Your Choice FCU

Savings Lending Electronic Applications

Loan Application Membership Application

How to Apply
Complete all information. Incomplete applications will delay processing.

Fax proof of all income (pay stub, rental income, social security) to 814.946.4084

Optional insurance to cover balance of loan in the event of death or disability is available. Contact the credit union during business hours for quotes.

Repayment
Type of Application	Individual Joint
Purpose of loan
Amount Requesting
Name
Mother's Maiden Name
Account Number
Social Security	- -
Drivers License Number
Number of Dependants (Exclude Self)
Birthday	- -
Home Phone #	- -
Work Phone #	- -
Cell Phone #	- -
Email Address

Address

Own or Rent	Own Rent
Years There

Previous Address (If less than 5 years)

Own or Rent	Own Rent
Years There
Complete for joint credit, or secured credit	Married Separated Unmarried
Your Employer's Name

Employer's address

or shop Number

Supervisor
Occupation
Start Date
Gross Income
per	Week Month Year
# of hours worked per week
Other income
per	Week Month Year
Source

Previous Employer's Name & address if employed less than 5 years

Starting Date
Ending Date
Nearest relative not living with you?
Relationship
Home Phone	- -

Their address

Other Reference
Relationship
Home Phone	- -

Their address

Co-Signer - If Applicable

Name
Mother's Maiden Name
Account Number
Social Security	- -
Drivers License Number
Number of Dependants (Exclude Self)
Birthday	- -
Home Phone #	- -
Work Phone #	- -
Cell Phone #	- -
Email Address

Address

Own or Rent	Own Rent
Years There

Previous Address (If less than 5 years)

Own or Rent	Own Rent
Years There
Complete for joint credit, secured credit	Married Separated Unmarried
Your Employer's Name

Employer's address

or shop Number

Supervisor
Occupation
Start Date
Gross Income
per	Week Month Year
# of hours worked per week
Other income
per	Week Month Year
Source

Previous Employer's Name & address if employed less than 5 years

Starting Date
Ending Date
Nearest relative not living with you?

Relationship
Home Phone	- -

Their address

Other Reference
Relationship
Home Phone	- -

Their address

What You Owe	Creditor Name Other Than This Credit Union	Interest	Balance	Payment	Owed By
What You Owe	Creditor Name Other Than This Credit Union	Interest	Balance	Payment	Applicant	Other
Rent or First Mortgage
2nd Mortgage
1st Auto Loan
2nd Auto Loan
Child Care
Credit Card
Credit Card
Other
Other

What You Own	List Location of Property or Financial Institution	Market Value	Pledged as collateral		Owned By
What You Own	List Location of Property or Financial Institution	Market Value	Yes	No	Applicant	Other
Home
Auto
Savings
Checking
Other

Other Infomation About You

Applicant

Other

Yes

Are you a U.S. Citizen or Permanent Resident Alien?

Do you currently have any outstanding judgements or have you ever filed for bankruptcy, had a debt adjustment plan confirmed under chapter 13, had property foreclosed upon or repossessed in the last 7 years, or been a party in a lawsuit?

Is your income likely to decline in the new two years?

Are you a co-maker, co-signer, or guarantor on any loan not listed above?
For whom (Name of others obligated on loans)
To whom (Name of creditor)

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 immediatey. 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 recieved 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.

Do you agree with these conditions? Applicant

yes

Do you agree with these conditions? Co Signer (If Applicable)

yes

By submitting this application, I authorize Your Choice Federal Credit Union to verify my employment and payroll information.

Please fax completed application to 814-946-4084 or drop off to the Credit Union Office - 109 Keystone Street, Altoona, PA 16602