Please Enter your
Amount applied for: $
Desired Length of Repayment
not complete this next item if your application is for individual unsecured
Unmarried (Single, Divorced, Widowed)
questions must be answered. If any answers are a yes, please
1. Do you
have other loan applications pending at other financial institutions?
2. Are there any outstanding legal judgments against you?
3. Have you ever filed for bankruptcy or had a debt adjustment
Confirmed under Chapter 13?
4. Are you a party in a lawsuit?
5. Is your status other than U.S. Citizen or Permanent Resident
6. Do you have other obligations such as child support, alimony,
or similar Liabilities?
7. Are you a co-maker, cosigner, or a guarantor on any loan
not listed above?
Are there any other assets, liabilities, obligations or considerations
that we should know about in reviewing this application?
If yes please
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
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.