Secure Loan Application
266 S. Magnolia Avenue Suite 101, El Cajon, CA 92020
Phone: 619.579.0941  •  Fax: 619.579.2057

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask you for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.
 
Account Number Amount Requested Type Of Loan Applying For Term
If A Member $ Months
I am applying for credit as:
PRIMARY APPLICANT JOINT APPLICANT
Name: First, Middle, Last
Social Security #:

Date of Birth:

Marital Status:
What Is Your Email Address?
Home Phone #:
Cell Phone #:
Drivers License #:
State:
Mother's Maiden Name:
 
Name: First, Middle, Last
Social Security #:

Date of Birth:

Marital Status:
What Is Your Email Address?
Home Phone #:
Cell Phone #:
Drivers License #:
State:
Mother's Maiden Name:
HOME ADDRESS HOME ADDRESS
Street:
City:
State:
Zip:
Years At Address: Rent or Own:
Monthly Housing Payment: $
 
Street:
City:
State:
Zip:
Years At Address: Rent or Own:
Monthly Housing Payment:  $
EMPLOYMENT EMPLOYMENT
Current Employer:
Business Phone:
Job Title:
Date of Hire (MM/DD/YY):
(You do not need to provide information about alimony, child support, separate maintenance or other sources of income if you do not wish to have them considered as income.)
Gross Salary: $
Frequency:
Other Income: $
Frequency:
Source Of Income:
 
Current Employer:
Business Phone:
Job Title:
Date of Hire (MM/DD/YY):
(You do not need to provide information about alimony, child support, separate maintenance or other sources of income if you do not wish to have them considered as income.)
Gross Salary: $
Frequency:
Other Income: $
Frequency:
Source Of Income:
REFERENCE REFERENCE
Nearest Relative:
  Not Living With You
Relationship:
Phone:
Address:
 
Nearest Relative:
  Not Living With You
Relationship:
Phone:
Address:
OTHER INFORMATION Primary Joint
Have You Filed For Bankruptcy?
Are You A U.S. Citizen Or Permanent Resident Alien?
Are You  A Co-Maker/Endorser On Any Loan?
  If Yes, For Whom? If Yes, For Whom?
  Balance: Balance:
Do You Currently Have Any Outstanding Judgments Or Have
You Had A Debt Adjustment, Repossession, Or Property
Foreclosed In The Last 7 Years Or Are A Party To A Lawsuit?
Do You Have An Obligation To Pay Alimony/Child Support?
  If Yes, Amount
$
If Yes, Amount
$
  per per
CREDIT INSURANCE & PROTECTION
I would like information on Credit Life Insurance.
I would like information on Credit Disability Insurance.
I would like information on Guaranteed Asset Protection (GAP).  (Available on vehicles only.)
I would like information on Mechanical Breakdown Protection (MBP).  (Available on vehicles only.)
 

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.

Note: A current wage stub showing year-to-date information, or other income documentation will be required for loan processing. For your convenience, this information can be faxed to 619.579.2057 after submitting your application.

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.