Home Equity Loan Application Note: A $75 processing fee applies when the loan is closed. * - REQUIRED Loan Information Home Equity 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: Provide proof of your ability to make the required payments; or 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. Loan Amount * Loan Purpose * Primary Applicant Information Personal Information Applicant 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 Applicant 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) Applicant 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 Applicant Employment & Income Employer Address City State Zip Code Job Title Supervisor Start Date Hours per Week Income per - Select - Hour Week Month Year Gross or net Gross Net Other Income per - Select - Week Month Year 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 Applicant Reference Nearest relative not living with you * Relationship * Address * City * State * Zip Code * Phone * Co-Applicant Information Personal Information Co-Applicant 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 Co-Applicant Current Residence Copy from Applicant Address * City * State * Zip Code * Do you own or rent? * Own Rent Length at Residence * Previous Residence (If less than five (5) years ago) Co-Applicant Previous Residence" (If less than five (5) years ago) Copy from Applicant Address City State Zip Code Did you own or rent? Own Rent Length at Residence Employment & Income Co-Applicant Employment & Income Employer Address City State Zip Code Job Title Supervisor Start Date Hours per Week Income per - Select - Hour Week Month Year Gross or net Gross Net Other Income per - Select - Week Month Year 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 Co-Applicant Reference Nearest relative not living with you * Relationship * Address * City * State * Zip Code * Phone * Current Debt Information Debt Monthly Payment Debt 1 Debt 1 Payment $ Debt 2 Debt 2 Payment $ × Debt 3 Debt 3 Payment $ × Debt 4 Debt 4 Payment $ × Debt 5 Debt 5 Payment $ × Add Another Debt Do you have any of the following? Bankrputcy✝ Collection Accounts✝ Past Due Accounts✝ Judgements✝ Tax Liens✝ 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 and Date Primary Applicant Signature * Date * Co-Applicant Signature and Date Joint Applicant Signature * Date * Please review your application carefully and verify all information is accurate before submitting. Submit Application Cancel Application Loan Information Primary Applicant Information Co-Applicant Information Current Debt Information Signature Submit Application
