only if this is a Home Improvement Loan or if you are
applying to purchase or refinance your residence.
The following information is requested by the Federal
Government for certain types of loans related to a dwelling,
in order to monitor the Lenders’ compliance with
equal credit opportunity and fair housing laws. You are
not required to furnish this information, but are encouraged
to do so. The law provides that a Lender may neither discriminate
on the basis of this information, nor on whether you choose
to furnish it. However, if you choose not to furnish it
under Federal regulations this Lender is required to note
race and sex on the basis of visual observation surname.
If you do not furnish the above information, please check
the box below.
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 to be 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.