SOUTHERN LAKES 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. If you prefer you may print the form and drop it off, mail it, or fax it to Southern Lakes Credit Union for processing. You'll hear back from us as soon as possible. We look forward to helping you with your lending needs!

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.


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!

 

Co-Applicant Information
Complete for joint credit, secured credit or if you live in a community property state:
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.

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.