Type of Loan Personal Loan Residential Real Estate Loan New CarUsed Car Boat Share Secured Loan
Amount Requested $
Length of Loan (months)
If Applicable, Down Payment $
If Signature Loan, Loan Purpose
If Loan Purpose "Other", describe
Marital Status Married Unmarried Separated
Member Account Number
Last Name
First Name
Middle Initial
Social Security #
Date of Birth
Home Address
Unit/Apt #
City
State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code
Years at Current Address
Home Phone
Employer
Title/Position
Work Phone
Ext
Years on Job
Years in Occupation
Gross Hourly Bi-weekly Monthly Annually
Other Hourly Bi-weekly Monthly Annually
Wage Earner Yes No
Social Security Number
Address Same as Primary
Unit/Apt. #
Own Rent: Rental Payment $ Live with Parents
First Mortgage Balance $ Payment Amount $
Second Mortgage Balance $ Payment Amount $
Have you ever had a Repossession? No Yes If Yes, please place comments below:
Have you ever filed bankruptcy? No Yes If Yes, please place comments below:
Are you a co-signor on any other loan? No Yes If Yes, please place comments below:
Are there any judgements or liens against you? No Yes If Yes, please place comments below:
Are there any support or maintenance awards? No Yes If Yes, please place comments below:
Are you a citizen? Yes No
I understand the credit union will rely on the information in this application and in my credit report to make its decision. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on any loan application made to a federal credit union or state chartered credit union insured by the National Credit Union Administration (NCUA). CARFCU is a federal credit union.
Best place to contact me: Home Work
Best time to contact me:
Misc. Comments
If you have any questions regarding your application, please contact us at (240) 314-0734