You agree that everything stated in this request
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 to answer questions about their credit experience with
you. You understand that any false or misleading statement in your request
may cause any loan or extension of credit to be in default. You authorize
us to accept your electronic signatures on this request and agree
that your electronic 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 electronic signature. Security on one
loan is security on any monies owed to the Credit Union.
I/WE SPECIFICALLY GRANT YOU A CONSENSUAL SECURITY
INTEREST IN ALL INDIVIDUAL AND JOINT ACCOUNTS I/WE HAVE WITH YOU NOW
AND IN THE FUTURE TO SECURE REPAYMENT OF THE CREDIT EXTENSIONS MADE
UNDER THE CREDITUNION'S CREDIT AGREEMENT. THE GRANTING OF THIS SECURITY INTEREST IS A CONDITION
FOR THE CREDITUNION'S CREDIT AGREEMENT. Shares and deposits in an Individual Retirement Account
or any other account that would lose special tax treatment under state
or federal if given as security are not subject to the security interest
The undersigned member(s) requests for a loan account(s) with the above named credit union in
accordance with the terms and conditions set forth in the Credit Union's Credit Agreement.
MAIL, FAX, OR BRING TO OUR OFFICE YOUR MOST RECENT PAY CHECK
TO SUBMIT ELECTRONICALLY, PROVIDE YOUR ELECTRONIC SIGNATURE BELOW.
Brazos Valley Schools Credit Union will accept this electronic signature executed by you as the
legally binding equivalent of a traditional, hand written signature for this form. The electronic signature consists of your first name, last name and the last 4 digits of your social security number.
By pressing the "Submit Request" button
below, you agree to the above statement. You understand that we may
require additional information to finalize our credit decision and your
signature on additional documents prior to disbursing any credit proceeds.