Secure Loan Application
Enter your Email Address:
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:
Unmarried (Single, Divorced, Widowed)
Type of Loan
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.
Signature (up to $5000)
Premium Personal (up to $10,000)
Stock Secured Other:
*If you are applying for a vehicle loan you must fax a copy of your
dealer's purchase agreement (630) 416-4918
Desired Length of Repayment (mos):
Payroll Deduction (if current Molex employee)
Payment Books (if employed elsewhere)
you ever had a judgment, bankruptcy, repossession, or lawsuit?
Name of Seller:
Phone# of Seller:
Private Party Purchase:
If private party still has a loan against the vehicle and
the title is held by a leinholder:
Name of Finance Co. holding title:
Phone# of Finance Co.:
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 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.