Preferred Federal Credit Union

LOAN APPLICATION

Please provide all the requested information. When you have completed the form, use the Submit button at the bottom to securely forward it to us.
Loan Information
Will there be a co-applicant on this loan application? 
Yes or No
Amount requested
Limit requested
Purpose
Security
Length of Loan
Personal Information
Complete for joint credit, secured credit or if you live in a community property state:
First Name:
Middle Initial:
Last Name:
Social Security Number: - -
Marital Status: Married
Unmarried
(includes single, widowed and divorced)
Age
Birthdate (xx/xx/xxxx)
Home Address:
   City:
   State:
   Zip:
How Long?
If you've lived at your current address less than 2 years, please provide your previous home address:
Previous Home Address:
   City:
   State:
   Zip:
Email Address:
Home Phone Number: () -
Employment Information
Length Of Employment:
Work Phone Number: () -
Job Title:
Employer name:
   Address:
   City:
   State:
   Zip:
Income & Asset Information
Gross monthly pay:
Other income 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.
Savings/Checking balance
Real Estate- locations, value
Auto - year, make model
Other Asset
Other Asset
Debt Information - List all debts and credit accounts, replacing "Other" with description. If those listed do not apply, please say "None" for  balance & payment..
  Balance Monthly Payment
Rent or Mortgage
Credit Card
Auto Payments
Statement of Intent

Credit Disability Insurance
Single Credit Life Insurance
Joint Credit Life Insurance

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

Co-Applicant Information
First Name:
Middle Initial:
Last Name:
Social Security Number: - -
Marital Status: Married
Unmarried
(includes single, widowed and divorced)
Age
Birthdate (xx/xx/xxxx)
Home Address:
   City:
   State:
   Zip:
How Long?
If you've lived at your current address less than 2 years, please provide your previous home address:
Previous Home Address:
   City:
   State:
   Zip:
Email Address:
Home Phone Number: () -
Employment Information
Length Of Employment:
Work Phone Number: () -
Job Title:
Employer name:
   Address:
   City:
   State:
    Zip:
Income & Asset Information
Gross monthly pay:
Other income 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.
Savings/Checking balance
Real Estate- locations, value
Auto - year, make model
Other Asset
Other Asset
Debt Information - List all debts and credit accounts, replacing "Other" with description. If those listed do not apply, please say "None" for  balance & payment.
  Balance Monthly Payment
Rent or Mortgage
Credit Card
Auto Payments
Additional Information
Any comments or questions you may have for us?

By submitting this application, I/We certify that this information has been supplied truthfully, accurately and voluntarily, and therefore authorize Preferred Federal Credit Union to investigate our credit worthiness, credit history and financial responsibility through any credit bureau or by any other reasonable means for consideration for the loan applied for, or for any other services offered.  This application does not constitute a contract for the extension of credit.

Thank You.  Upon receipt of this application, someone at Preferred Federal Credit Union will review your information and get back to you to extend credit, with additional questions or to request  further information. We appreciate this opportunity to be your financial partner.