Secure Loan Application

L.E.O. CREDIT UNION
P.O. Box 937, Painesville, OH 44077
Phone: (440) 347-3891  •  Fax: (440) 347-3897


Notice: Married applicants may apply for individual credit. Check the box indicating the type of credit you are applying for:

Individual Credit
  1. Complete applicant section if you are relying only on your own income and assets to establish credit.
  2. Complete other applicant section providing information about your spouse or former spouse if you reside in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI) or if you are relying on alimony, child support or separate maintenance payments to establish credit.
Joint Credit
  1. Complete applicant and co-applicant section providing information about you and the other party.
  2. Each joint applicant must sign the application.
1. Member Number

Applicant must be a L.E.O. CREDIT UNION member with a share account balance of at least $50.00.  An application fee of $25.00 will be withdrawn.
 
2 .Type And Amount Of Credit You're Requesting
2.1 - Amount/Credit Limit Requested: $
2.2 - Approximate Time to Repay: How Many: Periods:
2.3 - Loan Type:
2.4 - Purpose of loan:
2.5 - Security Offered: (for secured credit only)
2.6 - Are you submitting individually or jointly?
 
3. Payment Protection Coverage

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.

Single Credit Disability/Single Credit Life
Single Credit Disability
Single Credit Life Insurance
Joint Credit Life Insurance
Rejected

GAP Insurance

 
4. Primary Applicant
4.1 - Name:
First: Middle: Last: Suffix:
4.2 - Social Security Number:

555-55-5555
  4.3 - Date of birth:

mm/dd/yy
4.4 - What is your e-mail address?
(Re-enter your e-mail address)
4.5 - Home Phone Number:
555-555-5555
4.6 - What is your home address?
Street: City: State: Zip:
4.7 - Rent/Own/Buying:
   5.7a - Payment Amount:
4.8 - Time at residence:
4.9 - Previous address (if less than 2 years at current residence):
Street: City: State: Zip:
If Applying For An Individual Loan Click Here

5. Joint Applicant
5.1 - Joint Applicant Type:   
5.2 - Name:
First: Middle: Last: Suffix:
5.3 - Social Security Number:

555-55-5555
5.4 - Date of birth:

mm/dd/yy
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:
 
6. Employment Information - Applicant
6.1 - Current employer:
6.2 - Title or position:
6.3 - Are you self employed?
  6.3a - Type of Business
6.4 - Business phone number:
ext.
555-555-5555
6.5 - Date Started Position:
mm/dd/yy
6.6 - Salary: $ .00
6.7 - How many hours are you scheduled to work a week?
(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.)
6.8 - Other income: $ .00
  6.8a - Source of income:
If Applying For An Individual Loan Click Here

7. Employment Information - Joint 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
7.6 - Salary: $ .00
7.7 - How many hours are you scheduled to work a week?
(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.)
7.8 - Other income: $ .00
  7.8a - Source of income:
 
8. Debts & Assets
8.1 - Please tell us about your assets:
  8.1a - List Financial Institutions, Savings & Checking:

8.2 - Please tell us about your debts:
Lender
Type
Balance
Min. Pmt.
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
8.3 - Have you ever filed for bankruptcy?
  8.3a - Has this bankruptcy been discharged over seven years ago?
  8.3b - What year was the bankruptcy discharged?
8.4 - Are you co-maker on any loan not listed above?
  8.4a - If yes then for whom?
  8.4b - If yes then to whom?
8.5 - Are you a U.S. citizen or permanent resident alien?
 
9. References
9.1 - Nearest Relative NOT Living with you:
  9.1a - Name:
First: Middle: Last: Suffix:
  9.1b - Home Phone Number:
555-555-5555
  9.1c - What is their home address?
Street: City: State: Zip:
  9.1d - What is the relationship?

Note: A current wage stub showing year-to-date information, or other income documentation will be required for loan processing. Please fax this to (440) 347-3897 or email us at: leocu@sbcglobal.net) after submitting your loan application.

NOTICE:
I hereby certify everything that I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or not it is approved. You are authorized to check my credit and employment history and to answer questions about your credit experience with me.

I hereby authorize the Credit Union to whom this application is made, or any Credit Bureau or other investigative agency employed by such Credit Union, to investigate the references herein listed or statements or other data obtained from me or from any other source whatsoever pertaining to my credit and financial responsibility.

"The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio civil rights commission administrators compliance with this law."

You understand that we will require your signature on additional documents prior to disbursing any credit proceeds.

Submit Application