Loan Instruction Sheet for Electronic Application Form V2 STF.docx

CRCH Employees Federal Credit Union

LOAN APPLICATION INSTRUCTIONS & CHECKLIST

MEMBERS ONLY In order to process your loan application quickly and efficiently and provide you with quality loan services we need

your assistance. Please complete the following:

WRITE LEGIBLY – IF WE CAN’T READ IT WE CAN’T PROCESS IT!

□ Complete both sides of the loan application, and include signatures and dates in the SIGNATURES section.

The sections to be completed are:

□ LOANLINER - Be sure to include the Amount Requested and purpose of the loan in the second section of the loan application.

Federal Law requires that the purpose of the loan be included on the application. DO NOT use “personal” as the purpose. If you

are shopping for a car and have not found one yet, the Amount Requested is the amount you are planning to spend and the

purpose is “Auto Pre-approval”.

PROVIDE A PHONE NUMBER YOU WILL ANSWER AND HAS VOICEMAIL. IF WE HAVE A QUESTION AND

CANNOT REACH YOU OR LEAVE A MESSAGE WE WILL STOP PROCESSING YOUR LOAN!

□ APPLICANT & OTHER (if there is to be a co-maker on the loan.)

□ EMPLOYMENT/INCOME – Include any retirement, pensions, Social Security, SSI, and child support. Be sure to record the amount

and frequency or you pay, along with whether it is net or gross income. Provide copies of your last 3 pay stubs. If you are retired,

contact us for alternate income documentation.

□ REFERENCE - Please be sure to list two references at the bottom of page 1. If there is NO co-maker, the second reference does

not have to be a relative. References must include the full address and phone number.

□ WHAT YOU OWE – In the first line of this section please list the amount of your Rent or Mortgage. Put down explanation if you

do not pay rent or mortgage. For example, live with parents. This area MAY NOT be left blank. If you do not explain how your

housing costs are paid, the loan will be delayed or rejected.

□ OTHER INFORMATION ABOUT YOU – The Applicant, and Other (co-maker) MUST answer all 4 questions either Yes or No. If

question #4 is yes, enter the additional information requested.

□ STATE LAW NOTICES – Ignore this section.

□ SIGNATURES – Both the Applicant and Other (co-maker) MUST sign and date here.

We will begin processing your loan application ONLY when all the required loan information has been provided and all

documents are complete.

APPLICATIONS WILL NOT BE ACCEPTED WITHOUT COPIES OF YOUR LAST 3 PAY STUBS AND/OR PROOF

OF OTHER INCOME.

We will call you when a determination is made on your application. Please do not call us since repeated phone calls may

slow down our determination process.

We thank you for your business and support of YOUR Credit Union.

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, or3. you are relying on your spouse's income as a basis for 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-Applicantbox.Guarantor: Complete the Other section if you are a guarantor on an account/loan.

Amount Requested $Purpose/Collateral:

DRIVER'S LICENSE NUMBER/STATE

ACCOUNT NUMBER

AXX02A-ePage 1

START DATE

ENDING DATE

SOCIAL SECURITY NUMBER

STARTING DATE

NAME ANDADDRESS OF EMPLOYER

PREVIOUS ADDRESS (Street - City - State - Zip)

AGES OF DEPENDENTS

LENGTH AT RESIDENCE

LENGTH AT RESIDENCE

TITLE/GRADE

SUPERVISOR'S NAME

ENDING/SEPARATION DATE

IF SELF EMPLOYED, TYPE OF BUSINESS

HOURS AT WORK

WHERE

NAME

DRIVER'S LICENSE NUMBER/STATE

ACCOUNT NUMBER

START DATE

ENDING DATE

SOCIAL SECURITY NUMBER

STARTING DATE

NAME AND ADDRESS OF EMPLOYER

PRESENT ADDRESS (Street - City - State - Zip)

AGES OF DEPENDENTS

NOTICE: ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BEREVEALED IF YOU DO NOT CHOOSE TO HAVE IT CONSIDERED.

LENGTH AT RESIDENCE

LENGTH AT RESIDENCE

TITLE/GRADE

SUPERVISOR'S NAME

ENDING/SEPARATION DATE

PREVIOUS EMPLOYER NAME AND ADDRESS IF EMPLOYED LESS THANFIVE YEARS

IF SELF EMPLOYED, TYPE OF BUSINESS

HOURS AT WORK

WHERE

NOTICE: ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BEREVEALED IF YOU DO NOT CHOOSE TO HAVE IT CONSIDERED.

LOANLINER Account/Loan:(Including ATM/Debit Card Access to the Account if Available)

Repayment:

CUNA Mutual Group 1980, 82, 84, 86, 89, 98, 2000, 01, 03, 04, 07, 08, 12 All Rights Reserved

EMPLOYMENT/INCOME

PREVIOUS EMPLOYER NAME AND ADDRESS IF EMPLOYED LESS THANFIVE YEARS

COMPLETE FOR JOINT CREDIT, SECURED CREDIT OR IF YOU LIVE IN A COMMUNITYPROPERTY STATE:

PREVIOUS ADDRESS (Street - City - State - Zip)

COMPLETE FOR JOINT CREDIT, SECURED CREDIT OR IF YOU LIVE IN A COMMUNITYPROPERTY STATE:

RELATIONSHIP

HOME PHONE

RELATIONSHIP

HOME PHONENAME AND ADDRESS OF NEAREST RELATIVE NOT LIVING WITH YOUNAME AND ADDRESS OF NEAREST RELATIVE NOT LIVING WITH YOU

REFERENCE

NAME

REFERENCE

OTHERAPPLICANT

EMPLOYMENT/INCOME

Married Applicants: May apply for a separate account.

