NODA Federal Credit Union -- Secure Loan Application

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Please Enter your Email Address:

Do not complete this next item if your application is for individual unsecured credit.
Married Separated Unmarried (Single, Divorced, Widowed)

Type of Loan Applied For:
Back to School Holiday IF New Car Individual Personal
Tuition Used Car Vacation
Other:

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

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

Payment Protection Plan:
Would you like to purchase Credit Disability Insurance:
Yes (Primary Member Only)
None

Would you like to purchase GAP PLUS on your Auto Loan for $250?:
Yes
None

Nearest Relative Not Living With You:
Name: Phone:

References:
Name: Phone:

Address:


Name: Phone:

Address:

Applicant:

Name:
Account #:
Social Security #:
Drivers License #:
Birth date (MM/DD/YY):
Home Phone #:
Cell 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 #:
Drivers License #:
Birth date (MM/DD/YY):
Home Phone #:
Cell Phone #:
Present Address:
Street:
City:
State & Zip:
Current Address since: (MM/YY)
If less than 3 yrs enter previous address:
Verification of all Income is Required:
Employment and Income: In order to expedite the processing of your loan application please fax 1 months worth of your pay stub copies or current earnings statement to 504-426-9779, 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.
Creditor Monthly
Payment
Housing
Rent Own None
Creditor Monthly
Payment
Housing
Rent Own None
These questions must be answered. If any answers are a yes, please explain:

1. Do you have other loan applications pending at other financial institutions? Yes No

2. Are there any outstanding legal judgments against you? Yes No

3. Have you ever filed for bankruptcy or had a debt adjustment plan
      Confirmed under Chapter 13? Yes No

4. Are you a party in a lawsuit? Yes No

5. Is your status other than U.S. Citizen or Permanent Resident Alien? Yes No

6. Do you have other obligations such as child support, alimony, or similar Liabilities? Yes No

7. Are you a co-maker, cosigner, or a guarantor on any loan not listed above? Yes No

8. Are there any other assets, liabilities, obligations or considerations that we should know about in reviewing this application? Yes No
 

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 also agree to pay fees charged for credit reports, appraisal, and a title search even if the loan is not approved.

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.

If this application is approved and there is an agreement covering the loan or account, I agree to honor the provisions of that agreement.

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.

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