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:
NOTE: If Married box is selected-spousal information is REQUIRED for loan application to be processed. If not present, it could delay processing of your loan.
Married
Separated
Unmarried
(single/divorced/windowed) |
First Name: |
|
Middle Initial: |
|
Last Name: |
|
Social Security Number: |
- - |
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: |
months |
Work Phone Number: |
() - |
Job Title: |
|
Employer name: |
|
Income |
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. |
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 |
|
|
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 Southern Lakes Credit Union. to investigate our creditworthiness, 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 Southern Lakes 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. |
Debt Protection Coverage
Please make a selection below:
Yes, I am interested in Debt Protection Coverage
No, I am not interested in Debt Protection Coverage
|
|
Please check if you are
NOT applying this account or loan with your spouse. The credit being
applied for, if granted, will be incurred in the interest of the
marriage or family of the undersigned. |
If this is
a single application you may submit now!
|