Name Account # Information regarding Applicant Additional Party I/We hereby apply for a loan as follows (** to be completed by applicant) Amount of money requested $** Old loan balance (if any) $ Accrued finance charge (interest due) $ Other charges $ Total new loan $ To be repaid in ** payments of $ Including plus interest starting on Purpose of loan** Individual Credit: (DO NOT complete marital status for INDIVIDUAL credit in Non-community property state.) Applicant's signature only Endorser, guarantor of surety (Co-signer) Name - Have this person complete a separate loan application Joint Credit: Joint Applicant or Comaker (person who will be equally liable for repayment) Name - Have this person complete a separate loan application Relationship to applicant, if any Secured Credit - Collateral Shares in Account Nos. $ New/Used Auto - Make Year Cost/Value $ Other: Owner's Names ,
Complete marital status if this loan is for: a. Joint or secured credit, or b. You reside in or rely on property located in a Community Property State. (AZ, CA, ID, LA, NM, NV, TX, WA, WI) Unmarried Married Separated
Full Name Date Of Birth Social Security Number Drivers License # Street Address City State Zip Years there Home Phone Number Business Phone Number Present Employer Position Years there Supervisor Present Employer Street Address City State Zip # of Dependents Age of Dependents Name of nearest relative Not living with you Address (City, State, Zip) Relationship
Salary ( Gross Net) $ per * Other Income $ per Source Is any income listed likely to be reduced before this loan is paid off? No Yes (explain in detail below) Checking/Share Draft Account # Where Savings/Share Account # Where If present residence less than two years, please complete; Previous Home Street Address City State Zip How long did you live at this address? If at present employer less than three years, please complete; Previous Employer How Long? Previous Employer Street Address
Rent Include Creditor's Name, Address and Account Number Date of Loan Original Amount $ Balance Due $ Monthly Payment/Rent $ Past due? Yes No Mortgage Include Creditor's Name, Address and Account Number Date of Loan Original Amount $ Balance Due $ Monthly Payment/Rent $ Past due? Yes No Auto Loan Include Creditor's Name, Address and Account Number Date of Loan Original Amount $ Balance Due $ Monthly Payment/Rent $ Past due? Yes No Credit Union Include Creditor's Name, Address and Account Number Date of Loan Original Amount $ Balance Due $ Monthly Payment/Rent $ Past due? Yes No Credit Card Include Creditor's Name, Address and Account Number Date of Loan Original Amount $ Balance Due $ Monthly Payment/Rent $ Past due? Yes No Credit Card Include Creditor's Name, Address and Account Number Date of Loan Original Amount $ Balance Due $ Monthly Payment/Rent $ Past due? Yes No Alimony, etc. Include Creditor's Name, Address and Account Number Date of Loan Original Amount $ Balance Due $ Monthly Payment/Rent $ Past due? Yes No Other Include Creditor's Name, Address and Account Number Date of Loan Original Amount $ Balance Due $ Monthly Payment/Rent $ Past due? Yes No Other Include Creditor's Name, Address and Account Number Date of Loan Original Amount $ Balance Due $ Monthly Payment/Rent $ Past due? Yes No Other Include Creditor's Name, Address and Account Number Date of Loan Original Amount $ Balance Due $ Monthly Payment/Rent $ Past due? Yes No Are there any other persons obligated on any of the above loans? No Yes (explain in detail)
Are you the comaker, endorser, or guarantor on any loan? No Yes If "Yes" for whom? To whom? Have you declared bankruptcy in the last 14 years? No Yes
Everything that I have stated in this application is correct to the best of my knowledge. By pressing the "submit this application" button you are electronically signing this application and authorize First Class FCU to check my credit and employment history and to answer questions about your credit experience with me.
