Enter your Email Address:
Enter your Home Phone Number:
Do not complete
this next item if your application is for individual unsecured credit.
Unmarried (Single, Divorced, Widowed)
Type of Loan
VISA Debit Card
Unsecured Line of Credit
Desired Length of Repayment (months):
Method of Payment:
Automatic Transfer from
Not Living With You:
1. Do you
have other loan applications pending at other financial institutions?
2. Are there any outstanding legal judgments against you?
3. Have you ever filed for bankruptcy or had a debt adjustment
Confirmed under Chapter 13?
4. Are you a party in a lawsuit?
5. Is your status other than U.S. Citizen or Permanent Resident
6. Do you have other obligations such as child support, alimony,
or similar Liabilities?
7. Are you a co-maker, cosigner, or a guarantor on any loan
not listed above?
Are there any other assets, liabilities, obligations or considerations
that we should know about in reviewing this application?
If yes please
agree that everything stated in this application is correct to
the best of your knowledge. The Credit Union is authorized to
investigate your creditworthiness, employment history, and to
obtain a credit report and to answer questions about their credit
experience with you. You understand that any false or misleading
statement in your application may cause any loan or extension
of credit to be in default.
You authorize us to accept your facsimile signatures on this application
and agree that your facsimile signature will have the same legal
force and effect as your original signature. You assume any risk
that may be associated with permitting us to accept your facsimile
By pressing the "Send
Application" button below, you agree to the above statement. You
understand that we may require your signature on additional documents
prior to disbursing any credit proceeds.