Individual Credit: You must complete the Applicant section about yourself and the Joint Applicant section about your spouse if:
Joint Credit: Each Applicant must individually complete the appropriate section below.
Are you applying for individual or joint credit ?:
Is Co-Borrower the spouse of the Applicant?:
Relationship of Co-Borrower to the applicant if not spouse:
Type of Loan Applied For:
You must have a minimum of 6 mos. employment to be eligible to apply for a vehicle/secured loan, 2 yrs. for a signature loan, or 5 yrs. for a premium personal loan.
Please fax a copy of your most recent paycheck stub to our office @ (630) 416-4918, or email to email@example.com
Method of Payment:
Payroll Deduction (if current Molex employee)
Payment Books (if employed elsewhere)
Auto Bill Pay (if employed elsewhere)
Name of Seller:
Phone# of Seller:
You promise 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 in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, renewal or extension 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.
By pressing the "Submit Form" 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.