acsfcu Home Page

Secure Mortgage Application Form

2540 Olentangy River Road, Columbus, OH 43202
Phone: (614) 447-3675 • Fax: (614) 447-3824

1155 16th Street, NW, Washington, DC, 20036
Phone: (202) 452-8915 • Fax: (202) 776-8221

   
Elligibility

Click here to see if you are eligible for membership at American Chemical Society Federal Credit Union

Please complete all information. When finished, please send your application to ACSFCU by pressing the Submit button at the bottom of the form. All our forms are encrypted for your security.



Mortgage Information
Will there be a co-applicant on this application? Yes No
Purchase
Loan Amount:
Purchase Price:
Expected Down Payment:
Refinance
Estimated Value:
Existing 1st Mortgage Balance:
Existing 2nd Mortgage Balance:
Annual Property Taxes:
Annual Homeowner's Insurance:
Mortgage Questions
Do you prefer to have your property taxes and homeowners insurance included in your monthly payment?
Yes No
Do you own any other real estate? Yes No
     If yes, do you plan to: Sell it Rent it Use as vacation home

Applicant Information
Applicant's Full Name:
Account #:
Social Security #:
Email:
Birthdate (MM/DD/YYYY):
Please indicate your marital status if you are applying for joint credit, secured credit or if you live in a community property state:
Marital Status:
Home Phone #:
Cell Phone #:
Street Address:
City: State:
Zip #:
Rent/Own/Buying:
Current Address since: (MM/YY)
If less than 2 yrs enter previous address:
Joint Applicant's Full Name:
Account #:
Social Security #:
Email:
Birthdate:
Please indicate your marital status if you are applying for joint credit, secured credit or if you live in a community property state:
Marital Status:
Home Phone #:
Cell Phone #:
Street Address:
City: State:
Zip #:
Rent/Own/Buying:
Current Address since: (MM/YY)
If less than 3 yrs enter previous address:


Employment Information
Applicant Employer's Name:
Employer Phone #:
Employer Address:
Position:
Date Hired (MM/DD/YY):
Monthly Gross Income ($):
Other Income ($): per Month
Complete if current employment is less than 2 years:
Previous Employers Name:
Yrs Employed:
Joint App. Employer's Name:
Employer Phone #:
Employer Address:
Position:
Date Hired (MM/DD/YY):
Monthly Gross Income ($):
Other Income ($): per Month
Complete if current employment is less than 2 years:
Previous Employers Name:
Yrs Employed:

NOTE: Alimony, child support, or separate maintenance income need not be revealed if You do not choose to have it considered as a basis for this credit request.


Debts & Assets
Lender
Type
Balance
Monthly Pmt.
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
Savings/Checking balance:
Real Estate: Locations:       Value:
Auto: Year:       Make:       Model:
Assets:
Description: Value:
    
Description: Value:
    


Declarations
If you answer "Yes" to any questions 1 through 13, please use the comments box for explanation.

Borrower
Co-Borrower
  1. Are there any outstanding judgments against you?
Yes No
Yes No
  2. Have you been declared bankrupt within the past 7 years?
Yes No
Yes No
  3. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?
Yes No
Yes No
  4. Are you a party to a lawsuit?
Yes No
Yes No
  5. Have you ever directly or indirectly been obligated on any loan which resulted in foreclosure, transfer to title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee. If "Yes," provide details, including date, name, and address of Lender, FHA or VA case number, if any, and reasons for the action.)
Yes No
Yes No
  6. Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? If "Yes," give details as described in the preceding question.
Yes No
Yes No
  7. Are you obligated to pay alimony, child support, or separate maintenance?
Yes No
Yes No
  8. Is any part of the down payment borrowed?
Yes No
Yes No
  9. Are you a co-maker or endorser on a note?
Yes No
Yes No
10. Are you a US citizen?
Yes No
Yes No
11. Are you a permanent resident alien?
Yes No
Yes No
12. Do you intend to occupy the property as your
If yes, please answer:
Yes No
Yes No
13. Have you had an ownership interest in a property in the last three years?
Yes No
Yes No
14. What type of property did you own: principal residence (PR), second home (SH), or investment property (IP)?
15. How did you hold title to the home: solely by yourself (S), jointly with your spouse (SP), or jointly with another person (O)?


Property Information
Property address?
  Street: City: State: Zip:
Annual Property Taxes:
Annual condo/PUD fees:
Annual Hazard Insurance:


Submit Application

By submitting this application, I/We certify that this information has been supplied truthfully, accurately and voluntarily, and therefore authorize American Chemcial Society Federal Credit Union (ACSFCU) to investigate our creditworthiness, credit history and financial responsibility through any credit bureau or by any other reasonable means for consideration for the loan applied for, or for any other services offered. I/We understand that this application does not constitute a contract for the extension of credit.

Thank You. Upon receipt of this application, the credit committee at ACSFCU will review your information and respond as quickly as possible to extend credit, to ask additional questions, or to request further information.
We appreciate this opportunity to be your financial partner.