CREDIT APPLICATION

Please Choose the Paragraph that Applies: *

This is our joint application (both spouses sign) for credit as a debt of the marital community, based upon the creditworthiness of that community. (If this box is checked, supply all information required)
This is my individual application for credit as a debt of the marital community, based upon the creditworthiness of that community. (If this box is checked, supply all information required.
This is an application for individual credit as my sole and separate debt. (Your application will be evaluated without regard to the assets, income or creditworthiness of your spouse or the marital community.) If this box is checked, give marital status and no other information regarding your spouse (if any) List all debts for which you are obligated by your signed promise to pay and list all your sole and separate assets and income.

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Are You A Member of Banner Federal Credit Union? *

Yes
No

TYPE OF CREDIT YOU ARE APPLYING FOR

Type of Loan *

Amount/Credit Limit Requested *

Term in Months

Selected Value: 12

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PRIMARY APPLICANT

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

How long have you been at your current address? *

Email *

Mobile Phone *

Preferred Method of Contact *

Date of Birth *

Social Security Number *

Driver's License

PRIMARY APPLICANT

DEBT

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Do you own or rent? *

Own
Rent

Who is your current mortgage company or rent owed to? *

What is your monthly payment? *

INCOME

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Employer *

Job Title *

What is your gross annual income? *

Before taxes and deductions

Employer's Phone Number *

Length of Time with Employer *

Do you have another source of income?

Yes
No

Other Income: (Notice: Alimony, child support or separate maintenance income need not be revealed if you do not have it considered as a basis for repaying this obligation.)

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REFERENCES

Please provide two references.

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Reference 1 Name *

First

Last

Reference 1 Phone Number *

Reference 1 Address *

Address Line 1

Address Line 2

City

State

Zip Code

Reference 2 Name *

First

Last

Reference 2 Phone Number *

Reference 2 Address *

Address Line 1

Address Line 2

City

State

Zip Code

Do you have a co-applicant? *

Yes
No

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CO-APPLICANTS INCOME

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CO-APPLICANTS ADDITIONAL INCOME

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CO-APPLICANTS REFERNCES

Please list two references.

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Please provide additional information if available, that may assist in Our loan decision.

Explanation, vehicle make and model, etc

You promise that everything you have stated in this request is correct to the best of your knowledge. If there are any important changes, you will notify us in writing immediately. You also agree to notify us of any change in your name, address or employment within a reasonable time thereafter. You authorize the credit union to obtain credit reports in connection with this request. 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. You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on requests made to Federal Credit Unions or State Chartered Credit Unions insured by the NCUA. You understand that the credit union will rely on the information in the request and your credit report to make its decision. By signing below, you agree to the terms of the loans Agreement, and you agree to pay all charges incurred in accordance with the terms of that Agreement.

CREDIT APPLICATION

TYPE OF CREDIT YOU ARE APPLYING FOR

PRIMARY APPLICANT

PRIMARY APPLICANT

DEBT

INCOME

REFERENCES

CO-APPLICANT INFORMATION

CO-APPLICANTS DEBT

CO-APPLICANTS INCOME

CO-APPLICANTS ADDITIONAL INCOME

CO-APPLICANTS REFERNCES

Service

Personal

Membership