Secure Loan Application

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Please Enter your Email Address:

Married Separated Unmarried (Single, Divorced, Widowed)

Type of Loan Applied For:
Vehicle Loan Motorcycle/ATV VISA Credit Card
RV/Travel Trailer/Camper Unsecured Loan Other:

Amount applied for: $
Purpose: New Purchase Used Purchase Refinance Other
Desired Length of Repayment: 2 Years 3 Years 4 Years 5 Years 6 Years
7 Years
(5 years, 6 years & 7 years are for vehicle loans only)

Method of Payment:
Cash Payroll Deduction Automatic Transfer from Shares Drafts

Payment Protection Plan:
Would you like to purchase Credit Life Insurance
Single Credit Life (Only Available for Applicant)( Approximately $.80 per $1,000)
Joint Credit Life (Approximately $1.32 per $1,000)
None

Would you like to purchase Credit Disability Insurance (Approximately $3.03 per $1,000)
Yes (Primary Member Only)
None


Applicant:

Name:
Account #:
Drivers License #:
Social Security #:
Birthdate (MM/DD/YY):
Home Phone #:
Cell Phone #:
Present Address:
Street:
City:
State & Zip:

Personal Reference NOT Living with you:
Name:
Address:
Phone:


 

Joint Applicant:

Spouse Other
Name:
Account #:
Drivers License #:
Social Security #:
Birthdate (MM/DD/YY):
Home Phone #:
Cell Phone #:
Present Address:
Street:
City:
State & Zip:

Personal Reference NOT Living with you:
Name:
Address:
Phone:


 
Employment and Income: In order to expedite the processing of your loan application, please fax your last pay stub to 208-365-6389, Attention Loan Department. If self-employed a current profit & loss statement and a copy of the past year’s tax returns are needed.
Employer Name:

Employer Phone #:
City of Employer:

Position:
Date of Employment(mm/dd/yy):
Monthly Gross Income: $
Other Income: $ per Month
Employer Name:

Employer Phone #:
City of Employer:

Position:
Date of Employment (mm/dd/yy):
Monthly Gross Income: $
Other Income: $ per Month

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

Years Employed:

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

Years Employed:

Credit Information
Please list all open Accounts with a balance.
Applicant
Creditor Monthly
Payment
Balance
Housing
Rent Own None
Joint Applicant
Creditor Monthly
Payment
Balance
Housing
Rent Own None

Assets and Deposits:
Type
Bank (or Other Name,Address)
Account #
Interest Rate
Approx Bal.
Checking
Savings
Other
Car 1-YR Make  Model
Balance Owed
Car 2-YR Make  Model
Balance Owed
Real Estate Owned
Purchase Price
Approx Value

These questions must be answered. If any answers are a yes, please explain:

1. Are there any outstanding legal judgments and/or collections against you? Yes No

2. Have you ever any had personal property repossessed and/or foreclosed? Yes  No

3. Have you ever filed for bankruptcy? Yes No
               If yes:   Chapter 7 Chapter 13

4. Are you a party in a lawsuit? Yes No

5. Do you have other obligations such as child support, alimony, or similar Liabilities? Yes No

Explanation:



6. Are you a cosigner or a guarantor on any loan not listed above? Yes No

Explanation:



VISA Credit Card Disclosure
Annual
Percentage
Rate
Grace period Method of
Computing
the Balance
Annual Fee Minimum
Finance
Charge
Transaction
Fee for
Purchases
Other Charges

Classic 14.90% (Periodic rate used to compute the Finance Charge is 1.2317% per month.)

Purchases-25 days Cash Advances accrue interest from the date they are posted to the account. Average Daily Balance Method (including new purchases).
NONE
NONE
NONE

Over-the-Credit-Limit Fee - $15.00

Late Payment Fee - $15.00

Replacement Card Fee - $3.00

Returned Check Fee - $15.00

Cash Advance from ATM Fee- $1.00

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.

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.

 


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