.Loan Application

 

Married Applicants may apply for a separate account. Check the appropriate box to indicate Individual Credit or Joint Credit.

Individual Credit: Complete Applicant section. Complete Co-Applicant, Spouse, Guarantor (referred to as "Other") section: (1) about your spouse if you live in a community property (AZ, CA, ID, LA, NM, TX, WA, WI), or (2) if your spouse will use the Account, or (3) if there is a guarantor on this account. Please check box to indicate whom the information is about.

Joint Credit: Provide information about both of you by completing Applicant and Other section.

 

Member Number

Statement ..... Credit Disability Insurance..

Of Intent...... Single Credit Life Insurance

Check if desired. Joint Credit life ........

Check coverage(s) desired. The credit union will.disclose the cost of this voluntary insurance.election which discloses the terms and conditions .must be signed Insurance for coverage to .become effective

 

If you selected an auto loan, please specify the year and make of the vehicle.
Year Make
Amount Requested
$		 Repayment Term Requested
Purpose of Loan

Verification of income by current paystub or at least two year's of signed tax returns are required to be submitted at loan application.

APPLICANT INFORMATION

Check the box indicating your marital status.

Married Separated Unmarried

Social Security Number
 Birth Date (mm/dd/yy)
First Name
 Initial
 Last Name
Home Address
 Home Phone
--
City
 State
 Zip
Length At Current Address    
 Email
Drivers License #
 State
 Expiration Date (mm/dd/yy)
Employer
 Position
 Years
Employer Address
 Work Phone
--
Previous Employer If Less Than 2 Years
Salary
$		 Weekly Bi-Weekly Monthly
Other Monthly Income
$
Source Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Do you have any suits pending or any unsatisfied judgements against you? Yes No
Have you been declared bankrupt or filed a petition for a chapter 13 in the last 10 years? Yes No
Have you ever had property repossessed? Yes No
Are you 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? ....

for whom ( Name of others Obligated on Loan):.............

To whom (Name of Creditor): ..........................

 Yes No

 

Be sure to complete the "Financial Section" below.

CO-APPLICANT INFORMATIONSPOUSEGUARANTOR

Check the box indicating your marital status.

Married Separated Unmarried

Social Security Number
 Birth Date (mm/dd/yy)
First Name
 Initial
 Last Name
Home Address
 Home Phone
--
City
 State
 Zip
Length At Current Address
 Email
Drivers License #
 State
 Expiration Date (mm/dd/yy)
Employer
 Position
 Years
Employer Address
 Work Phone
--
Previous Employer If Less Than 2 Years
Salary
$		 Weekly Bi-Weekly Monthly
Other Monthly Income
$
Source Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Do you have any suits pending or any unsatisfied judgements against you? Yes No
Have you been declared bankrupt or filed a petition for a chapter 13 in the last 10 years? Yes No
Have you ever had property repossessed? Yes No
Are you 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? ..

for whom ( Name of others Obligated on Loan):..............

To whom (Name of Creditor): ................................

 Yes No

FINANCIAL SECTION

Own Rent Live with parents Other

Mortgage Balance
$		 Monthly Mortgage
or Rent Payment
$
Home Value
$		 Total Assets(excluding home)
$

In addition to rent/mortgage, list all other debts including, auto loans, credit cards, second mortgage, homeowners dues, alimony, child support, child care, medical expenses, IRS liabilities, etc. Please use a separate line for each debt item.

CREDITOR BALANCE MONTHLY PAYMENT
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $

 

NOTE: Credit life and Disability insurance is not required as a condition for credit. Credit life insurance is not available to individuals who are age 70 or older. Disability insurance is not available to individuals who are age 65 or older.

 

If there are any important changes, you will notify us in writing immediately. You also agree to notify us of any change in your name, address or employment within a reasonable time thereafter.

You also 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 all your debts and obligations. You authorize the credit union to obtain credit reports in connection with this application for credit and for any update, renewal or extension of the credit received. 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 . You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federal Credit Unions or State Chartered Credit Unions insured by NCUA

Signature Applicant________________________________________Date__________________

Signature Co-Applicant_____________________________________Date__________________

Mailing Address

Mid-Tex
Federal Credit Union
P. O. Box .338
Brownwood, Texas 76804

 

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