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Loan Application

Please do not bookmark this page. Only use this page to apply for a personal loan. For all other loans, please use this application instead.

Applicant Account Number
Amount Requested
Loan Type:
 
Would you like Credit Insurance? Please select a type:
 No credit insurance 
 Single group life 
 Joint group life 
 Group credit Accident & Health 
 Joint Credit Disability 
   


Borrower's Personal Information

First Name
Initial
Last Name
Address
 Years at Address
City
State
Zip

Social Security Number

Drivers License #

Issuing State

Rent
Own

Date of Birth (mm/dd/yyyy)

 

Home Phone
Email:

Confirm Email:
 


Borrower's Employment & Income Information

Current Employer
Hire Date (mm/dd/yyyy)
 
Position
Salary
Salary Frequency

Annual
Current Employer Phone
  Monthly
   Semi-Monthly
   Bi-Weekly
   Weekly


Co-Borrower's Personal Information (If there is no co-borrower, leave blank)

First Name
Initial
Last Name
Address
 Years at Address
City
State
Zip

Social Security Number

Drivers License #

Issuing State

Rent
Date of Birth (mm/dd/yyyy)
Home Phone
Own   


Co-Borrower's Employment & Income Information
(If there is no co-borrower, leave blank)
Current Employer
Hire Date (mm/dd/yyyy)
 
Position
Salary
Salary Frequency

Annual
Current Employer Phone
  Monthly
   Semi-Monthly
   Bi-Weekly
   Weekly


Credit & Personal References

Mortgage Holder or Landlord
Account Number
Monthly Payment
Current Balance

 
 
   
Second Mortgage

 
Account Number
Monthly Payment
Current Balance
  
   
   
Personal Reference 1

 
Address
City
State
Zip
Telephone
   
Personal Reference 2

 
Address
City
State
Zip
Telephone
   
   
  Have you ever filed bankruptcy?
   YES       NO
   
  Are you a co-maker on any loan?
   YES       NO


I hereby certify that all statements made are true and complete and submitted for the purpose of obtaining credit. In considering this application the loan officer may request and use a report from outside credit reporting agencies. We may also ask a reporting agency or agencies for other such reports in connection with renewal or continuation of the credit for which you are applying. If you request it, we will tell you whether or not we asked for such a report, and if we have the name and address of the agency or agencies as well as how to request a copy for your records will be released to you.

** SOURCE OF OTHER INCOME: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

I hereby authorize United Business and Industry Federal Credit Union to request my credit report. This report will only be used to determine my creditworthiness as allowed by law.


I Agree


Quick Links
  • Routing/Transit:
    211178705
  • TONI (Phone Access):
    800.782.8922