Application for Loan – Secured by Collateral

Month / Date / Year
Click or drag a file to this area to upload.
Alimony $___________/monthly; Child Support $___________/monthly; Spousal Support $__________/monthly

LOAN REQUEST INFORMATION

Enter Total Amount
Enter Total Number of Months
Each Installment Including Interest

I HEREBY PLEDGE THE FOLLOWING REAL ESTATE IN WHICH I (WE) HAVE EQUITY TO OBTAIN THIS LOAN:

IF LOAN IS APPROVED, THE TITLE & INSURANCE INFORMATION MUST BE PROVIDED AT THE TIME OF THE LOAN. FULL INSURANCE COVERAGE MUST BE MAINTAINED FOR THE LENGTH OF THE LOAN.


Debt/income ratio (to be calculated by the Credit Union)

Please enter the monthly amount paid
Enter number of Dependents Excluding Yourself
(Please be sure to include the monthly rental or mortgage payments on the above list of indebtedness)
Please include balance of loan, the monthly payment and who the loan is for.

I hereby certify that all statements made on both sides of this Application are true, complete and submitted for the purpose of obtaining credit. The Credit Union is authorized to check my credit, employment history, and obtain whatever other information is necessary to process this loan.

*Please type your name as your signature and include the date.

Debt/Income Ration (to be calculated by the Credit Union

I/we hereby approve this loan in the amount and on the conditions set forth above:

To be completed by Business Mgr:
Share balance $________________
Loan balance $________________
Loan status___________________
Account #____________________
Loan/Note #__________________

______________________________________________

❏ Loan Officer Approval ____________________ Date 

❏ Credit Committee Approval