Online Loan Application

√   With this application, please submit proof of income by supplying any of the following: (i) your pay stub dated within the last thirty (30) days; or (ii) direct deposit advice dated within the past thirty (30) days; or (iii) a copy of your bank statement(s) dated within the last thirty (30) days.

√   If self-employed, please supply us with the last two (2) years of your tax returns. Please note alimony, child support or separate maintenance income need not be included if you do not choose to have it considered as a basis for repaying this obligation.

√   Please include a copy of the valid driver’s license for ALL applicants.

√   Full coverage insurance with maximum deductibles of $500 for comprehensive and collision and the credit union listed as the loss payee for loans secured by a Certificate of Title; i.e. vehicle, motorcycle, boat, etc.

√   Current driver's license - motor vehicle/motorcycle. A suspended license or permits are not acceptable.

√   We do not finance vehicles or motorcycles older than 10 years

√   We do not finance vehicles with a Salvaged Title, Lemon Law Buyback Title or Warranty Return Title

√   We offer Extended Warranties, which can be included in your loan financing. Call our Loan Department for rates and exclusions.

√   Credit Disability and Credit Life Insurance Coverage is available for all loans with the exception of loans secured by the Real Estate. Get peace of mind and help you can count on when you need it most. The monthly premium is factored into your monthly loan payment.  Please call the credit union for additional information regarding coverage and cost. 

√   A Loan Cancellation Fee of $50.00 will apply if the loan is cancelled after funding.


**This application is not intended for loans secured by Real Estate.

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Online Loan Application

Please provide all the requested information. When you have completed the form, press the Submit button to send your application. If necessary, we will contact you for additional information.

The items marked with (*) are required fields.

General Information

If you live in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI) you are:
Notice: Married Applicants may apply for a separate account. Check the appropriate box below to indicate the type of credit for which you are applying.*
This application is for non-real estate related loans.
Interested in Credit Life Insurance?*
Interested in Credit Disability Insurance?*

Primary Applicant

Name*
(xxx-xx-xxxx)
Date of Birth*
No File Chosen
File uploads may not work on some mobile devices.

Home Address

Address*
Years & Months
Residence Type

Previous Address

Address
Years & Months
Residence Type

Present Employer

Company Address
Employment Status
Job Start Date
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.

Previous Employer

Employment Status
Job Start Date
Job End Date
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.

Spouse/Co-Applicant

Name*
(xxx-xx-xxxx)
Date of Birth*
No File Chosen
File uploads may not work on some mobile devices.

Home Address

Address*
Years & Months
Residence Type

Previous Address

Address
Years & Months
Residence Type

Present Employer

Company Address
Employment Status
Job Start Date
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.

Previous Employer

Employment Status
Job Start Date
Job End Date
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.

References

Nearest relative not living with you:

Name*
Address*

Additional Information

Debts/Monthly Payments


List all other debts (for example, auto loans, credit cards, second mortgage, home assoc. dues, alimony, child support, child care, medical utilities, auto insurance, IRS liabilities, etc.) Please use a separate line for each credic card and auto loan. 

Example:
Credit Card - $100/month

(Ex. Credit Card - $100 per month)
How would you prefer to be contacts?

Income verification is required; other information may be required.

I certify that statements on the application are true and complete. I authorize any person, association, firm or corporation to furnish, on request of this Financial Institution, information concerning me or my affair. (Sec. 1014, Title 18, U.S. Code makes it a Federal Crime to knowingly make a false statement on this application.)