Secure LoanLiner Application

Exit Secure Application

**NOTE** It is not necessary to fill out the entire LoanLiner application if you have had a loan with us in the last six months. Fill out the "Credit Information" section and update any other information that has changed in the last six month: otherwise, please fill out the secure online form below in its entirety.

Once completed, please print the form using the print button on your web browser menu bar and sign the last page where indicated. Mail this form to the address listed on the last page: we must have an original signature for the application to be valid. For faster service, submit online or fax (Fax: 615-749-6345) the form before mailing the original to us.

To check on the status of the application you may call us (Phone: 615-749-6461, Toll Free: 1-800-925-3639) or inquire via email at lkossian@umpublishing.org.

Please note that you must first be a member of Parthenon Federal Credit Union to use this service: follow the link to determine if you are eligible for membership.

This application is good for installment loans only.  For Home Equity, Home Equity Line of Credit and Mortgage Loans, Contact the Credit Union for applications.

Credit Information
Individual Credit:
 Joint Credit:
Credit Card: Number of cards:
Loan: Type of loan:
Member Number: Amount Requested:$
If you are applying for a credit card, you understand that the use of your card will constitute acknowledgment of receipt and agreement to the terms of the credit card agreement and disclosures.  You grant us a security interest in all individual and join share and/or deposit accounts you have with us now and in the future to secure your credit card account.  When you are in default, you authorize us to apply the balance in these accounts to any amounts due.  Shares and deposits in an Individual Retirement Account, and any other account that would lose special tax treatment under state or federal law if given as security, are not subject to the security interest you have given in your shares and deposits.

Applicant Information
First Name: Initial: Last Name:
Email Address:
Current Address: How long?:
City: State: Zip:
Previous Address: How long?:
City: State: Zip:
Home Phone: Work Phone:
Mother's Maiden Name: Date of Birth:
Driver's Licence #: SSN:
Number of Dependents: Ages:
Current Employer: Position:
Address:
City: State: Zip:
Gross Annual Salary: $ Start Date:
Previous Employer/Address: How Long?:

Co-Applicant Information

**NOTE** You must complete the "Co-applicant Information" section (1)about your spouse if you live in a community property state (AZ, CA, ID, LA, NM, TX, WA, WI) or (2)if your spouse will use the account, or (3)if there is a guarantor on this account. Please check the box below to indicate whom the information is about.

Spouse:

Guarantor: Other:

First Name: Initial: Last Name:
Current Address: How long?:
City: State: Zip:
Previous Address: How long?:
City: State: Zip:
Home Phone: Work Phone:
Mother's Maiden Name: Date of Birth:
Driver's Licence #: SSN:
Number of Dependents: Ages:
Current Employer: Position:
Address:
City: State: Zip:
Gross Annual Salary: $ Start Date:
Previous Employer/Address: How Long?:

Financial Obligations
  Owed To/Address: Account #: Monthly Payment:
Mortgage/Rent:
Second Mortgage:
Auto Loan:
Credit Card:
Credit Card:
Child Support, Alimony, etc.:
Other Loans:
Other Loans:
*please fax or email a separate sheet if you need to list more debts.

Financial Assets
  Financial Institution/Address: Account #: Balance:
Checking:
Savings:
Brokerage Acct:
Other Account:
Home Owner?: Market Value: $
Other Property?: Market Value: $
Make of Auto: Year:
Make of Auto: Year:
Other Asset: Market Value: $
Other Asset: Market Value: $

Mandatory Questions for both applicant and co-applicant
Have you any outstanding judgments? Yes No
In the past 10 years, have you been declared bankruptcy or filed a petition for Chapter 13? Yes No
Have you had property foreclosed upon or given title or deed in lieu, thereof, in the last 7 years? Yes No
Are you a party in a lawsuit? Yes No
Are you other than a U.S. Citizen or permanent resident alien? Yes No
Is your income likely to reduce in the next two years? Yes No
Are you a co-maker or co-signer on any loan? Yes No
If yes, please supply the creditor's name and the name(s) of others obligated on the loan:

**NOTE** If you answer "yes" to any of the questions above, please explain on an attached sheet.

References
Nearest Relative NOT Living with you:
Name:
First: Middle: Last: Suffix:
Home Phone Number: 555-555-5555
What is their home address?
Street: City: State: Zip:
What is the relationship?
Nearest Friend NOT Living with you:
Name:
First: Middle: Last: Suffix:
Home Phone Number: 555-555-5555
What is their home address?
Street: City: State: Zip:
What is the relationship?

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 all your debts and obligations. 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. 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. You understand that 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.

If there are any important changes, you will notify us in writing immediately. You also agree to notify us of any change in your name, address or employment within a reasonable time thereafter.


Applicant's Signature______________________________ Date_____________


Co-Applicant's Signature___________________________ Date_____________


**IMPORTANT** Prior to clicking "Submit" to expediate processing of your loan, use the "Print" button on your web browser menu bar to print out the form, sign it, then mail to:

Parthenon Federal Credit Union
201 Eighth Ave. South
Nashville, TN 37202-0801