Application For Personal Or Vehicle Loans

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Note No. ________________
Account No. _________________
U.F.C.W. Local #72 Federal Credit Union
Soc. Sec. No. _________________
APPLICATION FOR LOAN
I, ________________________________, hereby apply for a loan of $______________ for a period of ________ months, to be repaid in
_________ monthly/________ installments of $____________ each including interest. I prefer the first payment to fall due on _______________.
I desire this loan for the following purpose (explain fully): ______________________________________________________________________
_____________________________________________________________________________________________________________________
Co-makers or security offered (if any): ______________________________________________________________________________________
I hereby certify that all statements made, including those below, 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 experience with me.
___________________
__________________________________
_______________________________________________
Address
_________________________
_________________
Date
Signature of Applicant
City
State
This information, including appropriate signature(s), is to be filled in by either the credit committee or loan officer, depending upon who acts upon
this application.
On _________________, 20____, I/We approved a loan in the amount and on the conditions requested by the above applicant, except as follows
(list any changes in amount, terms, or conditions): _____________________________________________________________________________
Approved by CREDIT COMMITTEE
Approved by LOAN OFFICER
________________________
________________________
__________________________
(All committee members shown as present in the minutes of the meeting at which
____________________________
this application was approved must sign above.)
APPLICANT’S STATEMENT
CO-MAKER’S STATEMENT
___________________________________________________
I am indebted to the following creditors (list all debts such as doctor bills,
NAME OF CO-MAKER
ADDRESS
installments, loans, real estate mortgages, etc. Attach additional sheet if
necessary.):
I am indebted to the following creditors (list all debts such as doctor
bills, installments, loans, real estate mortgages, etc. Attach additional
CREDITOR
MO. PAYMENT
AMT. OWING
sheet if necessary.):
______________________________________________
Mortgage
____________________________________________
CREDITOR
MO. PAYMENT
AMT. OWING
Home Equity
___________________________________________
Mortgage
_________________________________________________
Auto
_________________________________________
Home Equity
_________________________________________________
Auto
______________________________________________
Auto
_________________________________________________
Other
______________________________________________
Auto
_____________________________________________________
______________________________________________
Other
_____________________________________________________
__________________________________________________
_____________________________________________________
__________________________________________________
_____________________________________________________
__________________________________________________
_____________________________________________________
__________________________________________________
_____________________________________________________
Employed By
Address
Employed By
Address
__________________________________________________
_____________________________________________________
Years Employed
Position
Years Employed
Position
__________________________________________________
_____________________________________________________
Salary
Business Phone
(Gross Without Overtime)
Salary
Business Phone
(Gross Without Overtime)
$___________ per ____________________________________
$__________ per ________________________________________
Date of Birth
Number of Dependents
Home Phone
Date of Birth
Number of Dependents
Home Phone
(exclude self)
(exclude self)
___________________________________________________
_____________________________________________________
Auto(s) Owned
Make
Year
Model
Auto(s) Owned
Make
Year
Model
__________________________________________________
_____________________________________________________
__________________________________________________
_____________________________________________________
Market Value
Monthly
Market Value
Monthly
$ ___________
$ _______
Own Residence
Rent Residence
$ ___________
$ __________
Own Residence
Rent Residence
References
References
__________________________________________________
_____________________________________________________
Other Income
Other Pertinent Information
__________________________________________________
_____________________________________________________
Relation to Applicant (if any)
___________________________
_____________________________________________________
Social Security Number _________________________________
Other Income
I certify that the above statements are true and complete.
_____________________________________________________
_____________________________________________________
_____________________________________________________
Date
Signature of Co-Maker

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