P.O. Box 937, Painesville, OH 44077
Phone: (440) 347-3891 Fax: (440) 347-3897

Loan Information

Applicant Information

Applicant's Present Address
Applicant's Previous Address

Applicant's Employment Information

Applicant's Present Employer

Whole Dollars. If you would like us to include other sources of income, please discuss this with our Loan Officers. Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered as a basis for repaying this obligation.

Applicant's Previous Employer

Applicant's Other Income

Part-Time Income / 2nd Income per Month

Applicant Personal References

Please provide two references.

Comments

Note: At least two current wage stubs showing your monthly income, 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.

By pressing the "Submit Application" button below, you agree to the above statement.