Consumer Loan Application - Bridge Credit Union

Loan Information

Consumer Loan Application Account Type *

Individual Joint (Spouse, RDP, Co-Applicant) Co-Signer

NOTICE:

If you have a spouse or registered domestic partner ("RDP")*, your spouse or RDP should not sign this application unless he/she wishes to be obligated in this Loan as a Co-Borrower. If you have a spouse/RDP, you may still apply for individual credit. However, if you live in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI), you are encouraged to consult with your own financial or legal advisor to ascertain whether community property assets may be at risk in the event of default.
If you are under 21 years of age, and are applying for a credit card, you must either:
1. Provide proof of your ability to make the required payments; or
2. Complete the Co-Applicant section and obtain the signature of a co-signer or joint applicant who is at least 21 years of age and has the means to repay the debt and agrees to joint liability

* Refers to RDP's in a state with RDP laws that provide for community property rights that mirror those of a spouse.

Consumer Loan Type *

Signature Loan Secured Loan

Loan Amount *

Loan Purpose *

Primary Applicant Information

Personal Information

First Name *

MI

Last Name *

Date of Birth *

SSN *

Driver's Lic. State/No. *

Email *

Home Phone

Mobile Phone

Work Phone

Marital Status

Complete for joint credit, secured credit, or if you live in a community property state.

N/A Married Separated Unmarried (Single, Divorced, Widowed)

Current Residence

Address *

City *

State *

Zip Code *

Do you own or rent? *

Own Rent

Length at Residence *

Previous Residence (If less than five (5) years ago)

Address

City

State

Zip Code

Did you own or rent?

Own Rent

Length at Residence

Employment & Income

Employer

Address

City

State

Zip Code

Job Title

Supervisor

Start Date

Hours per Week

Income

per

Gross or net

Gross Net

Other Income

per

Other Income Source

You need not list income from alimony, child support, or separate maintenance unless you wish it considered for purpose of granting this credit.

Reference

Nearest relative not living with you *

Relationship *

Address *

City *

State *

Zip Code *

Phone *

Co-Applicant Information

Personal Information

First Name *

MI

Last Name *

Date of Birth *

SSN *

Driver's Lic. State/No. *

Email

Home Phone

Mobile Phone

Work Phone

Marital Status

Complete for joint credit, secured credit, or if you live in a community property state.

N/A Married Separated Unmarried (Single, Divorced, Widowed)

Current Residence

Address *

City *

State *

Zip Code *

Do you own or rent? *

Own Rent

Length at Residence *

Previous Residence (If less than five (5) years ago)

Address

City

State

Zip Code

Did you own or rent?

Own Rent

Length at Residence

Employment & Income

Employer

Address

City

State

Zip Code

Job Title

Supervisor

Start Date

Hours per Week

Income

per

Gross or net

Gross Net

Other Income

per

Other Income Source

You need not list income from alimony, child support, or separate maintenance unless you wish it considered for purpose of granting this credit.

Reference

Nearest relative not living with you *

Relationship *

Address *

City *

State *

Zip Code *

Phone *

Current Debt Information

Debt

Monthly Payment

$

Credit in other name(s)^✝

^✝ Furnish written explanation or documentation.

Signature

You promise that everything you have stated in this application is correct to the best of your knowledge and that the above information is a complete listing of what you owe. If there are any important changes, you will notify us in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, increase, renewal, extension, or collection of the credit received. You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. 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. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federal credit unions or state chartered credit unions insured by NCUA.

Typing your name(s) into the signature field(s) below will constitute an electronic signature.

Primary Applicant Signature *

Date *

Joint Applicant Signature *

Date *