIVE YEARS
S
D
: _____
E
D
: _____
S
D
: _____
E
D
: _____
TART
ATE
ND
ATE
TART
ATE
ND
ATE
Applicant Reference
Other Reference
N
R
N
R
EAREST
ELATIVE NOT LIVING WITH YOU
EAREST
ELATIVE NOT LIVING WITH YOU
N
:
N
:
AME
AME
A
:
A
:
DDRESS
DDRESS
P
:
P
:
HONE
HONE