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Type of Loan Applying For

Payment Protection Coverage

Check coverage(s) desired. The Credit Union will disclose the cost of this voluntary insurance to you. A separate enrollment form which discloses the terms and conditions must be signed for coverage to become effective.

Applicant Information

Please indicate your marital status if you are applying for joint credit, secured credit or if you live in a community property state:

Joint Applicant Information

Is there a joint applicant for this loan?

Employment Information

Joint Applicant Employment Information

No Joint Applicant Selected.



Submit Application

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 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 associated with permitting us to accept your facsimile signature. If there is a co-applicant on this loan application, the co-applicant has authorized submission of this application. Security on one loan is security on any monies owed to the Credit Union.

By pressing the “SUBMIT” button below, you agree to the above statement. You understand that we may require additional information to finalize our credit decision and your signature on additional documents prior to disbursing any credit proceeds.