Secure Loan Application

3261 North Mall Road, Knoxville, TN 37924
7701 Rutledge Pike, Rutledge, TN 37861
4587 Maynardville Hwy, Maynardville, TN 37807


1. Type Of Loan Applying For     Please Note: Active membership is required before a loan request can be fully processed.

New Auto Loan
Used Auto Loan
Preapproved Auto Loan (PAL)
Recreational Vehicle (Boat, Camper, ATV, Motorcyle)

Personal Loan/Line of Credit
Mortgage
Home Equity Loan/Line of Credit
Credit Card
Will this loan pay-off or refinance a loan you already have? No Yes, with New South: Yes, with other lender
Requested Amount: $ .00             Would this be your first loan from New South? Yes No
Please tell us which branch you would like us to process your loan at:
2. Payment Protection Coverage

Check coverage(s) desired. If you indicate any desired coverage, the credit union will disclose the cost to protect your loan. The credit insurance is voluntary and does not affect your loan approval. In order for your loan to be covered, you will need to sign a separate application that explains the terms and conditions.

Single Credit Disability
Joint Credit Disability
Single Credit Life Insurance
Joint Credit Life Insurance
Rejected
3. Applicant Information
Applicant:

US Citizen Yes No
Name:
Account #:
Social Security #:
Birthdate (MM/DD/YY):
Please indicate your marital status if you are applying for joint credit, secured credit or if you live in a community property state:
Married Separated Unmarried (single-divorced-widowed)
Home Phone #:
Email Address:
Present Address:
Street:
City:
State & Zip:
Current Address since: (MM/YY)
If less than 3 yrs enter previous address:

Joint Applicant:

US Citizen Yes No
Name:
Account #:
Social Security #:
Birthdate (MM/DD/YY):
Please indicate your marital status if you are applying for joint credit, secured credit or if you live in a community property state:
Married Separated Unmarried (single-divorced-widowed)
Home Phone #:
Email Address:
Present Address:
Street:
City:
State & Zip:
Current Address since: (MM/YY)
If less than 3 yrs enter previous address:

4. Employment Information
Applicant:

Employer Name:

Employer Phone #:
Employer Address:


Department:
Supervisor:
Position:
Date Hired (MM/DD/YY):
Monthly Gross Income $
Other Income: $ per Month

Complete if current employment is less than 2 years:
Previous Employers Name:

Yrs Employed:

Joint Applicant:

Employer Name:

Employer Phone #:
Employer Address:


Department:
Supervisor:
Position:
Date Hired (MM/DD/YY):
Monthly Gross Income $
Other Income: $ per Month

Complete if current employment is less than 2 years:
Previous Employers Name:

Yrs Employed:

NOTE: Alimony, child support, or separate maintenance income need not be revealed if You do not choose to have it considered as a basis for this credit request.

5. Debts & Assets
Lender
Type
Balance
Min. Pmt.
$ .00
$ .00
Auto
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
Financial Institution
Type
Balance
$ .00
$ .00
$ .00
$ .00
$ .00
Have you ever filed for bankruptcy or had debt adjustment under Chapter 13?
   Are you a party in a lawsuit?
   Have you ever had property foreclosed or repossesion in the last 7 years?
   Is your income likely to decline in the next two years?
Are you co-maker/endorser on any loan not listed above?
   If yes then for whom?
   If yes then to whom?
6. References
Nearest Relative NOT Living with you:
  Name:
First: Middle: Last: Suffix:
   Home Phone Number: 555-555-5555
   What is their home address?
Street: City: State: Zip:
   What is the relationship?
My Preferred way to be contacted regarding this request:

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 and 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.

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.     

Submit Application