Loan Application

Loan Information:

Loan amount (Min $1000) *

Purpose of Loan *

Collateral if applicable *

Loan For: *

Individual Credit Application

Joint Credit Application

Repayment with: *

Cash/Check

ACH

Automatic Debit from Acct

Voluntary Loan Protection: *

Yes

No

Personal:

Member Number *

Driver’s License Number / State *

SSN *

First Name *

Middle Initial

Last Name *

Suffix

Date of Birth *

Marital Status: *

Married

Separated

Unmarried

Ages of Dependents

Residential:

Address, City, State, Zip *

Email *

Cell Phone *

Home Phone

Business Phone/EXT

Length of Residence (Years/Months) *

Previous Residence (Street, City, State, Zip)

Length at Previous Residence (Years/Months)

Employment:

Employer *

Job Title *

Annual Gross Income *

Employment Length *

Start Date *

Other Income

Source of Other Income

Previous Employer Name and Address if Employed Less than 2 years

Military: Is duty station transfer expected during next year?

Yes

No

Reference – Name and Address of Nearest Relative Not living with you. *

Relation to you *

Phone Number

For Co-Applicants Only – SKIP through Page if No Co-Applicant

Personal:

Member Number

Driver’s License Number / State

SSN

First Name

Middle Initial

Last Name

Suffix

Date of Birth

Marital Status:

Married

Separated

Unmarried

Ages of Dependents

For Co-Applicants Only – SKIP through Page if No Co-Applicant

Residential:

Address, City, State, Zip

Email

Cell Phone

Home Phone

Business Phone/EXT

Length of Residence (Years/Months)

Previous Residence (Street, City, State, Zip)

Length at Previous Residence (Years/Months)

For Co-Applicants Only – SKIP through Page if No Co-Applicant

Employment:

Employer

Job Title

Annual Gross Income

Employment Length

Start Date

Other Income

Source of Other Income

Previous Employer Name and Address if Employed Less than 2 years

Military: Is duty station transfer expected during next year?

Yes

No

Reference – Name and Address of Nearest Relative Not living with you.

Relation to you

Phone Number

Liabilities- What you Owe

Debt-Creditor Name (Other than Growing Oaks FCU)

Present Balance

Monthly Payment

Is this owed by:

Applicant

Other

Debt-Creditor Name (Other than Growing Oaks FCU)

Present Balance

Monthly Payment

Is this owed by:

Applicant

Other

Debt-Creditor Name (Other than Growing Oaks FCU)

Present Balance

Monthly Payment

Is this owed by:

Applicant

Other

Debt-Creditor Name (Other than Growing Oaks FCU)

Present Balance

Monthly Payment

Is this owed by:

Applicant

Other

Debt-Creditor Name (Other than Growing Oaks FCU)

Present Balance

Monthly Payment

Is this owed by:

Applicant

Other

Assets you Own

Asset Description (Including bank accounts, vehicles, real estate, ect.)

List Location of Property or Financial Institution

Market Value

Is this asset Pledged to a Loan:

Yes

No

Is this asset Owned by:

Applicant

Other

Asset Description (Including bank accounts, vehicles, real estate, ect.)

List Location of Property or Financial Institution

Market Value

Is this asset Pledged to a Loan:

Yes

No

Is this asset Owned by:

Applicant

Other

Asset Description (Including bank accounts, vehicles, real estate, ect.)

List Location of Property or Financial Institution

Market Value

Is this asset Pledged to a Loan:

Yes

No

Is this asset Owned by:

Applicant

Other

Asset Description (Including bank accounts, vehicles, real estate, ect.)

List Location of Property or Financial Institution

Market Value

Is this asset Pledged to a Loan:

Yes

No

Is this asset Owned by:

Applicant

Other

Asset Description (Including bank accounts, vehicles, real estate, ect.)

List Location of Property or Financial Institution

Market Value

Is this asset Pledged to a Loan:

Yes

No

Is this asset Owned by:

Applicant

Other

Other Information About you

ARE YOU A U.S. CITIZEN OR PERMANENT RESIDENT ALIEN?

Yes

No

DO YOU CURRENTLY HAVE ANY OUTSTANDING JUDGMENTS OR HAVE YOU EVER FILED FOR BANKRUPTCY, HAD A DEBT ADJUSTMENT PLAN CONFIRMED UNDER CHAPTER 13, HAD PROPERTY FORECLOSED UPON OR REPOSSESSED IN THE LAST 7 YEARS, OR BEEN A PARTY IN A LAWSUIT?

Yes

No

IS YOUR INCOME LIKELY TO DECLINE IN THE NEXT TWO YEARS?

Yes

No

ARE YOU A CO-MAKER, CO-SIGNER OR GUARANTOR ON ANY LOAN NOT LISTED ABOVE?

Yes

No

By submitting or otherwise authenticating below: You promise that everything you have stated in this application is correct to the best of your knowledge, and that the above information is a complete listing of what you owe. If there are any important changes you will notify us in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, increase, renewal, extension, or collection of the credit received and for other accounts, products, or services we may offer you or for which you may qualify. You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. If you request, the Credit Union will tell you the name and address of any credit bureau from which it received a credit report on you. It is a crime to willfully and deliberately provide incomplete or incorrect information in this application.

Thank You, we will be in touch with any further questions!