Name: First, Middle, Last
CORE Federal Credit Union WILL REQUEST INFORMATION
TO VERIFY YOUR IDENTITY WHEN REQUIRED IN ACCORDANCE WITH THE USA PATRIOT
ACT OF 2001."
You agree that everything stated in
this request 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 and to answer questions about
their credit experience with you. You understand that any false or misleading
statement in your request may cause any loan or extension of credit
to be in default. You also agree to pay;if applicable fees charged for credit reports,
appraisal, and a title search even if the loan is not approved.
You authorize us to accept your facsimile signatures on this request
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.
By initiating this request, you authorizing the credit union to obtain
the necessary information, such as a credit report, to assist with the
loan review process.
By pressing the "Send Request"
button below, you agree to the above statement. You understand that
we may require your signature on additional documents prior to disbursing
any credit proceeds.
Information entered on this loan request form is sent to the credit union via a secure, encrypted transmission to safeguard your personal information.