"Credit Application Form - Tribune Credit Union"

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TRIBUNE CREDIT UNION
-
Credit Application
-
Book #_______
-
Note #______
-
Date___________
Married Applicants may apply for a separate account. Check the appropriate box to indicate Individual Credit or Joint Credit. Individual Credit: Complete Applicant section.
Complete Co-applicant, Spouse, Guarantor (referred to as "Other") section: (1) about your spouse if you live in a community property state (AZ, CA, ID, LA, NM, NV, TX,
WA, WI), or (2) if your spouse will use the Account. Please check the box to indicate whom the information is about. Joint Credit: Provide information about both of you by
completing Applicant and Other section.
You REQUEST AN ADVANCE OF $____________________ Purpose: ______________ For a period of: _________
Installments of: _______________ Collateral: __________________________________________________________
Repayment:
Payroll Deduction
Cash
Automatic Payment
Military Allotment
[] Credit Disability Insurance
Check coverage if desired. The credit union will disclose the cost of this voluntary insurance to you. A separate
insurance election which discloses the terms and conditions must be signed for coverage to become effective.
APPLICANT
[]CO-APPLICANT []SPOUSE []GUARANTOR
Please print in ink or type
Please print in ink or type
NAME (Last - First - Initial)
NAME (Last - First - Initial)
DRIVER’S LICENSE NUMBER/STATE
DRIVER’S LICENSE NUMBER/STATE
ACCOUNT NUMBER
SOCIAL SECURITY NUMBER
ACCOUNT NUMBER
SOCIAL SECURITY NUMBER
BIRTH DATE
HOME PHONE
BUSINESS PHONE (EXT)
BIRTH DATE
HOME PHONE
BUSINESS PHONE (EXT)
PRESENT ADDRESS (Street - City - State - Zip) Years at this address
PRESENT ADDRESS (Street - City - State - Zip) Years at this address
OWN [ ]
OWN [ ]
RENT[ ]
RENT [ ]
PREVIOUS ADDRESS (Street - City - State - Zip)
PREVIOUS ADDREES (Street - City- State- Zip)
OWN [ ]
OWN [ ]
RENT[ ]
RENT [ ]
COMPLETE FOR JOINT CREDIT, SECURED CREDIT OR IF YOU LIVE IN A
COMPLETE FOR JOINT CREDIT, SECURED CREDIT OF IF YOU LIVE IN A
COMMNITY PROPERTY STATE.
COMMUNITY PROPERTY STATE.
MARRIED [ ] SEPARATED [ ] UNMARRIED Single - Divorced - Widowed) [ ]
MARRIED [ ] SEPARATED [ ] UNMARRIED Single - Divorced - Widowed [ ]
LIST AGES OF DEPENDENTS NOT LISTED BY OTHER APPLICANT
LIST AGES OF DEPENDENTS NOT LISTED BY OTHER APPLICANT
(EXCLUDE SELF)
(EXCLUDE SELF)
Name and address of employer
Name and address of employer
Starting/Ending Date
Starting/Ending Date
Title/Grade
Supervisor
Title/Grade
Supervisor
If employed in current position less than five years, complete previous employer name
If employed in current position less than five years, complete previous employer name
and address.
and address.
Starting/Ending Date
Starting/Ending Date
Name & address of creditors of debts paid off
Phone
Name & address of creditors of debts paid off
Phone
Name & address of nearest relative not living with you. Phone-Relationship
Name & address of nearest relative not living with you. Phone-Relationship
Name & address of personal friend - not a relative
Phone
Name & address of personal friend - not a relative
Phone
tcu CRAPP.WPS
TRIBUNE CREDIT UNION
-
Credit Application
-
Book #_______
-
Note #______
-
Date___________
Married Applicants may apply for a separate account. Check the appropriate box to indicate Individual Credit or Joint Credit. Individual Credit: Complete Applicant section.
Complete Co-applicant, Spouse, Guarantor (referred to as "Other") section: (1) about your spouse if you live in a community property state (AZ, CA, ID, LA, NM, NV, TX,
WA, WI), or (2) if your spouse will use the Account. Please check the box to indicate whom the information is about. Joint Credit: Provide information about both of you by
completing Applicant and Other section.
You REQUEST AN ADVANCE OF $____________________ Purpose: ______________ For a period of: _________
Installments of: _______________ Collateral: __________________________________________________________
Repayment:
Payroll Deduction
Cash
Automatic Payment
Military Allotment
[] Credit Disability Insurance
Check coverage if desired. The credit union will disclose the cost of this voluntary insurance to you. A separate
insurance election which discloses the terms and conditions must be signed for coverage to become effective.
APPLICANT
[]CO-APPLICANT []SPOUSE []GUARANTOR
Please print in ink or type
Please print in ink or type
NAME (Last - First - Initial)
NAME (Last - First - Initial)
DRIVER’S LICENSE NUMBER/STATE
DRIVER’S LICENSE NUMBER/STATE
ACCOUNT NUMBER
SOCIAL SECURITY NUMBER
ACCOUNT NUMBER
SOCIAL SECURITY NUMBER
BIRTH DATE
HOME PHONE
BUSINESS PHONE (EXT)
BIRTH DATE
HOME PHONE
BUSINESS PHONE (EXT)
PRESENT ADDRESS (Street - City - State - Zip) Years at this address
PRESENT ADDRESS (Street - City - State - Zip) Years at this address
OWN [ ]
OWN [ ]
RENT[ ]
RENT [ ]
PREVIOUS ADDRESS (Street - City - State - Zip)
PREVIOUS ADDREES (Street - City- State- Zip)
OWN [ ]
OWN [ ]
RENT[ ]
RENT [ ]
COMPLETE FOR JOINT CREDIT, SECURED CREDIT OR IF YOU LIVE IN A
COMPLETE FOR JOINT CREDIT, SECURED CREDIT OF IF YOU LIVE IN A
COMMNITY PROPERTY STATE.
