Fillable Printable Credit Union Loan Application Form Sample
Fillable Printable Credit Union Loan Application Form Sample
Credit Union Loan Application Form Sample
BNA FEDERAL CREDIT UNION
1801 S. Bell St, Arlington, VA 22202
(703) 341-3044 Fax (703) 341-1677
LIST OF INFORMATION NEEDED TO COMPLETE
BNA CREDIT UNION LOAN APPLICATION
1. LOAN APPLICATION/PROCESSING FEE is $25.00. This fee is due upon
submission of the loan application form.
2. Fill out the loan application. Make sure all questions are answered
completely
3. Sign and date the application
4. A photocopy of your DRIVER’S LICENSE IS REQUIRED.
5. A photocopy of your recent PAYCHECK STUB IS REQUIRED.
** As of 08.21.2014, Identity of the loan applicant are no longer disclosed to the
members of the credit committee. Only the credit union employees will know the
identity of the member applying for the loan.
** For further assistance, speak with one of the credit union staff.
BNA FEDERAL CREDIT UNION
1801 S. Bell St, Arlington, VA 22202
(703) 341-3044 Fax (703) 341-1677
THE PROCESSING OF THIS APPLICATION WILL BE DELAYED IF NOT SIGNED OR IF ALL QUESTIONS ARE NOT COMPLETED.
PREPARE IN INK OR BY TYPEWRITER ONLY.
APPLICATION FOR SIGNATURE LOAN
TO BE COMPLETED BY LOAN APPLICANT
(Information provided on this page will be confidential to credit union employees only)
Name
Date
Member Number:
Street Address:
City
State
Zip Code
Years There
Home Phone:
Business Phone
Email Address
If Present Residence is less than 2 years, complete next line:
Previous Street Address
City
State
Zip Code
Present Employer
Date of Hire
Position or Title
Supervisor
Employer’s Address:
City
State
Zip Code
Dependents (exclude self)
Ages
Name of Nearest Relative Not Living With You
Relationship
Address:
City
State
Zip Code
Phone Number
Share Draft/Checking Account No.
Where
Share Draft/Savings Account No.
Where
**************************************************************************************************************************************************************
Everything that I have stated in this application is correct to the best of my knowledge. I authorize BNA Federal Credit Union to check my
credit and employment history and to answer questions about your credit experience with me.
Signature of Member
Date
THE FOLLOWING INFORMATION WILL BE SUBMITTED TO THE CREDIT COMMITTEE: REFER TO CU BD. OF DIR.
TO BE COMPLETED BY LOAN APPLICANT
Member Number:
Last 4 Digits of SSN:
I hereby apply for a loan as follows:
Amount of money requested:
$
Purpose of Loan:
Salary
$
per month/year
Gross Net
Other Income
$
per month/year
Source(s)
*(Alimony, child support or separate maintenance income need not be revealed, if you do not wish to have it considered as a basis for repaying this loan.)
Is any income listed likely to be reduced before this loan is paid off?
No Yes
If Yes, explain
OUTSTANDING DEBTS
Creditor Name
Date of Loan
Original Debt
Present Balance
Monthly
Payment
Past Due?
Yes/No
Rent/Mortgage
Auto Loan
Credit Union
Credit Card
Credit Card
Totals
Are there any other persons obligated on any of the above debts?
No Yes
Which loans and who?
Are you a co-maker, co-signer or guarantor on any other debt?
No Yes
For whom?
To Whom?
Have you been declared bankrupt in the last 10 years?
No Yes
**************************************************************************************************************************************************************
TO BE COMPLETED BY LOAN OFFICER
Interest Rate:
Old Loan Balance (if any)
$
Total Payments:
$
Accrued Finance Charge (Interest Due)
$
Amount Financed:
$
Finance Charged:
$
Total New Loan
$
To Be Repaid In
$
Payments of
$
Including/Plus Interest Starting On
Last Payment of
$
*************************************************************************************************************************************************************
CREDIT COMMITTEE ACTION (To be completed by Credit Committee)
Credit Committee Meeting Date:
We approve the loan as submitted We reject the loan as submitted
The following counter offer will be made to the applicant and if accepted, we approve the loan
Describe
Specific reason(s) for rejection
Outside information considered?
No Yes
Describe
Credit Committee:
Board of Directors:
Signed:
Date:
Signed:
Date:
Signed:
Date:
Signed:
Date:
Signed:
Date:
Signed:
Date:
Manager:
Date:
ECOA notice and reason for rejection sent or delivered on _____________________________ Signed ____________________________
