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LIST OF INFORMATION NEEDED TO COMPLETE BNA CREDIT UNION LOAN APPLICATIONLOAN APPLICATION/PROCESSING FEE is $25.00. This fee is due upon submission of the loan application form.Fill out the loan application. Make sure all questions are answered completelySign and date the applicationA photocopy of your DRIVER’S LICENSE IS REQUIRED.A photocopy of your recent PAYCHECK STUB IS REQUIRED.** As of 08.21.2014, Identity of the loan applicant are no longer disclosed to the members of the credit committee. Only the credit union employees will know the identity of the member applying for the loan.** For further assistance, speak with one of the credit union staff.THE PROCESSING OF THIS APPLICATION WILL BE DELAYED IF NOT SIGNED OR IF ALL QUESTIONS ARE NOT COMPLETED. PREPARE IN INK OR BY TYPEWRITER ONLY.APPLICATION FOR SIGNATURE LOANTO BE COMPLETED BY LOAN APPLICANT(Information provided on this page will be confidential to credit union employees only) Name FORMTEXT ???Date FORMTEXT ?????Member Number: FORMTEXT ?????Street Address: FORMTEXT ?????City FORMTEXT ?????State FORMTEXT ?????Zip Code FORMTEXT ?????Years There FORMTEXT ?????Home Phone: FORMTEXT ?????Business Phone FORMTEXT ?????Email Address FORMTEXT ?????If Present Residence is less than 2 years, complete next line:Previous Street Address FORMTEXT ?????City FORMTEXT ?????State FORMTEXT ?????Zip Code FORMTEXT ?????Present Employer FORMTEXT ?????Date of Hire FORMTEXT ?????Position or Title FORMTEXT ?????Supervisor FORMTEXT ?????Employer’s Address: FORMTEXT ?????City FORMTEXT ?????State FORMTEXT ?????Zip Code FORMTEXT ?????Dependents (exclude self) FORMTEXT ?????Ages FORMTEXT ?????Name of Nearest Relative Not Living With You FORMTEXT ?????Relationship FORMTEXT ?????Address: FORMTEXT ?????City FORMTEXT ?????State FORMTEXT ?????Zip Code FORMTEXT ?????Phone Number FORMTEXT ?????Share Draft/Checking Account No. FORMTEXT ?????Where FORMTEXT ?????Share Draft/Savings Account No. FORMTEXT ?????Where FORMTEXT ?????**************************************************************************************************************************************************************Everything that I have stated in this application is correct to the best of my knowledge. I authorize BNA Federal Credit Union to check my credit and employment history and to answer questions about your credit experience with me.Signature of Member FORMTEXT ?????Date FORMTEXT ?????THE FOLLOWING INFORMATION WILL BE SUBMITTED TO THE CREDIT COMMITTEE: FORMCHECKBOX REFER TO CU BD. OF DIR.TO BE COMPLETED BY LOAN APPLICANTMember Number: FORMTEXT ?????Last 4 Digits of SSN: FORMTEXT ?????I hereby apply for a loan as follows:Amount of money requested: $ FORMTEXT ?????Purpose of Loan: FORMTEXT ?????Salary$ FORMTEXT ?????per month/year FORMCHECKBOX Gross FORMCHECKBOX NetOther Income$ FORMTEXT ?????per month/yearSource(s) FORMTEXT ?????*(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 loan.)Is any income listed likely to be reduced before this loan is paid off? FORMCHECKBOX No FORMCHECKBOX YesIf Yes, explain FORMTEXT ????? OUTSTANDING DEBTSCreditor NameDate of LoanOriginal DebtPresent BalanceMonthly PaymentPast Due? Yes/NoRent/Mortgage FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN FORMTEXT ?????Auto Loan FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN FORMTEXT ?????Credit Union FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN FORMTEXT ?????Credit Card FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN FORMTEXT ?????Credit Card FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN FORMTEXT ?????Totals FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMDROPDOWN Are there any other persons obligated on any of the above debts? FORMCHECKBOX No FORMCHECKBOX YesWhich loans and who? FORMTEXT ?????Are you a co-maker, co-signer or guarantor on any other debt? FORMCHECKBOX No FORMCHECKBOX YesFor whom? FORMTEXT ????To Whom? FORMTEXT ?????Have you been declared bankrupt in the last 10 years? FORMCHECKBOX No FORMCHECKBOX Yes**************************************************************************************************************************************************************TO BE COMPLETED BY LOAN OFFICERInterest Rate: FORMTEXT ?????Old Loan Balance (if any)$ FORMTEXT ?????Total Payments:$ FORMTEXT ?????Accrued Finance Charge (Interest Due)$ FORMTEXT ?????Amount Financed:$ FORMTEXT ?????Finance Charged:$ FORMTEXT ?????Total New Loan$ FORMTEXT ?????To Be Repaid In $ FORMTEXT ?????Payments of $ FORMTEXT ?????Including/Plus Interest Starting On FORMTEXT ?????Last Payment of$ FORMTEXT ?????*************************************************************************************************************************************************************CREDIT COMMITTEE ACTION (To be completed by Credit Committee)Credit Committee Meeting Date: FORMTEXT ????? FORMCHECKBOX We approve the loan as submitted FORMCHECKBOX We reject the loan as submitted FORMCHECKBOX The following counter offer will be made to the applicant and if accepted, we approve the loanDescribe FORMTEXT ????? FORMTEXT ?????Specific reason(s) for rejection FORMTEXT ????? FORMTEXT ?????Outside information considered? FORMCHECKBOX No FORMCHECKBOX YesDescribe FORMTEXT ????? FORMTEXT ?????Credit Committee:Board of Directors:Signed: Date:Signed: Date:Signed: Date:Signed: Date:Signed: Date:Signed: Date:Manager:Date: FORMCHECKBOX ECOA notice and reason for rejection sent or delivered on _____________________________ Signed ____________________________ ................
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