LOAN APPLICATION FORM

 

We invite members to use the Application below. Just complete the areas that apply and follow the instructions. When finished, click the I Agree button to send the Application to the Credit Union for processing. If you have specific comments or questions please use the box provided.

 

What's your next step? Print the Loan Application and the Disclosures. Please read and retain this material for your records. 

 

Several other methods exist for members to apply for a loan. Our Service Centers have Loan and Visa Applications. You may also E-mail us on our Contact Us page and ask for an application to be mailed or faxed to you.

 

Your application will be processed within 1-2 business days. After your application is processed you will receive a response by E-mail, or by phone, which ever you request. If your request is approved, you must sign for your loan by mail or in person.

Required fields are marked with an asterisk (*)

Member Number 

  Leave Blank if not a member. 

$ Loan Amount*

Months to Repay*

Type of Loan*

Reason for loan*

 

Description of Auto/ Motorcycle

(Please provide the following information ONLY for Auto/ Motorcycle loans)

Year

Make

Model

Mileage

Options

Selling Price

Seller

Refinance

Yes No

If trading in an auto, Please list Year, Make, Model and Financial Institution if currently financed.

 

Payment Method:

Auto Pay from NETFCU Account

Bill Me Monthly (all rates 1% higher)

Please Check One:

Individual Application

 

Joint Application (Co-Applicant info req'd)


Applicant

First Name*

Middle Initial *

Last Name*

Address* 

City*

State/Province*

ZIP/Postal Code*
 

Social Security Number*
- -

Date of Birth*
 

Home Phone*
 

Cell Phone 

Home E-mail*


Drivers License

Number

 

State 

 

Do you*

Years at Current Address:

Co-Applicant

First Name *

Middle Initial *

Last Name *

Address *

City *

State/Province * 

ZIP/Postal Code  *
 

Social Security Number  *
- -

Date of Birth  *
 

Home Phone  *
 

Cell Phone 

Home E-mail * 


Drivers License

Number

 

State 

 

Do you

Years at Current Address:






Income and Employment Information ( All income needs to be verified)

Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying the obligation.


Applicant

Gross Annual Income*
$

Source of Other Income (Not Spouse)


$
other annual income


Applicant

Employer Name*

Address*

City*

State*

Work Phone 

Work E-mail

Position* 

Start Date* 

Co-Applicant

Gross Annual Income
$

Source of Other Income


$
other annual income


Co-Applicant

Employer Name *

Address  *

City *

State *

Work Phone

Work E-mail 

Position *

Start Date  *


If less than 2 years at current employer, please list previous employment information in the "Other Information" box at bottom of application.



Outstanding Debts

In addition to rent or mortgage, list all Applicant and Co-Applicant debts (for example, auto loans, credit cards, second mortgage, home association dues, child care, IRS liabilities, etc.) Please use a separate line for each credit card and auto loan.

Please check the box to the right of the items below which will be paid off with your loan request.

Landlord's Name /Mortgage  

Monthly Payment*

Balance if Mortgage

$

$

Creditor's Name

Monthly Payment

Balance

$

$

$

$

$

$

$

$

$

$




Personal References
Nearest Relative not residing with you:

Name*

Street*

City*

State*

Zip Code*

Phone No.

Relationship*


Personal Reference:

Name

Address

City

State

Zip Code

Phone No.

Relationship

Have you ever filed a Bankruptcy petition?*
Yes No        Year
Explain

Are you presently employed and able to perform the regular duties your employment?*
Yes No
Are you liable for alimony, child support, or maintenance payments?
*
Yes No        Amount Per Week $

Best Way to contact you M -F 9am - 5pm.

Home Phone

Cell Phone

Work Phone

Home Email

Work Email

Loan & Visa Account Acknowledgment

By clicking [I Agree] below, I/we agree to the following: I/we certify that the information on this Loan Application is complete, true and submitted for the purpose of obtaining the accounts and services requested. You agree: (a) that the Credit Union can use credit reporting agencies or otherwise verify the information on this Loan Application for the purpose of extending credit or services to you or reviewing or collecting a credit account of yours; (b) that the Credit Union can tell others about its credit experience with you and obtain information from others about your credit history and financial performance; and (c) that the Credit Union may request updated financial information from time to time, that the Credit Union will record such information if it is not given in writing and that the Credit Union will rely on such information as if it were included in this application. You agree that your account will be subject to the terms and conditions of the Loan Liner Note, Security Agreement and Disclosure Statement. If a credit card is issued to you and you use the card (or its account number) or authorize its use, you agree that such will constitute your agreement to the terms of the cardholder agreement that you receive from the credit union. You grant us a security interest in all of your Credit Union shares in account number above to secure your obligation.

 

 

Other Information:


VISA ACCOUNT DISCLOSURE

Annual Percentage Rates for purchases

Grace period for repayment of balances for purchases

Method of computing the balance for purchases

Minimum finance charge

Annual fee

Other fees

As low as 9.99%

APR. Visa Platinum with Award Points -----------

As low as 8.99% APR. Visa Platinum No Award Points

25 Days

Average daily balance(including new purchases)

Zero

None

Over limit fee: $10
Late fee: 10% of past due amount or $10, whichever is less

 

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