Secure Loan Application
355 S 3rd Street, Boise, ID 83702
Phone: (208) 342-0800 • Fax: (208) 342-6712

Note: All fields with an asterisk (*) indicate required fields that must be completed before submitting your application.

You must be a member to apply over the internet.  If you are not currently a member and would like to apply, please call us at (208) 342-0800.

 
LOAN INFORMATION
Enter Member #:
Desired Loan Type:
Desired Loan Amount:
$
Desired Loan Term:
Months
Application Type:
PRIMARY APPLICANT INFORMATION
First Name:
Middle Initial:
Last Name:
Date of Birth:
Social Security Number:
Drivers License or ID #:
Drivers License State:
Home Phone Number:
Work Phone Number:
Email Address:
Street Address:
City:
State: Zip:
Time At Current Address:
Years    Months
Type Of Housing:
      Monthly Housing Costs: $

 
Employer:
Job Title:
Time On Job:
Years    Months
Time On Previous Job:
Years    Months
Gross Income:
Source
Monthly Income
$
Source
Monthly Income
$
Source
Monthly Income
$
Monthly Childcare/Support Payment:
$

 
Reference (Relative Not  Living With You):
First Name: MI: Last Name:
Address:
City:
State: Zip:
Phone:
Relationship:

 
Reference (Not A Relative):
First Name: MI: Last Name:
Address:
City:
State: Zip:
Phone:
Relationship:

 
Complete the following information
if your request is for a vehicle:
 
Type:
N/A Purchase Vehicle Refinance Vehicle
Year Of Vehicle:
Make:
Model:
Vehicle Mileage:
Purchase Price:
$
Down Payment:
$
Current Payment On Trade In:
$
 
   
CO- APPLICANT INFORMATION
First Name:
Middle Initial:
Last Name:
Date of Birth:
Social Security Number:
Drivers License or ID #:
Drivers License State:
Home Phone Number:
Work Phone Number:
Email Address:
Street Address:
City:
State: Zip:
Time At Current Address:
Years    Months
Type Of Housing:
      Monthly Housing Costs: $

 
Employer:
Job Title:
Time On Job:
Years    Months
Time On Previous Job:
Years    Months
Gross Income:
Source
Monthly Income
$
Source
Monthly Income
$
Source
Monthly Income
$

Additional Notes:

I am interested in Credit Life and/or Disability Insurance on the loan.
Yes No

You 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 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 forceand effect as your original signature. You assume any risk that may be associated with permitting us to accept your facsimile signature.

By pressing the "Submit Application" 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.