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After submitting this application, please include copies of your last two paystubs.

Married Applicants: May apply for a separate account.

Individual Credit: You must complete the Applicant section about yourself and the Other section about your spouse if:

  1. you live in or the property pledged as collateral is located in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI),
  2. your spouse will use the account, or
  3. you are relying on your spouse's income as a basis for repayment. If you are relying on income from alimony, child support, or separate maintenance, complete the Other section to the extent possible about the person on whose payments you are relying.

Joint Credit: Each Applicant must individually complete the appropriate section below. If Co-Borrower is spouse of the Applicant, mark the Co-Applicant box.

Guarantor: Complete the Other section if you are a guarantor on an account/loan.

Do you want a LOANLINER Account/Loan?
Type of Application  
 
Or a Credit Card Account?
Type of Application  
 

Personal Information

Primary Applicant
() -
Complete for Joint Credit, Secured Credit or if you live in a Community Property State:
Secondary Applicant
Other:
() -
Complete for Joint Credit, Secured Credit or if you live in a Community Property State:

Employment

Primary Applicant
NOTICE: ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED IF YOU DO NOT CHOOSE TO HAVE IT CONSIDERED.
Net or Gross  
 
 
 
Military: Is duty station transfer expected during next year?
 
 
Secondary Applicant
NOTICE: ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED IF YOU DO NOT CHOOSE TO HAVE IT CONSIDERED.
Net or Gross  
 
 
 
Military: Is duty station transfer expected during next year?
 
 

Previous Employer if Employed Less than Five Years

Primary Applicant
 
 
Secondary Applicant
 
 

References

Primary Applicant
() -
 
 
Secondary Applicant
() -
 
 

Please Answer the Following Questions

Primary Applicant
Are you a U.S. citizen or permanent resident alien?
 
Do you currently have outstanding judgments or have you ever filed for bankruptcy, had a debt adjustment plan confirmed under Chapter 13, had property foreclosed upon or repossessed in the last 7 years or been a party in a lawsuit?
Is your income likely to reduce in the next two years?
Are you a co-maker or co-signer on any loan?



Secondary Applicant
Are you a U.S. citizen or permanent resident alien?
Do you currently have outstanding judgments or have you ever filed for bankruptcy, had a debt adjustment plan confirmed under Chapter 13, had property foreclosed upon or repossessed in the last 7 years or been a party in a lawsuit?
Is your income likely to reduce in the next two years?
Are you a co-maker or co-signer on any loan?



Applicant(s): Debts - List creditor name other than this Credit Union
Owed By  
 
Name of Creditor Monthly Payment
Present Balance Interest Rates
Owed By  
 
Name of Creditor Monthly Payment
Present Balance Interest Rates
Owed By  
 
Name of Creditor Monthly Payment
Present Balance Interest Rates
Owed By  
 
Name of Creditor Monthly Payment
Present Balance Interest Rates
Owed By  
 
Applicant(s): What You Own
Pledged as Collateral for Another Loan Owed By
List Location of Property or Financial Institution Market Value
Pledged as Collateral for Another Loan Owed By
List Location of Property or Financial Institution Market Value
Pledged as Collateral for Another Loan Owed By
List Location of Property or Financial Institution Market Value
Pledged as Collateral for Another Loan Owed By
List Location of Property or Financial Institution Market Value
Pledged as Collateral for Another Loan Owed By
Payment Protection
Are you interested in having your loan protected?
If you answer "yes", the credit union will disclose the cost to protect your loan. The protection is voluntary and does not affect your loan approval. In order for your loan to be covered, you will need to sign a separate application that explains the terms and conditions.
State Law Notices
Ohio Residents Only:
The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law
Wisconsin Residents Only:
(1) No provision of any marital property agreement, unilateral statement under Section 766.59, or court decree under Section 766.70 will adversely affect the rights of the Credit Union unless the Credit Union is furnished a copy of the agreement, statement or decree, or has actual knowledge of its terms, before the credit is granted or the account is opened. (2) Please sign if you are not applying for this account or loan with your spouse. The credit being applied for, if granted, will be incurred in the interest of the marriage or family of the undersigned.
Applicant Agreement

(1) You promise that everything you have stated in this application is correct to the best of your knowledge and that the above information is a complete listing of what you owe. If there are any important changes you will notify us in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, increase, renewal, extension or collection of the credit received. You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. If you request, the Credit Union will tell you the name and address of any credit bureau from which it received a credit report on you. It is a crime to willfully and deliberately provide incomplete or incorrect information in this application.

(2) If you are applying for a credit card, you understand that the use of your card will constitute acknowledgment of receipt and agreement to the terms of the credit card agreement and disclosures. You grant us a security interest in all individual and joint share and/or deposit accounts you have with us now and in the future to secure your credit card account. When you are in default, you authorize us to apply the balance in these accounts to any amounts due. Shares and deposits in an Individual Retirement Account, and any other account that would lose special tax treatment under state or federal law if given as security, are not subject to the security interest you have given in your shares and deposits.
I have read and accept the terms:
Please enter the security code below: