HOLIDAY LOAN APPLICATION

Applicant

 

 

 

 Name

Social Security Number

 

 Address

 State

 Zip

 City

 Home Phone

 

 Employer

 Date of Birth

 

 Gross Monthly Income

 Employment Date


 Current Debts

 

 

 Creditor

 Balance

 Monthly Payment

 

 Creditor

 Balance

 Monthly Payment

 

 Creditor

 Balance

 Monthly Payment

 

 Creditor

 Balance

 Monthly Payment

 

 Creditor

 Balance

 Monthly Payment


By submitting this application to the Credit Union, I/we promise that everything is correct to the best of my/our knowledge and that the above information is a complete listing of my/our debts and obligations. I/we authorize the Credit Union to obtain credit reports in connection with this loan application and for any update or extension of the credit received. I/we understand that the Credit Union will rely on both the representations I/we make in this application and the contents of any credit report it obtains when deciding whether to grant the credit requested. I/we agree to immediately notify you of changes to any of the information provided in this application. I/we agree that my/our account will be subject to the terms and conditions of all applicable agreements and disclosures that will accompany the funds when issued; and that a photocopy or facsimile of this application shall be as binding as the original. 

SIGNATURE
By submitting this application electronically, I/we agree to the same terms that apply to a signed application. If there is a co-applicant on this loan, that co-applicant has authorized the submission of this application. This electronic submission qualifies as my/our signature.
Once your application is completed, press the SUBMIT button and send it to the credit union electronically.
If you do not wish to submit this form electronically, you can print, sign and return it to the credit union.