P.O. Box 442, St. Louis, MO 63166
Phone: (314) 444- 8904 • Fax: (314) 444-8521
Secure Loan Application
1. Member Number

1.1 Member Number:
You must be a Four Four Credit Union member to apply for a loan.

Married applicants may apply for a separate account. If you are applying for individual credit, you must complete the applicant section about yourself and the joint applicant section about your spouse if:

  1. You live in or the property pledged as collateral is located in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI)
  2. Your spouse will use the account or
  3. You are relying on your spouse's income as a basis for repayment.

If you are applying for joint credit with another person, complete the applicant and joint applicant section.

1.2 - Are you submitting individually or jointly?

 
2 .Type Of Loan Applying For

New Auto Loan
Used Auto Loan
New/Used Recreational Vehicle
New/Used Motorcycle
New/Used Boats
Computer/Furniture

 Signature Loan
Share Secured
Christmas/Vacation
Bridge Loan
Educational Assistance
 
3. Payment Protection Plan

Check coverage(s) desired. The Credit Union will disclose the cost of this voluntary insurance to you. A separate enrollment form which discloses the terms and conditions must be signed for coverage to become effective.

3.1 Would you like to purchase Credit Life Insurance?
Single Credit Life (Only Available for Applicant)
 Joint Credit Life
None

3.2 Would you like to purchase Single Credit Disability Insurance?
Yes (Primary Member Only)
None

 
4. Loan Terms
4.1 - Desired loan amount: $
4.2 - Repayment term:
4.3 - Desired Payment schedule:
4.4 - If required will you provide collateral to secure this loan?
   4.4a - If yes please describe collateral:
(ie., yr, make, model)
4.5 - Method of Payment:
 
5. Primary Applicant
5.1 - Name:
First: Middle: Last: Suffix:
5.2 - Social Security Number:

555-55-5555
  5.3 - Date of birth:

mm/dd/yy
5.4 - Marital Status:
Married Separated Unmarried (single, divorced or widowed)
5.5 - What is your e-mail address?
(Re-enter your e-mail address)
5.6 - Home Phone Number:
555-555-5555
5.7 - What is your home address?
Street: City: State: Zip:
5.8 - Rent/Own/Buying:
   5.8a - Payment Amount:
5.9 - Time at residence:
5.10 - Previous address (if less than 2 years at current residence):
Street: City: State: Zip:
If Applying For An Individual Loan Click Here

6. Joint Applicant
6.1 - Joint Applicant Type:   
6.2 - Name:
First: Middle: Last: Suffix:
6.3 - Social Security Number:

555-55-5555
6.4 - Date of birth:

mm/dd/yy
6.5 - Marital Status:
Married Separated Unmarried (single, divorced or widowed)
6.6 - What is your e-mail address?
(Re-enter your e-mail address)
6.7 - Home Phone Number:
555-555-5555
6.8 - What is your home address?
Street: City: State: Zip:
6.9 - Rent/Own/Buying:
   6.9a - Payment Amount:
6.10 - Time at residence:
6.11 - Previous address (if less than 2 years at current residence):
Street: City: State: Zip:
 
7. Employment Information - Applicant
7.1 - Current employer:
7.2 - Title or position:
7.3 - Are you self employed?
  7.3a - Type of Business
7.4 - Business phone number:
ext.
555-555-5555
7.5 - Date Started Position:
mm/dd/yy
(You do not need to provide information about alimony, child support, separate maintenance or other sources of income if you do not wish to have them considered as income.)
7.6 - Salary: $ .00
7.7 - Other income: $ .00
  7.7a - Source of income:
In order to expedite the processing of your loan application please fax your pay stub copies to (314) 444-8521, Attention: Loan Department. If self-employed or retired, financial statement or last years income tax return will be needed.
If Applying For An Individual Loan Click Here

8. Employment Information - Joint Applicant
8.1 - Current employer:
8.2 - Title or position:
8.3 - Are you self employed?
  8.3a - Type of Business:
8.4 - Business phone number:
ext.
555-555-5555
8.5 - Date Started Position:
mm/dd/yy
(You do not need to provide information about alimony, child support, separate maintenance or other sources of income if you do not wish to have them considered as income.)
8.6 - Salary: $ .00
8.7 - Other income: $ .00
  8.7a - Source of income:
In order to expedite the processing of your loan application please fax your pay stub copies to (314) 444-8521, Attention: Loan Department. If self-employed or retired, financial statement or last years income tax return will be needed.
 

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 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 signature.

By pressing the "Submit 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.
   

Submit Application