EMAIL ADDRESS EMAIL ADDRESS

CO-APPLICANT SPOUSE OTHER

Individual Joint

Payroll Deduction Cash Automatic PaymentMilitary Allotment

PAYMENT PROTECTION NoAre you interested in having your loan protected?If you answer "yes", the credit union will disclose the cost to protect your loan. Theprotection is voluntary and does not affect your loan approval. In order for your loan to becovered, you will need to sign a separate application that explains the terms and conditions.

Yes

PRESENT ADDRESS (Street - City - State - Zip) OWN RENT

OWN RENT

OWN RENT

OWN RENT

MARRIED SEPARATED UNMARRIED (Single - Divorced - Widowed) MARRIED SEPARATED UNMARRIED (Single - Divorced - Widowed)

$_____________ Per ______________$_____________ Per ______________EMPLOYMENT INCOME OTHER INCOME

GROSSNET SOURCE

$_____________ Per _______________EMPLOYMENT INCOME OTHER INCOME

GROSS

$_____________ Per _____________

SOURCENET

MILITARY: IS DUTY STATION TRANSFER EXPECTED DURING NEXT YEAR?MILITARY: IS DUTY STATION TRANSFER EXPECTED DURING NEXT YEAR? YES NO YES NO

BUSINESS PHONE/EXT.CELL PHONEHOME PHONEBIRTH DATE HOME PHONEBIRTH DATE CELL PHONE BUSINESS PHONE/EXT.

2. DO YOU CURRENTLY HAVE ANY OUTSTANDING JUDGMENTS OR HAVE YOU EVER FILED FOR BANKRUPTCY, HAD A DEBT ADJUSTMENT PLANCONFIRMED UNDER CHAPTER 13, HAD PROPERTY FORECLOSED UPON OR REPOSSESSED IN THE LAST 7 YEARS, OR BEEN A PARTY IN A LAWSUIT?

1. ARE YOU A U.S. CITIZEN OR PERMANENT RESIDENT ALIEN?

3. IS YOUR INCOME LIKELY TO DECLINE IN THE NEXT TWO YEARS?

4. ARE YOU A CO-MAKER, CO-SIGNER OR GUARANTOR ON ANY LOAN NOT LISTED ABOVE?FOR WHOM (Name of Others Obligated on Loan): TO WHOM (Name of Creditor):

OTHERIF YOU ANSWER "YES" TO ANY QUESTION OTHER THAN #1, EXPLAIN ON AN ATTACHED SHEET

unless the Credit Union is furnished a copy of the agreement, statement ordecree, or has actual knowledge of its terms, before the credit is grantedor the account is opened. (2) Please sign if you are not applying for thisaccount or loan with your spouse. The credit being applied for, if granted,will be incurred in the interest of the marriage or family of theundersigned.

OHIO RESIDENTS ONLY: The Ohio lawsagainst discrimination require that all creditors

OTHER INFORMATION ABOUT YOU

SIGNATURE FOR WISCONSIN RESIDENTS ONLY DATE

received. You understand that the Credit Union will rely on the informationin this application and your credit report to make its decision. If yourequest, the Credit Union will tell you the name and address of any creditbureau from which it received a credit report on you. It is a crime towillfully and deliberately provide incomplete or incorrect information in thisapplication.

OTHER SIGNATURE

X

APPLICANT'S SIGNATURE DATE

You promise that everything you have stated in this application is correctto the best of your knowledge and that the above information is acomplete listing of what you owe. If there are any important changes youwill notify us in writing immediately. You authorize the Credit Union toobtain credit reports in connection with this application for credit and forany update, increase, renewal, extension or collection of the credit

DATE SIGNATURE LINE OF CREDIT OTHER OTHER DEBT RATIO/SCOREBEFORE AFTER

LOAN OFFICER COMMENTS:

AXX02A-e

SIGNATURES:

APPROVEDLIMITS:APPROVED

DATE DATE

X

X

$ $ $ $

Page 2

WHAT YOU OWN

STATE LAW NOTICES

make credit equally available to all creditworthy customers, and that creditreporting agencies maintain separate credit histories on each individualupon request. The Ohio Civil Rights Commission administers compliancewith this law.

WISCONSIN RESIDENTS ONLY: (1) No provision of any marital propertyagreement, unilateral statement under Section 766.59, or court decreeunder Section 766.70 will adversely affect the rights of the Credit Union

DATE

(SEAL) (SEAL)

OWNED BY

PRESENT BALANCEINTEREST

RATECREDITOR NAME OTHER THAN THIS CREDIT UNION

(Attach additional sheet(s) if necessary)

LIST ANY NAMES UNDER WHICH YOUR CREDIT REFERENCES AND CREDIT HISTORY CAN BE CHECKED: TOTALS

APPLICANT OTHER

$

$

$

$

$

$

$

$

$

$

$

$

$

$$

$

$

$

$

$

$

MONTHLYPAYMENT

APPLICANT

$

$

$

LIST LOCATION OF PROPERTY OR FINANCIAL INSTITUTION MARKET VALUEPLEDGED AS COLLATERAL

FOR ANOTHER LOAN

WHAT YOU OWE

$

OWED BY

APPLICANT OTHER

$

$

$

$

$ $

$

$$

DENIED (Adverse Action Notice Sent)

SIGNATURES

FOR CREDIT UNION USE ONLY

$

$$

$$

X

X

YES NO

YES NO

YES

YES

YES

NO

NO

NO

YES NO

YES NO

YES

YES

NO

NO