Loan Application

Individual Credit: You must complete the Applicant section about yourself and the Other section about your spouse if:

  1. you live in or the property pledged as collateral is located in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI),
  2. your spouse will use the account, or
  3. you are relying on your spouse's income as a basis for loan repayment. If you are relying on income from alimony, child support, or separate maintenance, complete the Other section to the extent possible about the person on whose payments you are relying.

Joint Credit: Each Applicant must individually complete the appropriate section below. If Co-Borrower is spouse of the Applicant, mark the Co-Applicant box.

Guarantor: Complete the Other section if you are a guarantor on an account loan.


Loan Information

Check below to indicate the type of account(s) and type of loan for which you are applying. Married Applicants may apply for a separate account.

Loan Application Account *
Repayment Option *
Are you interest in having your loan protected? *

If you answer "yes", the credit union will disclose the cost to protect your loan. The protection is voluntary and does not affect your loan approval. In order for your loan to be covered, you will need to sign a separate application that explains the terms and conditions.

Primary Applicant

Primary Applicant Information
Marital Status

Complete for joint credit, secured credit, or if you live in a community property state.

Current Residence

Do you own or rent? *

Previous Residence (If less than five (5) years ago)

Did you own or rent?
Primary Applicant Income


Gross or net
Primary Applicant Reference


Current Debts

Monthly Payment


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 this 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 federal credit unions or state chartered credit unions insured by NCUA.

Typing your name(s) into the signature field(s) below will constitute an electronic signature.

Primary Applicant Signature

Please review your application carefully and verify all information is accurate before submitting.

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