Amount Requested: $
.00 Purpose / Collateral:
(Including ATM/ Debit Card Access to the Account if available)
You agree that everything stated in this application is correct to the best you 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. Your understand that any false or misleading statement in our application ma cause any loan or extension of credit to be in default. You authorize us to accept our electronic signature(s) on this application and agree that your electronic signature will hold the same legal force and effect as your original signature. You assume any risk that may be associated with permitting us to accept our electronic signature.
By pressing the “Submit Application” 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.