LOAN APPLICATION

Type of loan requested:

Purpose of loan(REQUIRED): Amount requested: $

Terms:   Other Method of: Payment

First Mortgage (up to 15 years)   Second Mortgage (up to 10 years)
 
APPLICATION INFORMATION (Non-Refundable Processing Fee:$7.50 Attach current pay stub.)
NAME SOCIAL SECURITY DATE OF BIRTH
ADDRESS CITY STATE ZIP
HOME TELEPHONE NO. WORK TELEPHONE NO. EMAIL
EMPLOYER POSITION DATE HIRED
ADDRESS CITY STATE ZIP
PREVIOUS EMPLOYER  EMPLOYED FROM TO
GROSS MONTHLY SALARY*  $ OTHER PERSONAL INCOME*  $
* Please Fax Paystub to 215-788-0662
HOW ARE YOU PAID?
If you are applying for joint credit or live in a community property state ( AZ, CA, ID, LA, NM, TX, WA or WI),
please complete the following:
HAVE PAST OR PRESENT SUITS, JUDGEMENTS, REPOSESSIONS, BANKRUPTCY, OR GARNISHMENTS.
(If yes give details on separate sheet.)
PERSONAL REFERENCE (Not at the same address.)
NAME RELATIONSHIP
ADDRESS     CITY     STATE     ZIP  
HOME TELEPHONE NO.
*Income from alimony, child support and maintenance payments need not be disclosed if applicant does not want the credit union to consider it in determining the applicant’s credit
CO-SIGNER/GUARANTOR INFORMATION* (Optional)
*JOINT CREDIT: If you are applying for Joint Credit, please have your co-signer complete this section and if employed, attach a recent pay stub.
NAME SOCIAL SECURITY DATE OF BIRTH
ADDRESS     CITY     STATE   ZIP  
HOME TELEPHONE NO. WORK TELEPHONE NO.
EMPLOYER POSITION DATE HIRED
ADDRESS   CITY     STATE     ZIP 
PREVIOUS EMPLOYER    EMPLOYED FROM   TO  
GROSS MONTHLY SALARY* $ OTHER PERSONAL INCOME* $
* Please Fax Paystub to 215-788-0662
HOW ARE YOU PAID?
*Income from alimony, child support and maintenance payments need not be disclosed if applicant does not want the credit union to consider it in determining the applicant’s credit
FINANCIAL INFORMATION
REGARDING YOUR HOME,
DO YOU: MONTHLY PAYMENT $ PRESENT VALUE OF YOUR HOME $
CURRENT MORTGAGE BALANCE $ JOINTLY OWNED  
IF YES, WITH WHOM?
CHECKING ACCOUNT BANK ACCOUNT NO.
SAVINGS ACCOUNT BANK ACCOUNT NO.
VEHICLE MAKE YEAR MODEL VIN NO.
CREDITORS (List all debts. Use an additional sheet if necessary) - I AM INDEBTED TO THE FOLLOWING CREDITORS AS LISTED BELOW:
  • Name:   Monthly Payment: $
  • Name:   Monthly Payment: $
  • Name:   Monthly Payment: $
  • Name:   Monthly Payment: $
     


By submitting this application, you warrant the truth of the above information and you realize that it will be relied upon by us in deciding whether or not to grant the loan applied for. You hereby authorize us, our employees, and our agents to verify any information provided to us by you.

Please let us know how you would prefer that we contact you