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Israel Methcomm Federal Credit Union
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Credit Union Membership
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Credit Union Membership
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Application for Credit Union Loan
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Please Select Account Type
Regular Savings
Auto Loan
Home Improvement Loans
Personal Loan
Short Term Loan
Personal Information
Name
Home Phone
Email
Last four digits of SSN
Address
City
State
Zip
Date of Birth
No. of Dependents
Marital Status (complete only if loan is for secured credit)
Unmarried
Married
Separated
Are you liable for alimony, child support or separate maintenance payments?
Yes
No
Amount per month
Are you relying on income from another person to repay this loan?
Yes
No
If yes, Name
Are you a comaker on any other loans?
Yes
No
If yes, for whom
Loan Amount Requested
Repayment Term
Weekly
Bi-Weekly
Monthly
Semi-Monthly
Repayment Amount
Interest
Including Interest
Plus Interest
I desire this loan for the following purpose (explain fully):
Have you even been through bankruptcy less than 10 years ago?
Yes
No
Have you any Judgments, Garnishments or Legal Proceedings against you?
Yes
No
Please Explain Fully
Length of time at present address
List of all addresses for past 5 years:
Bank Reference
Checking
Savings
You need NOT disclose the following sources of income; but if you want the credit union to consider such income in connection with this loan application, please complete the following:
Collateral Offered
Shares
Automobile
Other
Owners' Names
Amount of Shares Pledged
Description of Auto
Auto Owned
Make
Year
2nd Auto Owned
Make
Year
Drivers License No.
Reasonable Market Value of Real Estate Owned
Date of Birth
No. of Dependents
Employment Details
Employer
Address
Position
Date Employed
Monthly Income (after taxes)
Other personal income (do NOT include alimony, child support or separate maintenance payments)
Alimony
Child Support
Installment Amounts
Separate Maintenance
Person Liable
To Whom Owed
Purpose
Name & Address
Date Of Load
Original Amount
Present Balance
Monthly Payment
Totals
CO-MAKER'S STATEMENT
To the ------Credit Union
Date
Having read the foregoing application for a personal loan and being willing to become a co-maker with ------- for the desired loan I will sign the note which will evidence the loan if granted I fully understand the responsibility which is assumned by signing the note
Present Address
How Long
Tel. No.
Former Address
No. of dependents
Employer's name
Address
Tel. No.
Type of business
Number of years with employer
Position occupied
Name and title of superior
Income: Salary, wages, or commisions per month $
Other personal income (do NOT include alimony, chiild support or separate maintenance payment) $
You need NOT disclose the following sources of income; but if you want the credit union to consider such income in connection with this loan application.please complete the following:
Alimony $
Child Support $
Separate Maintenance $
Person Liable $
Person Reference
Address
Personal Bank Account:
Commercial
Amount $
Savings
Amount $
Name of Bank
Address
Real Estate - Location and description:
Title in name of
Purchase price
Balance of Mortgage
Monthly Payment
How long have you known applicant?
Are you the spouse of the applicant?
Yes
No
Are you a co-maker on other loans?
Yes
No
Amount $
Total outstanding debts (except mortgage) $
Monthly payment on debts $
Date of Birth
I certify the above information is true and correct
Signature of Co-Maker
❌
Social Security No.
Submit Application