Secure Loan Application
6620 W Broad St BLDG 2, Richmond, VA 23230
Phone: (804) 281-6441  •   Fax: (804) 281-6274


Married applicants may apply for a separate account. If you are applying for Individual Credit, you must complete the Applicant section about yourself and the Joint Applicant section about your spouse if:

  • Your spouse will use the account, or
  • You are relying on your spouse's income as a basis for repayment.

If you are applying for Joint Credit with another person, complete the Applicant and Joint Applicant sections.

1. Member Number

You must be a RESOURCES Federal Credit Union member to apply for a loan.
 
2 .Type And Amount Of Credit You're Requesting
2.1 - Is this your first loan from us? Yes No
2.2 - Amount/Credit Limit Requested: $
2.3 - Approximate Time to Repay: How Many: Periods:
2.4 - Loan Type:
2.5 - Purpose of loan:
2.6 - Security Offered: (for secured credit only)
2.7 - Are you submitting individually or jointly?
 
3. Payment Protection Coverage
Check If Desired

Find out more about Payment Protection Insurance and why it's a better consumer value when offered through your credit union.

Check coverage(s) desired. We will disclose the cost of this Payment Protection Insurance - Credit Disability and Credit Life - to you. A separate enrollment form which discloses the terms and conditions must be signed for coverage to become effective.

Yes - Do you want your loan protected for you and your family if you become disabled?
No

 
4. Primary Applicant
4.1 - Name:
First: Middle: Last: Suffix:
4.2 - Social Security Number:

555-55-5555
  4.3 - Date of birth:

mm/dd/yy
4.4 - What is your e-mail address?
(Re-enter your e-mail address)
4.5 - Home Phone Number:
555-555-5555
4.6 - What is your home address?
Street: City: State: Zip:
4.7 - Rent/Own/Buying:
   5.7a - Payment Amount:
4.8 - Time at residence:
4.9 - Previous address (if less than 2 years at current residence):
Street: City: State: Zip:
If Applying For An Individual Loan Click Here

5. Joint Applicant
5.1 - Joint Applicant Type:   
5.2 - Name:
First: Middle: Last: Suffix:
5.3 - Social Security Number:

555-55-5555
5.4 - Date of birth:

mm/dd/yy
5.5 - What is your e-mail address?
(Re-enter your e-mail address)
5.6 - Home Phone Number:
555-555-5555
5.7 - What is your home address?
Street: City: State: Zip:
5.8 - Rent/Own/Buying:
   5.8a - Payment Amount:
5.9 - Time at residence:
5.10 - Previous address (if less than 2 years at current residence):
Street: City: State: Zip:
 
6. Employment Information - Applicant
6.1 - Current employer:
6.2 - Title or position:
6.3 - Are you self employed?
  6.3a - Type of Business
6.4 - Business phone number:
ext.
555-555-5555
6.5 - Date Started Position:
mm/dd/yy
(You do not need to provide information about alimony, child support, separate maintenance or other sources of income if you do not wish to have them considered as income.)
6.6 - Salary: $ .00
6.7 - How many hours are you scheduled to work a week?
Previous employer if less than 2 years:
6.8 - Name:
6.9 - Phone:
ext.
555-555-5555
6.10 - Other income: $ .00
  6.10a - Source of income:
If Applying For An Individual Loan Click Here

7. Employment Information - Joint Applicant
7.1 - Current employer:
7.2 - Title or position:
7.3 - Are you self employed?
  7.3a - Type of Business:
7.4 - Business phone number:
ext.
555-555-5555
7.5 - Date Started Position:
mm/dd/yy
(You do not need to provide information about alimony, child support, separate maintenance or other sources of income if you do not wish to have them considered as income.)
7.6 - Salary: $ .00
7.7 - How many hours are you scheduled to work a week?
Previous employer if less than 2 years:
7.8 - Name:
7.9 - Phone:
ext.
555-555-5555
7.10 - Other income: $ .00
  7.10a - Source of income:
 
8. Debts & Assets
8.1 - Please tell us about your assets:
  8.1a - List Financial Institutions, Savings & Checking:

8.2 - Please tell us about your debts:
Lender
Type
Balance
Min. Pmt.
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
$ .00
8.3 - Have you ever filed for bankruptcy?
  8.3a - Has this bankruptcy been discharged over four years ago?
  8.3b - (If less than four years) What year was the bankruptcy discharged?
8.4 - Are you co-maker/endorser on any loan not listed above?
  8.4a - If yes then for whom?
  8.4b - If yes then to whom?
8.5 - Are you a U.S. citizen or permanent resident alien?
 
9. References
9.1 - Nearest Relative NOT Living with you:
  9.1a - Name:
First: Middle: Last: Suffix:
  9.1b - Home Phone Number:
555-555-5555
  9.1c - What is their home address?
Street: City: State: Zip:
  9.1d - What is the relationship?

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.

Note: A current wage stub showing year-to-date information, or other income documentation will be required for loan processing. Please fax this to (804) 281-6274 after submitting your loan application.

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