Secure Loan Application
P.O. Box 323, Alloy, WV 25002
Phone: (304) 779-2773 • Fax: (304) 779-2683
Name: First, Middle, Last
You agree that everything stated in this application
is correct to the best of your knowledge. The Credit Union is authorized
to investigate your creditworthiness, employment history, and to obtain
a credit report to answer questions about their credit experience with
you. You understand that any false or misleading statement in your
application may cause any loan or extension of credit based upon such
false or misleading statement to be decalared in default. You authorize
us to accept your facsimile signatures on this application and agree
that your facsimile signature will have the same legal force and effect
as your original signature. You assume any risk that may be associated
with permitting us to accept your facsimile signature. Security on
one loan is security on any monies owed to the Credit Union.
MAIL, FAX, OR BRING INTO TO OUR OFFICE YOUR MOST RECENT PAY CHECK STUB.
By pressing the "Submit Application" button below, you agree to the
above statement. You understand that we may require additional information
to finalize our credit decision and your signature on additional documents
prior to disbursing any credit proceeds.