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AREA CREDIT UNION
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| HOME -- CREDIT APPLICATION |
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| (_)SHARE LOAN | (_)SIGNATURE LOAN | (_)COLLATERAL LOAN | (_)CO-MAKER LOAN |
APPLICANT'S STATEMENT
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I hereby apply for a loan for the following purpose(s)____________________________________________________
Amount Needed $________________Present Balance $____________________ To be repaid in________ payments of $__________ starting_________________ Name________________________ Social Security Number_________________ Address_____________________________ Driver's License Number___________________ City, State, Zip_______________________________ Date of Birth_____________________ Telephone Number___________________ Number of Dependents______________________ Former Address(if less than 3 years at present)__________________________________________________________ _________________________________________________________________________________________________ Employeer_____________________________ Address____________________________________________________ Phone Number_______________ Date of Hire_________ Position______________ Supervisor____________________ Gross Salary $___________ (_)Weekly (_)Bi-weekly (_)Monthly (_)Annually Former Employer(if less than 4 years at current position)_________________________________________ Address_________________________________________________________________________________ Other Income_____________________________________________________________________________ Spousal Information: Spouse(Name)_____________________ Spouse Social Security Number__________________________ Employer_________________________ Employer Address______________________________________ Position_________________________ Phone Number__________________________________________ Date of Hire______________________ Annual Salary $_________________________________________ Home: (_)Rent (_)Own Years there_________________ Present Value $___________________________ Landlord's Name(if any)__________________________________ Phone Number____________________ Monthly Payment Rent $___________ Mortgage $___________ Payments up to date? (_)Yes (_)No Mortgage Balance $__________________ Financed By__________________________________________ Name of Relative(not living with you)__________________________________________________________ Relationship______________________ Address________________________________________________ Are you a co-maker on any loan? (_)Yes (_)No Date______________ Amount $_____________ Names of Persons co-signed for____________________________________________________ Have you been declared bankrupt in the last 10 years (_)Yes (_)No Date___________________ Have you any legal proceedings pending against you? (_)Yes (_)No If yes, explain ________________________________________________________________________________________ Have you ever applied for credit under another name? If so, give name_______________________________ Personal Reference(other than relative)________________________ Phone Number___________________ |
| List Creditors, Current Balances and Payment Amounts: |
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| Other than these bills I have: |
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OPTIONAL COLLATERAL OFFERED
(Complete only if credit is to be secured) |
| AUTOS or TRUCKS |
| YEAR | MAKE | MODEL | BODY STYLE | SERIAL NUMBER | NO. CYLINDERS | NEW OR USED |
| Color |
| Equipment: | Auto Trans. | Air Cond. | Radio(circle) | Power(circle) | Roof(circle) | Cruise | Tilt | ABS Brakes |
| AM | Brake | Vinyl | ||||||
| FM | Steering | Sun | ||||||
| STE | Seat | "T" | ||||||
| TD | Window | Moon | ||||||
| CD | Locks |
| Name and Address of Insurance Carrier: |
| MOTORCYCLE | Year | Make | Model | Serial Number | NO. CYLINDERS |
| BOAT | Year | Make | Model | Serial Number |
| MOTOR | Year | Make | Model | Serial Number | H.P. |
| TRAILER | Year | Make | Model | Serial Number |
| RECREATION VEHICLE | Year | Make | Model | Serial Number | Size |
| OTHER |
| Are you the sole owner of security offered? (_)Yes (_)No If no, list the other owners who will be required to sign: |
| If you intend to apply for joint credit,both signers inital here:_____ _____ |
| Signature |
| Joint Signature(If Applicable) |
| CONTACT US ABOUT US TRUTH & SAVINGS HOME PRIVACY STATEMENT & CUSTOMER ID LOANS & LIMITS Survey |