Affiliated Trades CU -- Secure Loan Application


Account Number	Type of Loan Requested	Purpose of Loan	Amount of Credit Desired
			$
Note: Complete "Other Party Information" if another person will be permitted to use the account or if you are relying on income or assets of another person as a basis for repayment. If you are married and reside in or property you are relying on is located in a community property state, provide information about your spouse.

PRIMARY BORROWER INFORMATION

OTHER PARTY INFORMATION

Name:

Address:

Street:	City:

State:

Zip:

Home Phone No:	Cell Phone No:
Social Security No:

Drivers License Number:	Birth Date:

Employer:	Employment Date:
Employer Address:	Business Phone No:
Previous Employer:	Employment Date:

Reference Name:

Address:

Phone:

Reference Status: Own/Buying/Rent/Other

Monthly Payment:

Address:

Street:	City:

State:

Zip:

Home Phone No:	Cell Phone No:
Social Security No:

Drivers License Number:	Birth Date:

Employer:	Employment Date:
Employer Address:	Business Phone No:
Previous Employer:	Employment Date:

Reference Name:

Address:

Phone:

Reference Status: Own/Buying/Rent/Other

Monthly Payment:

Attach to application proof of income: recent paycheck stubs, etc. You need not list income from alimony, child support or separate maintenance if you do not want it considered in determining your ability to repay this obligation. If you do list such income, please provide "Other Party Information" about the person on whom you are relying for such income.

Source	Amount	Per(Wk.Mo.orYr.)
	$
	$

Source	Amount	Per(Wk.Mo.orYr.)
	$
	$

Include any amounts you must pay toward alimony, child support or separate maintenance. List all loans on which you are a co-maker, co-signer or guarantor.

To Whom Paid	Credit Limit	Balance	Mo. Pmt.	To Whom Paid	Credit Limit	Balance	Mo. Pmt.
	$ $ $ $ $	$ $ $ $ $	$ $ $ $ $		$ $ $ $ $	$ $ $ $ $	$ $ $ $ $

You promise that everything you have stated in this application is correct to the best of your knowledge and that the above information is a complete listing of what you owe. You authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, renewal or extension of the credit received. If you request, the Credit Union will tell you the name and address of any credit bureau from which it received a credit report on you. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to this credit union.