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Loan Application

You must complete the Applicant section about yourself and the Other section about your spouse if:

1. you live in or the property pleged as collateral is located in a community property state (AK,AZ,CA,ID,LA,NM,NV,TX,WA,WI)

2. your spouse will use the account, or

3. you are relying on your spouse's income as a basis for repayment. If you are relying on income from alimony, child support, or seperate maintenance, complete the Other section to the extent possible about the person on whose payments you are relying.

Joint Credit: Each Applicant must individually complete the appropriate section below. If Co-Borrower is spouse of the applicant, mark the Co-Applicant box.

Guarantor: Complete the Other section if you are a guarantor on an account/loan.

GENERAL INFORMATION

PAYMENT PROTECTION Are you interested in having your loan protected? If you answer "yes", the credit union will disclose the cost to protect your loan. The protection is voluntary and does not affect your loan approval. In order for your loan to be covered, you will need to sign a seperate application that explains the terms and conditions.

PAYMENT PROTECTION*
ACCOUNT/LOAN*
REPAYMENT*
COMPLETE FOR JOINT, SECURED CREDIT, OR IF YOU LIVE IN A COMMUNITY PROPERTY STATE

APPLICANT

APPLICANT*
Birth Date*

CO-APPLICANT

APPLICANT*
Birth Date*

EMPLOYMENT / INCOME

Start Date*

NOTICE: ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED IF YOU DO NOT CHOOSE TO HAVE IT CONSIDERED.

EMPLOYMENT INCOME*
MILITARY: IS DUTY STATION TRANSFER EXPECTED DURING THE NEXT YEAR?
NAME OF NEAREST RELATIVE NOT LIVING WITH YOU*
NAME OF NEAREST RELATIVE NOT LIVING WITH YOU*

CO-APPLICANT EMPLOYMENT / INCOME

Start Date*

NOTICE: ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED IF YOU DO NOT CHOOSE TO HAVE IT CONSIDERED.

EMPLOYMENT INCOME*
MILITARY: IS DUTY STATION TRANSFER EXPECTED DURING THE NEXT YEAR?
NAME OF NEREST RELATIVE NOT LIVING WITH YOU*
NAME OF NEAREST RELATIVE NOT LIVING WITH YOU*

WHAT YOU OWE

Additional Information

How would you prefer to be contacted?

SIGNATURES

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.

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