In addition to Rent/Mortgage, list all
other debts (for example, auto loans, credit cards, second mortgage,
home association dues, alimony, child support, child care, medical
utilities, auto insurance, IRS liabilities, etc.). Please use a
separate line for each credit card and auto loan.
Please note: Income verification
is required; other information may be required. Acceptance maybe
subject to verification of identity.
Alimony, child support, or separate
maintenance income need not be listed unless you choose to have such
income considered regarding extension and repayment of the credit
You promise that everything you have stated in this request is correct
to the best of your knowledge. If there are any important changes, you
will notify us in writing immediately. You also agree to notify us of
any change in your name, address or employment within a reasonable
time thereafter. You authorize the credit union to obtain credit
reports in connection with this request. If you request, the credit
union will tell you the name and address of any credit bureau from
which it received a credit report on you. You understand that it is a
federal crime to willfully and deliberately provide incomplete or
incorrect information on requests made to Federal Credit Unions or
State Chartered Credit Unions insured by the NCUA. You understand that
the credit union will rely on the information in the request and your
credit report to make its decision.
Your loan request will be reviewed as quickly
as possible. A loan officer will contact you shortly.
By submitting this loan request, you agree that the information is
correct to the best of your knowledge and to all terms defined in the
disclosure information above. You also agree to notify us of any
changes to your name, address or employment.