Loan Application Loan Application I'm applying for a loan for the following: * Auto Loan Recreation Vehicle Loan Personal/Signature Loan OtherOther Name/Primary Account Holder * Email Address * Account Number * Enter "NEW" if not a current member Phone Number * Phone * Cell Home Social Security Number * Date of Birth * Loan Amount Requested * Street Address * City * State * Zip/Postal Code * Own/Rent/Other * Own Rent Other Length of Residence * What is your monthly mortgage/rent payment? * Employer Name * "Enter retirement income source if retired. Employer's Address Address, City, State, Zip Work Phone Number Position/Job Description * Enter "Retired" if applicable. Start Date * Enter retirement date if retired. Are you self employed? * Yes No Monthly Gross Income * Additional Income List additional income here such as Child Support, Alimony, Disability, Social Security, Retirement, Rental Property etc. e.g. Child Support - $500. References * Include name and address of your nearest relative not living with you. Include relationship and home or cell phone number. Other Information About You 1. Are you a U.S. Citizen or Permanent Resident Alien? * Yes No 2. Do you currently have any outstanding judgments 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 part in a lawsuit? * Yes No 3. Is your income likely to decline in the next two years? Yes No 4. Are you a co-maker, co-signer or guarantor on any loan not listed on your credit report? * Yes No If you answered "yes" to any question other than #1, please explain below. 5. For marketing purposes only, why are you applying for a loan at NJACL Credit Union * I previously borrowed money from NJACL Credit Union. I was referred by a friend. I was referred by a credit union employee. I obtained information from the website. I received information from a printed advertisement. I received information from an electronic advertisement. Other - if you have a promo code please enter it here.Other - if you have a promo code please enter it here. Optional Joint Applicant arrowup6 If you want to have the income and credit of a joint applicant considered when approving your loan, please fill out this section. Name of Joint Applicant Email Address Phone Number Phone Cell Home Social Security Number Date of Birth Street Address State City Zip/Postal Code Employer Name Employer's Address Address, City, State, Zip Work Phone Number Position/Job Description Start Date Are you self employed? Yes No Monthly Gross Income Additional Income List additional income here such as Alimony, Disability, Social Security, Retirement, Rental Property. e.g. Child Support - $500; Notice By submitting this application 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 immediately. You authorize the Credit Union to obtain credit reports in connection with the 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 received a credit report on you. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to a federal or state chartered credit union insured by NCUA. Submit Application * I have reviewed the above disclosure. Please have a Loan Officer Contact me regarding this application. reCAPTCHA Submit If you are human, leave this field blank.
