Internal Revenue Federal Credit Union
Secure Loan Application

Exit Secure Loan Application

Individual Credit: You must complete the Applicant section about yourself and the Other section about your spouse if:
   
1.  You live in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI)
   
2.  Your spouse will use the account
   
3.  You are relying on your spouse's income as a basis for repayment.  If you are relying on     income from alimony, child support, or separate maintenance complete the Other section to     the extent possible about the person on whose payments you are relying.
 
Joint Credit: Each applicant must individually complete the appropriate section below.  If Co-Borrower is spouse of the Applicant, mark the Co-Applicant box.
 
Guarantor:  Complete the Other section with the information of the person who is applying as guarantor for this loan.
Please Enter your Email Address:

Married applicants may apply for a separate account. If you are applying for Individual or Joint Credit, you must complete the Applicant section about yourself and the Co-Applicant section about your spouse.

Married Separated Unmarried (Single, Divorced, Widowed)

Type of Loan Applied For:
Personal (Signature) Line of Credit Share Secured New Car Used Car
Special Loan   Other:

Amount applied for: $
Purpose:
Desired Length of Repayment (mon):

Method of Payment:
Coupons Payroll Deduction

Payment Protection Plan:
Are you interested in having your loan protected?
Yes
No
If you answer "yes", the credit union will disclose the cost to protect your loan. The credit insurance is voluntary and does not affect your loan approval. In order for your loan to be covered, you will need to sign a separate application that explains the terms and conditions.

Are you a U.S. Citizen?
Yes No

Have you ever had a judgment, bankruptcy, repossesion, or lawsuit?
Yes  No

Are you currently in Consumer Credit Counseling?
Yes  No

Is your income likely to decline in the next two years?
Yes  No

Do you own your home or vehicle?
Home Value $ Vehicle(s) Value $

Do you have an outstanding SBA loan against your property?
Yes  No     If so, what is the balance? $

Applicant:

Name:
Account #:
Social Security #:
Birthdate (MM/DD/YY):
Drivers License # State
Home Phone #:
Present Address:
Street:
City:
State & Zip:
Current Address since: (MM/YY)
If less than 3 yrs enter previous address:

Number of Dependents:
Mother's Maiden Name:

Joint Applicant:

Name:
Account #:
Social Security #:
Birthdate (MM/DD/YY):
Drivers License # State
Home Phone #:
Present Address:
Street:
City:
State & Zip:
Current Address since: (MM/YY)
If less than 3 yrs enter previous address:

Number of Dependents:
Mother's Maiden Name:

Employment and Income: In order to expedite the processing of your loan application please fax your paystub copies to (504) 581-6017, Attention: Loan Department. If self-employed or retired, financial statement or income tax returns will be needed.
Place of Employment:

Work Phone #:
Work Address:

Position:
Date Hired (MM/DD/YY):
Monthly Gross Income: $
Other Income: $ per Month
 Place of Employment:

Work Phone #:
Work Address:

Position:
Date Hired (MM/DD/YY):
Monthly Gross Income: $
Other Income: $ per Month

NOTE: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered as a basis for this credit request.
Complete if current employment is less than 2 years:
Previous Employers Name:

Years Employed:

Complete if current employment is less than 2 years:
Previous Employers Name:

Years Employed:
Nearest Relative (Not Living With You):
Name:
Relationship:
Street:
City: State:
Zip Code:
Home Phone: 		Non-Relative Reference:
Name:
Relationship:
Street:
City: State:
Zip Code:
Home Phone:
Credit Information
Please list all open Accounts with a balance.
Creditor Monthly
Payment
Housing
Rent Own None
Creditor Monthly
Payment
Housing
Rent Own None

You agree that everything you have stated in this application is correct to the best of your knowledge and that the above information is a complete listing of what you owe. If there are any important changes you will notify us immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, increase, renewal, extension, or collection of the credit received. You understand that the credit union will rely on the information in this application and your credit report to make its decision. If you request, the Credit Union will tell you the name and address of any credit bureau from which it received a credit report on you. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federal credit unions or state chartered credit unions insured by NCUA.

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 "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.
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