Maple Federal Credit Union
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Loan Application

Loan Application

   

Married Applicants: May apply for a separate account.

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 pedged 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 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 a spouse of the Applicant, mark the co-applicant box.

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

* Required Field
* Type of loan/account (Including ATM/Debit access to the account if available)
* Amount requested
* Purpose/Collateral
* Repayment
  Payment Protection

If you answer "Yes", then the credit union will disclose the cost of this voluntary payment protection to you. a separate election which discloses the terms and conditions must be signed for protection to be effective.

Applicant

* Name
* Mother's maiden name
* Account Number
* Social Security Number - -
  Driver's License Number & State
  Ages of Dependents
  Email Address
* Birth Date / / (mm/dd/yyyy)
* Home Phone() -
* Business Phone() - ext
* Present Address
* City
* State
* Zip Code
* length at residence
  Previous Address
  City
  State
  Zip Code
  Marital Status



Marital Status is required for joint credit, secured credit, or if you live an a community property state.

Employment - Applicant

  Employment Income
* Name & Address of Employer
* Title/Grade
* Start Date
* Hours at Work
  Supervisor's Name
  If Self-Employed, Type of Business
  Previous Employer Name & Address (if employed less than 5 yearsin current position)
  Previous Employment Start Date / / (mm/dd/yyyy)
  Previous Employment End Date / / (mm/dd/yyyy)

Other Income

 AmountPerSource
Income 1
Income 2
Income 3
Income 4

Notice: alimony, child support or separate maintenance income need not be revealed if you do not choose to have it considered.

Military: is duty station transfer expected during the next year?

  Where
  Ending/Separation Date
* Reference - Name and Address of nearest relative not living with you
* Reference - Phone Number() -
* Reference - Relationship

Other

  Name
  Souse of Applicant?
  Mother's maiden name
  Account Number
  Social Security Number - -
  Driver's License Number & State
  Ages of Dependents
  Email Address
  Birth Date / / (mm/dd/yyyy)
  Home Phone() -
  Business Phone() - ext
  Present Address
  City
  State
  Zip Code
  length at residence
  Previous Address
  City
  State
  Zip Code
  Marital Status



Marital Status is required for joint credit, secured credit, or if you live an a community property state.

Employment - Other

  Employment Income
  Name & Address of Employer
  Title/Grade
  Start Date
  Hours at Work
  Supervisor's Name
  If Self-Employed, Type of Business
  Previous Employer Name & Address (if employed less than 5 yearsin current position)
  Previous Employment Start Date / / (mm/dd/yyyy)
  Previous Employment End Date / / (mm/dd/yyyy)

Other Income

 AmountPerSource
Income 1
Income 2
Income 3
Income 4

Notice: alimony, child support or separate maintenance income need not be revealed if you do not choose to have it considered.

Military: is duty station transfer expected during the next year?

  Where
  Ending/Separation Date
  Reference - Name and Address of nearest relative not living with you
  Reference - Phone Number() -
  Reference - Relationship

Debts - Applicant

 AmountCreditorInterest RateMonthly Payment
1.
2.
3.
4.
5.

Debts - Other

 AmountCreditorInterest RateMonthly Payment
1.
2.
3.
4.
5.

Assets - Applicant

 What You OwnLocation or Finanacial InstitutionMarket ValuePledged as Collateral Already (yes/no)
1.
2.
3.
4.
5.

Assets - Other

 What You OwnLocation or Finanacial InstitutionMarket ValuePledged as Collateral Already (yes/no)
1.
2.
3.
4.
5.

Other Information About You - Applicant

If you answer "Yes" to questions 2, 3, or 4, please enter an explanation.

  1. Are you a US citizen or permenent resident alien

* 2. Do you currently have any outstaning judgements, 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 party to a lawsuit?
* 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?

Other Information About You - Other

If you answer "Yes" to questions 2, 3, or 4, please enter an explanation.

  1. Are you a US citizen or permenent resident alien

  2. Do you currently have any outstaning judgements, 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 party to a lawsuit?
  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?

Click the "I accept the terms of the disclaimer above and submit my application" button to send the application to us via the WWW after reading the disclaimer below. By clicking "I accept the terms of the disclaimer above and submit my application", you accept the terms of the disclaimer below.

DISCLAIMER: I/WE HEREBY CERTIFY THAT ALL STATEMENTS MADE ARE TRUE AND COMPLETE, ARE SUBMITTED FOR THE PURPOSE OF OBTAINING CREDIT, AND THAT THE CREDIT UNION MAY RELY ON THEM FOR SUCH DETERMINATION. I/WE AUTHORIZE YOU TO OBTAIN SUCH INFORMATION AS YOU MAY REQUIRE CONCERNING THE STATEMENTS MADE IN THIS APPLICATION, AND AGREE THAT THE APPLICATION SHALL REMAIN YOUR PROPERTY, AND YOU ARE AUTHORIZED TO ANSWER QUESTIONS ABOUT YOUR CREDIT EXPERIENCE WITH ME/US.

Applicant Signature: ______________________________________________________
Date: ____________________
Co-applicant Signature: ______________________________________________________
Date: ____________________

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Equal Housing Lender National Credit Union Administration