COMMUNITY PROPERTY STATE.
MARRIED [ ] SEPARATED [ ] UNMARRIED Single - Divorced - Widowed) [ ]
MARRIED [ ] SEPARATED [ ] UNMARRIED Single - Divorced - Widowed [ ]
LIST AGES OF DEPENDENTS NOT LISTED BY OTHER APPLICANT
LIST AGES OF DEPENDENTS NOT LISTED BY OTHER APPLICANT
(EXCLUDE SELF)
(EXCLUDE SELF)
Name and address of employer
Name and address of employer
Starting/Ending Date
Starting/Ending Date
Title/Grade
Supervisor
Title/Grade
Supervisor
If employed in current position less than five years, complete previous employer name
If employed in current position less than five years, complete previous employer name
and address.
and address.
Starting/Ending Date
Starting/Ending Date
Name & address of creditors of debts paid off
Phone
Name & address of creditors of debts paid off
Phone
Name & address of nearest relative not living with you. Phone-Relationship
Name & address of nearest relative not living with you. Phone-Relationship
Name & address of personal friend - not a relative
Phone
Name & address of personal friend - not a relative
Phone
tcu CRAPP.WPS
Income Information
APPLICANT
[ ]CO-APPLICANT [ ]SPOUSE [ ]GUARANTOR
Notice: Alimony, child support or separate maintenance income need not be revealed
Notice: Alimony, child support or separate maintenance income need not be revealed
if you do not choose to have it considered. Attach a copy of your current pay stub
if you do not choose to have it considered. Attach a copy of your current pay stub.
EMPLOYMENT INCOME
OTHER INCOME
EMPLOYEMENT INCOME
OTHER INCOME
$
per
$
per
$
per
$
per
Gross
Source
Gross
Source
Assets
Check box for applicant/other. List all assets and account number(s) - Attach another sheet if necessary.
Checking Account
Checking Account
NAME & ADDRESS OF INSTITUTION
NAME & ADDRESS OF INSTITUTION
$_____________________________________________________
$_______________________________________________________
Saving Account
Saving Account
$_____________________________________________________
$_______________________________________________________
Applicant
Other
Home
Home & all items owned & location of property (for example auto, boat, stocks,
Market
Pledged as collateral for
yes
no
bonds, cash, household goods, real estate, etc.)
Value
another loan.
Debts
In addition to Rent/Mortgage list all other debts (auto loans, credit cards, second mortgage, alimony child support, child care,
medical, utilities, auto insurance, etc.) Please use a separate line for each credit card and auto loan. Attach other sheet if necessary.
Applicant
Other
Rent/Mortgage
Creditor: Name & Address
Account Numbers
Original
Present
Monthly
If
including tax
Balance
Balance
Payment
past
& insurance
due
TOTALS
Financial Information:
These questions apply to both Applicant and Other.
If “yes” answer is given to a question, explain on attached sheet.
APPLICANT
OTHER
Have you any outstanding judgments?
___yes
___no
___yes
___no
Have you ever filed for bankruptcy or had a debt adjustment plan confirmed under chapter 13?
___yes
___no
___yes
___no
Have you had property foreclosed upon or repossessed in the last 7 years?
___yes
___no
___yes
___no
Are you a party in a lawsuit?
___yes
___no
___yes
___no
Are you other than U.S. or permanent citizen?
___yes
___no
___yes
___no
Is your Income likely to decline in the next two years?
___yes
___no
___yes
___no
Are you a co-maker, co-signer or guarantor on any loan not listed above? (for whom, to whom?)
___yes
___no
___yes
___no
Signatures
If there are any important changes you will notify us in writing immediately. You also agree to notify us of any change in you name, address or employment within a reasonable
time thereafter. You also promise that everything you have stated in this application is correct to the best of you knowledge and that the above information is a complete listing
of your debts and obligations. You authorize the credit union to obtain credit reports in connection with this application for credit and for any update renewal or extension of the
credit received. 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 loan applications made to Federal Credit Unions or State Charted Credit Union insured
by NCUA.
X
Date___________X
Date_____________
Credit Union Information: Do not write in this section – for credit union use only
Signature_________
Line of Credit_________
Other_________
Debt Ratio_________
Loan Officer
Advance Approved
Yes
No
Counter offer will be made, if accepted Advance approved
Credit Committee or Other
Outside Information Considered
Yes
No
If yes attach additional sheet and describe
Referred to/reasons for rejection_____________________________________________________________________________________
Describe Counter offer ____________________________________________________________________________________________
Specific Reason for Rejection_______________________________________________________________________________________
Loan Officer X________________________________Date_____________X________________________________Date____________
Credit Committee X____________________________Date_____________X________________________________Date____________
ECOA Notice and reason for rejection sent or delivered on:
(Date)By
Initials
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