Apply for a Loan

Type and Amount of Credit You Are Requesting

Amount / Credit Limit Requested:

Length of Repayment:

Length of Loan:
---YearsMonthsWeeksDays

Loan Type:*
---New AutoUsed AutoRefinanceLine of CreditPersonal LoanDebt ConsolidationMotorcycleRV / Boats / ATVs

Type of Credit:
IndividualCo-applicant

Preferred Email:*

* = required

Applicant Information

Choose the paragraph that applies:*

1: 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)2: 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.)3: 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.

First Name:*

Last Name:*

Birth date:*

Are you a member of Banner FCU?:*
YesNo

If yes, what is your CU Account #:

Social Security #:*

Driver's License:

State:*
---ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Number of Dependents:

Home/Cell Phone:*

Address*

City:*

State:*
---ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip Code:*

How Many Years There? *

Own or Rent:*
OwnRent

Preferred Contact Method:*
PhoneEmailText

Debt

Mortgage Company/ Rent Owed:*

Monthly Payment Amount:*

Income

Employer:*

Phone:*

Job Title:*

Length of Time with Current Employer (in years):*

What is your gross annual income? *

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.)

Other income source:

What is your other annual income?

References

Please provide two references.

1.

Name:*

Phone:*

Address:*

City:*

State:*
---ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip Code:*

2.

Name:*

Phone:*

Address:*

City:*

State:*
---ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

Zip Code:*

Co-Applicant Information

Any additional information that will help us make a quicker decision (vehicle description, explanation, 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.

By submitting this loan request, you agree that the information is correct to the best of your knowledge.