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

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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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