Redbrand Credit Union Secure Loan Application

Loan Type

*Loan Type

Other Loan Type

*Purpose of Loan

*Requested Amount ($)

*Requested Term for Loan

I have read and agree with the Credit Card Terms and Conditions

Primary Applicant Information

*First Name

*Last Name

Account #

*Social Security #

U.S. Citizen

*Date of Birth

*Email Address

Number of Dependents

We consider the primary borrower one dependent, a spouse would be the second dependent and then children would be subsequent dependents.

Please indicate your marital status if you are applying for joint credit, secured credit or if you live in a community property state:

Marital Status

*Primary Phone

Secondary Phone

*Street Address

*City

*State

*Zip Code

Current Address since

*Rent Own

Payment ($)

Enter Previous Address

Number of Months

Primary Applicant Employment Information

Applicant Employer's Name

Employer Phone #

Employer Address

Status

Position

*Date Hired

Monthly Salary($)

Other Income/Month($)

Other Income Source

Previous Job Start Date

Previous Job End Date

Previous Employer's Name

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.

Joint Applicant Information

Is there a joint applicant for this loan?

Yes

No

*First Name

*Last Name

Account #

*Social Security #

U.S. Citizen

*Date of Birth

*Email Address

Number of Dependents

We consider the primary borrower one dependent, a spouse would be the second dependent and then children would be subsequent dependents.

Please indicate your marital status if you are applying for joint credit, secured credit or if you live in a community property state:

Marital Status

*Primary Phone

Secondary Phone

*Street Address

*City

*State

*Zip Code

Current Address since

Rent Own

Payment($)

Enter Previous Address

Number of months

Joint Applicant Employment Information

Applicant Employer's Name

Employer Phone #

Employer Address

Status

Position

Date Hired

Monthly Salary($)

Other Income/Month($)

Other Income Source

Previous Employer

Previous Job Start Date

Previous Job End Date

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.

Applicant References

Nearest relative not living with you

First Name

Last Name

Suffix

Primary Phone

Home Address

City

State:

Zip Code

Relationship

Enter Additional Comments

Submit Application

READ CAREFULLY BEFORE SIGNING/SUBMITTING. PER YOUR MEMBERSHIP AGREEMENT AND /OR LOAN AGREEMENTS WITH THE REDBRAND YOU GIVE US A SECURITY INTEREST IN YOUR ACCOUNT(S) AND CERTAIN OTHER PROPERTY PLEDGED AS DESCRIBED IN SAID AGREEMENTS.

By submitting this application by facsimile or electronically, you agree to the same terms that apply to a signed application. If there is a co-applicant on this loan, the co-applicant has authorized the submission of this application. This facsimile or electronic submission qualifies as your signature. It is understood that you will have to sign loan documents before funds can be disbursed.

You authorize Redbrand Credit Union to obtain credit reports in connection with this application for credit and for any update, renewal, extension or collection of the credit received.

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