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Loan Application

* Required Fields

Name:

Best Phone # To Reach You:

Best Time to Call You:

Purpose of Loan:

Amount Requested:

Down Payment:

Term (Months):

Application Type:

Individual

Joint

Please Tell Us About Yourself (Primary Borrower)

ABD FCU Account Number:

Full Name:

Birth Date:

Social Security Number:

Marital Status:

Single

Married

Widowed

Divorced

Number of Dependents:

Address (Primary Borrower)

Street Address:

City:

State:

Zip Code:

Years There:

Do you...:

Own

Rent

Buying

Home Value (if owned):

If you have been at your current address for less than 2 years, please provide information about your previous residence.

Previous Address:

City:

State:

Zip Code:

Years there:

Did you...:

Own

Rent

Contact Information (Primary Borrower)

Home Phone:

Work Phone:

Cell Phone:

Fax Number:

Email:

Assets (Primary Borrower)

Your Vehicle 1

Make:

Model:

Year:

Your Vehicle 2

Make:

Model:

Year:

Other Assets

Other Properties Owned:

Other Checking Acct - Bank Name:

Other Savings Acct - Bank Name:

Employment Information (Primary Borrower)

Current Employer's Name:

Address:

City:

State:

Zip Code:

Phone:

Position:

Supervisor:

Years there:

Income:

If you have been with your current employer less than two years, please provide information on your previous employer.

Previous Employer's Name:

Address:

City:

State:

Zip Code:

Phone:

Position:

Supervisor:

Years there:

Income:

Other Income: Monthly dollar amount that you recieve in alimony, child support, or separate maintenance - this income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Other Income:

Source:

Relatives (Primary Borrower)

Please list two of your nearest relatives who are not living with you.

Full Name - Relative 1:

Home Address:

City, State & Zip Code:

Primary Phone:

Relationship:

Full Name - Relative 2:

Home Address:

City, State & Zip:

Primary Phone:

Relationship:

Statement of Total Indebtedness and Liabilities (Primary Borrower)

Mortgage or Rent

Owed To:

Balance Owed:

Monthly Payment:

Landlord's Address:

Landlord's Phone:

Auto Loan 1

Owed To:

Balance Owed:

Monthly Payment:

Auto Loan 2

Owed To:

Balance Owed:

Monthly Payment:

Credit Union

Owed To:

Balance Owed:

Monthly Payment:

Bank

Owed To:

Balance Owed:

Monthly Payment:

Credit Card 1

Owed To:

Balance Owed:

Monthly Payment:

Credit Card 2

Owed To:

Balance Owed:

Monthly Payment:

Other

Owed To:

Balance Owed:

Monthly Payment:

Child Support / Alimony / Separate Maintenance

Owed To:

Balance Owed:

Monthly Payment:

Please tell us about yourself (Secondary Borrower)

ABD FCU Account Number:

Full Name:

Birth Date:

Social Security Number:

Marital Status:

Single

Married

Widowed

Divorced

Number of Dependents:

Address (Secondary Borrower)

Same as Primary Borrower:

Check here if you address is the same as the Primary Borrower

Street Address:

City:

State:

Zip Code:

Years there:

Do you...:

Own

Rent

Buying

Home Value (if owned):

If the Secondary Borrower has been at the current address for less than 2 years, and if the Secondary Borrower's previous address is different from the Primary Borrower's please provide information about the Secondary Borrower's previous residence.

Previous Address:

City:

State:

Zip Code:

Years there:

Did you...:

Own

Rent

Contact Information (Secondary Borrower)

Home Phone:

Work Phone:

Cell Phone:

Fax Number:

Email:

Assets (Secondary Borrower)

Your Vehicle 1

Make:

Model:

Year:

Your Vehicle 2

Make:

Model:

Year:

Other Assets

Other Properties Owned:

Other Checking Acct - Bank Name:

Other Savings Acct - Bank Name:

Employment Information (Secondary Borrower)

Current Employer:

Address:

City:

State:

Zip Code:

Phone:

Position:

Supervisor:

Years there:

Income:

If the Secondary borrower has been with the current employer for less than 2 years please provide information on the Secondary Borrower's previous employer.

Previous Employer:

Address:

City:

State:

Zip Code:

Phone:

Position:

Supervisor:

Years there:

Income:

Other Income: Monthly dollar amount that the Secondary Borrower recieves in alimony, child support, or separate maintenance - this income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Other Income:

Source:

Relatives (Secondary Borrower)

Please list two of your nearest relatives who are not living with you.

Full Name - Relative 1:

Home Address:

City, State & Zip Code:

Primary Phone:

Relationship:

Full Name - Relative 2:

Home Address:

City, State & Zip Code:

Primary Phone:

Relationship:

Statement of Total Indebtedness (Secondary Borrower)

Mortgage or Rent

Owed To:

Balance Owed:

Monthly Payment:

Auto Loan 1

Owed To:

Balance Owed:

Monthly Payment:

Auto Loan 2

Owed To:

Balance Owed:

Monthly Payment:

Credit Union

Owed To:

Balance Owed:

Monthly Payment:

Bank

Owed To:

Balance Owed:

Monthly Payment:

Credit Card 1

Owed To:

Balance Owed:

Monthly Payment:

Credit Card 2

Owed To:

Balance Owed:

Monthly Payment:

Other

Owed To:

Balance Owed:

Monthly Payment:

Child Support / Alimony / Separate Maintenance

Owed To:

Balance Owed:

Monthly Payment:

Disclaimer

Security Code:

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This Credit Union is federally-insured by the National Credit Union Administration. We do business in accordance with the Fair Housing Law and Equal Opportunity Credit Act.