Tongass Federal Credit Union - Secure Loan Application
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Please Enter your Email Address:

Amount applied for: $

Purpose:

Collateral:

Desired Length of Repayment (months):

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


We intend to apply for joint credit:  Yes No

Applicant:

Name:
Account #:
Social Security #:
Birthdate (MM/DD/YY):
Home Phone #:
Present Address:
Street:
City:
State & Zip:
Current Address since: (MM/YY)
Monthly mortgage or rent payment: $
If less than 3 yrs enter previous address:


Joint Applicant:

Name:
Account #:
Social Security #:
Birthdate (MM/DD/YY):
Home Phone #:
Present Address:
Street:
City:
State & Zip:
Current Address since: (MM/YY)
Monthly mortgage or rent payment: $
If less than 3 yrs enter previous address:

Employment and Income: In order to expedite the processing of your loan application please fax your paystub copies to (907) 247-9063, 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:

Personal Financial Profile
(You may choose to skip this section. Please answer questions below)
Assets Estimated Value Liabilities Dollar Amount Owed
Cash in Credit Unions or Banks: $ Loans Owed to TFCU: $
Stocks & Bonds: $ Credit Cards: $
Retirement: $   $
Vehicle Year:
Make:
$ Vehicle Loan: $
Vehicle Year:
Make:
$ Vehicle Loan: $
Home: $ Mortgage: $
Other Real Estate: $ Other Real Estate Loans: $
  $   $
Other Assets:
$ Debts Not Yet Listed:
$
$ $
$ $
Total Assets $ Total Loan Balances $
    (Total Assets - Total Loan Balances) = Net Worth $



Depository Information      
Credit Union/ Bank Account # Current Balance Average Balance



Schedule Of Real Estate Owned      
Type/Address Market Value Current Balance Mortgage Payment Rental Income



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

Explanation:



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

If yes please explain:


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.

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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2012
Tongass FCU