Kamiah Community Credit Union Loan Application

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 If it is not, you may have followed an outdated link or used an incorrect URL to access this page.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.

Before using this secure application please read the Online Loan Application Disclosure

Please Enter your Email Address:

If you are applying for joint credit, secured credit or if you live in a community property state (AZ,CA,ID,LA,NM,NV,TX,WA,WI,Puerto Rico), please complete the following:
Married Separated Unmarried (Single, Divorced, Widowed)

Type of Loan Applied For:
Personal (Signature) Visa Share Secured Unsecured Line of Credit New Car
Used Car Home Equity
Other:

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

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

Payment Protection Plan:
Would you like to purchase Credit Life Insurance
(Not Available On Visa Credit Cards):
Single Credit Life (Only Available for Applicant)
Joint Credit Life
None

Would you like to purchase Credit Disability Insurance
(Not Available On Visa Credit Cards):
Applicant
Joint Applicant
None

Applicant:

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

Joint Applicant:

Name:
Account #:
Social Security #:
Birthdate (MM/DD/YY):
Home Phone #:
Present Address:
Street:
City:
State & Zip:
Current Address since: (MM/YY)
If less than 3 yrs enter previous address:
Employment and Income: In order to expedite the processing of your loan application please fax your paystub copies to 208-935-0067, Attention: Loan Department. If self-employed or retired, financial statement or income tax returns will be needed.
Employer Name:

Employer Phone #:
Employer Address:

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

Employer Phone #:
Employer 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 is less than 2 years:
Previous Employers Name:

Years Employed:

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

Years Employed:

Credit Information
Please list all open Accounts with a balance.
CreditorMonthly
Payment
Housing
Rent Own None
CreditorMonthly
Payment
Housing
Rent Own None
VISA Credit Card Disclosure
Annual
Percentage
Rate 		Grace period Method of
Computing
the Balance 		Annual Fee Minimum
Finance
Charge 		Transaction
Fee for
Purchases 		Other Charges
12.9% (Periodic rate used to compute the Finance Charge is 1.075% per month.) Purchases-25 days Cash Advances accrue interest from the date they are posted to the account. Average Daily Balance Method (including new purchases). NONE NONE NONE Over-the-Credit-Limit Fee - $10.00
Late Payment Fee - $10.00 after 10 days

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 "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.

Privacy Policy
Kamiah Community CU
© 2002