Secure Loan Application
P.O. Box 545
, Lafayette GA   30728
Phone: (706) 638-4243  •  Fax: (706) 638-0699

Member Number Amount Requested Type Applying For Term
$ Months

Walker County Educators FCU
Notice to Loan Applicants

There is a $25 loan application fee that must be paid before a loan can be processed. By submitting this loan application, you agree to authorize Walker County Educators FCU to deduct the $25 from your share account. The loan application fee is non-refundable whether or not the loan is approved. If we are unable to deduct $25 from your share account, you must pay the application fee by cash or check made payable to Walker County Educators FCU before the loan can be processed.


You must be a member of Walker County Educators Federal Credit Union to apply for a loan.

Primary Applicant   Joint Applicant

Name: First, Middle, Last

Name: First, Middle, Last
Social Security Number:
Date of Birth:
 
Social Security Number:
Date of Birth:
What Is Your Email Address?
  What Is Your Email Address?
Home Phone Number:
  Home Phone Number:

 
What Is Your Home Address?
Street: City:
  What Is Your Home Address?
Street: City:
State: Zip:
 
State: Zip:
Monthly Housing Payment: $   Monthly Housing Payment:  $

Current Employer:
Business Phone:
 

Current Employer:
Business Phone:
Gross Salary: $       Gross Salary: $    
Frequency:   Frequency:
Other Income: $   Other Income: $
Frequency:   Frequency:
Source Of Income:   Source Of Income:
(You do not need to provide information about alimony, child support, separate maintenance or other sources of income if you do not wish to have them considered as income.)
 

List all other debts (for example, home loans or rent, 2nd mortgages or home equity, credit cards, , child support, child care, medical, IRS liabilities, etc.) If additional space is needed, please fax the additional debts on a separate sheet to 706.638.0699.

Debts
Monthly Payment
$
$
$
$
$
$
$
$
$
$
$

Have You Filed For Bankruptcy? Are You A U.S. Citizen Or Permanent Resident Alien?
Are You  A Co-Maker/Endorser On Any Loan?
If Yes, Then For Whom? Balance:
Do You Currently Have Any Outstanding Judgements Or Have You Had A Debt Adjustment, Repossession, Or Property Foreclosed In The Last 7 Years Or Are A Party To A Lawsuit?

References (Nearest relative Not Living With You)

Last Name:

First Name:
Relationship:
Phone Number:
Ext:
Address 1:
Address 2:
City:
State:
Zip Code:

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 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 authorize us to accept your facsimile signatures on this application and agree that your facsimile signature will have the same legal forceand effect as your original signature. You assume any risk that may be associated with permitting us to accept your facsimile signature.

PLEASE MAIL, FAX OR BRING INTO OUR OFFICE YOUR MOST RECENT PAY STUB.

By pressing the "Submit Application" button below, you agree to the above statement. You understand that we may require additional information to finalize our credit decision and your signature on additional documents prior to disbursing any credit proceeds.