Homebuyer Plus Application

FI Name: Bridge Credit Union

NCUA Certificate Number: 62406

Name of Prior FI:

Applicant

First Name: *

Middle Name:

Last Name: *

DOB: *

Must be 18 years old at the time of application.

SSN: *

Applicant Primary Address (Can't be PO Box and Must be in Ohio)

Street Address: *

Street Address Line 2:

City: *

State: *

Zip Code *

County: *

Applicant Mailing Address (If Different)

Street Address:

Street Address Line 2:

City:

State:

Zip Code:

Certification Statement *

The Applicant hereby certifies 1) they are over 18 years of age, 2) they are a resident of the State of Ohio, 3) the funds in their Ohio HomeBuyer Plus savings account shall be used exclusively for eligible program home purchase costs, 4) they shall hold not more than one Ohio HomeBuyer Plus savings account at any one time except as allowed in the Ohio HomeBuyer Plus savings Participation Statement, 5) they have reviewed the Ohio HomeBuyer Plus savings Participation Statement and will comply with all its provisions and requirements, and 6) they have not knowingly made any false statements or provided false information.

Certification Statement *

The Applicant certifies they will notify Bridge Credit Union if they no longer meet these Certification Statements.

Your application has been submitted and is being reviewed. Please note, if application is approved, there is a minimum expected deposit of $100.Thank You