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Loan Application

If you are not currently a member of the Credit Union you will need to come to the Credit Union to complete a New Member Application Form first to become a member of our Credit Union.  Membership is required to apply for a loan.  Use our Loan Calculator to help determine how much you need to/can borrow.

Please provide all the requested information. When you have completed the form, press the Submit button to send your application. You will hear from us in two to four working days.

Required fields are marked with an *

Applicant Information Co-Applicant Information

Name and Address Information
Account Number* 
 Account Number
Full Name* 
 Full Name
Social Security Number* 
 Social Security Number
Home Phone* 
 Home Phone
Address* 
 Address
City* 
 City
State/Province* 
 State/Province
Zip Code/Postal Code* 
 Zip Code/Postal Code
Own  Rent
Monthly Mortgage or Rent Payment*
Total of All Other Monthly Payments*
 Total of All Monthly Payments

Employment Information
Current Employer Name* 
 Current Employer Name
Current Employer Address*
 Current Employer Address
Current Employer City*
 Current Employer City
Current Employer State*
 Current Employer State
Current Employer Zip Code*
 Current Employer Zip Code
Work Phone*
 Work Phone
Work Start Date*
 Work Start Date
Position*
 Position
Salary Information
You MUST enter your salary information for this application to be processed.  Salary information is not noted as "required" (marked with an asterisk) because there are too many variables in the way you can report your salary.
Number of Hours You Work Per Week*
 Number of Hours You Work Per Week
Current Hourly Salary Rate, If Hourly
 Current Hourly Salary Rate, If Hourly
Base Salary per Month  Year 
  Gross   Net		 Base Salary per Month  Year
  Gross  Net
Other Income per Month  Year
   Gross   Net		 Other Income per Month  Year
  Gross  Net
Source of Other Income
 Source of Other Income

Loan Information
Requested Loan Amount* 
Purpose of Loan* 
Number of Months to Repay 

Miscellaneous
Best Daytime Phone Number*
Additional Comments
  

Thank you for using our website application.

In addition to basic information, you will need to provide employment and income information, the amount of your monthly mortgage or rent payment, and the total amount of all your monthly payments. Please answer each question as accurately as possible. Providing accurate information will expedite your loan request.

By placing this web request, you certify that all statements made are true and complete. You authorize the credit union to obtain any information necessary to process this request, including a credit report.   A Credit Union representative will contact you when your loan request is approved or if any additional information is needed.

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