IWU Federal Credit Union
IWU Federal Credit Union
Loan Application
Information Regarding: O Individual O Joint Date:
Full Name Account#
DOB SS# Drivers Lic. #
Present Address Yrs There
City State Zip Code
Home Phone Cell Phone e-mail
If present residence less than 2 years complete next 2 lines
Previous Address Yrs There
City State Zip Code
Present Employer Supervisor
Position or Title Yrs Employed
Employer Address
City State Zip Code
If present employment is less than 3 years complete next 2 lines
Previous Employer Yrs Employed
Employer Address
City State Zip Code
Dependents (exclude self) Ages
Name of nearest relative not living with you Relationship
Address
Name of nearest relative not living with you Relationship
Address
I/We hereby apply for a loan as follows:
Amount of money requested $
Old Loan Balance (if any) + Accrued finance charge (interest due) $
Other Charges $
New Loan Total $
# of months financed 30 36 48 60 72
Purpose of Loan
● Individual Credit (Do Not complete marital status for individual credit in non-community property area)
Applicant’s signature only
● Co-Signer, Joint Application/Co-Borrower (person who will be equally liable for repayment)
Name
Have this person compete a separate loan application
Co-Signer and/or Co-Borrower
Relationship to applicant, if any
● Secured Credit – Collateral
New/Used Auto – Make Year Cost/Value $
Owners’ Name
Other:
Salary: O Gross O Net $ weekly bi-weekly monthly
Other income $ per Source
Alimony, child support or separate maintenance income need not be revealed if you do not wish it to be considered as a basis for repaying this loan
Checking Account # Where
Savings Account # Where
| |Date of |Original Debt |Present |Monthly |Past Due |
|Creditor (address and Account #) |Loan | |Balance |Payment |Yes or No |
|Rent | | | | | |
|Mortgage | | | | | |
|Auto Loan(s) | | | | | |
|Credit Union Loans | | | | | |
|Credit Card(s) | | | | | |
|Alimony, Child Support | | | | | |
|Other | | | | | |
|Other | | | | | |
|Attach another sheet if necessary | | | | | |
|TOTALS | | | | | |
Are there any other persons obligated on any of the above loans? O No O Yes
Which Ones and Who?
Are you a co-borrower, co-signer or guarantor on any loan? O No O Yes
For Whom? To Whom?
Have you been declared bankrupt in the past 14 years? O No O Yes
Everything that I have stated in this application is correct to the best of my knowledge. You are authorized to check my credit and employment history and to answer questions about your credit experience with me.
Signature of Member
****************************************************************************************
CREDIT COMMITTEE LOAN OFFICER ACTION
Loan Officer:
O I approve the loan as submitted
O Loan referred to CC Reason
LO Signature Date
Credit Committee: Date
O We approve the loan as submitted.
O We reject the loan as submitted.
Specific reason for rejection
Outside information considered O No O Yes describe
Signed Signed
Signed Signed
• BCOA notice and reason for rejection sent or delivered on
$ Amount Approved
# of Months
Debit Retro Checked By Whom
................
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