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Loan Information
Applicant Information
Debts
References & Agreement

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  • Loan Information

  • Applicant Information

    • If less than 2 years at current address:

    • Employment Information

    • If employed for less than 2 years at your current job:

    • Additional Income

    • Joint Applicant Information

    • If less than 2 years at current address:

    • Employment Information

    • If employed for less than 2 years at your current job:

    • Additional Income

    • Debts

    Debt #1

    Debt #2

    Debt #3

    Debt #4

    Debt #5

    Property Owned

    Home

    • Automobile 1

    • Automobile 2

  • References & Agreement

    Name & Address of nearest relative not living with you

    Additional Information

    Agreement

    I/We agree to the terms and conditions of the Membership and Account Agreement, Truth-in-Savings Disclosure, Funds availability Policy Disclosure, if applicable, and to any amendment the Credit Union makes from time to time which are incorporated herein. I/We acknowledge receipt of a copy of the agreements and disclosures applicable to the accounts and services requested herein. If an access card or EFT service is requested and provided, I/we agree to the terms of and acknowledge receipt of the Electronic Fund Transfers Agreement and Disclosure. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.