Jeff-Co Schools Federal Credit Union
Secure Loan Application

Please complete entire application. Incomplete applications will slow down the approval process.

Exit Secure Loan Application

The lock or key at the bottom of your browser should be locked. If it is not, you may have followed an outdated link or used an incorrect URL to access this page. Click Here to reload this page as a secure document.

Please Enter your Email Address:

Married Separated Unmarried (Single, Divorced, Widowed)

Type of Loan Applied For:
Vehicle Loan Motorcycle/ATV Boat
RV/Travel Trailer/Camper Unsecured Loan Other:

Amount applied for: $
Purpose: New Purchase Used Purchase Refinance Other
Desired Length of Repayment: 2 Years 3 Years 4 Years 5 Years 6 Years
(5 & 6 years are for vehicle loans only)

Method of Payment:
Cash Payroll Deduction Automatic Transfer from Shares Drafts

Payment Protection Plan:
Would you like to purchase Credit Life Insurance
Single Credit Life (Only Available for Applicant)
Joint Credit Life
None

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

Applicant:

Name:
Account #:
Drivers License #:
Social Security #:
Birthdate (MM/DD/YY):
Home Phone #:
Work Phone #:
Cell Phone #:
Present Address:
Street:
City:
State & Zip:

Personal Reference NOT Living with you:
Name:
Address:
Phone:

 

Joint Applicant: Spouse Other

Name:
Account #:
Drivers License #:
Social Security #:
Birthdate (MM/DD/YY):
Home Phone #:
Work Phone #:
Cell Phone #:
Present Address:
Street:
City:
State & Zip:

Personal Reference NOT Living with you:
Name:
Address:
Phone:

 
Employment and Income: In order to expedite the processing of your loan application, please fax your last pay stub to (618) 244-0830, Attention Loan Department. If self-employed a current profit & loss statement and a copy of the past year’s tax returns are needed.
Employer Name:

Employer Phone #:
City of Employer:

Position:
Date of Employment(mm/dd/yy):
Monthly Gross Income: $
Other Income: $ per Month
Source of Other Income:

 Employer Name:

Employer Phone #:
City of Employer:

Position:
Date of Employment (mm/dd/yy):
Monthly Gross Income: $
Other Income: $ per Month
Source of Other Income:
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:
Credit Information
Please list all open Accounts with a balance.
Applicant
Creditor Monthly
Payment
Balance
Housing
Rent Own None
If Rent/Own please list Landlord/Creditor:
Joint Applicant
Creditor Monthly
Payment
Balance
Housing
Rent Own None
If Rent/Own please list Landlord/Creditor:
Assets and Deposits:
Type
Bank (or Other Name,Address)
Account #
Interest Rate
Approx Bal.
Checking
Savings
Other
Car 1-YR Make  Model
Balance Owed
Car 2-YR Make  Model
Balance Owed
Real Estate Owned
Purchase Price
Approx Value

These questions must be answered. If any answers are a yes, please explain:

1. Are there any outstanding legal judgments and/or collections against you? Yes No

2. Have you ever any had personal property repossessed and/or foreclosed? Yes  No

3. Have you ever filed for bankruptcy? Yes No
               If yes:   Chapter 7 Chapter 13   Year Filed:

4. Are you a party in a lawsuit? Yes No

5. Do you have other obligations such as child support, alimony, or similar Liabilities? Yes No

Explanation:



6. Are you a cosigner or a guarantor on any loan not listed above? Yes No

Explanation:


 

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.

By pressing the "Send Request" 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.

 

Privacy Policy
© Copyright 2004 Jeff-Co Schools Federal Credit Union