Loan Application - Machinist Boilermakers Federal Credit Union

Will this be a Single or Joint Application?

Single Application

Joint Application

Phone (Best contact phone #)*

No dashes, spaces, or parentheses

VIN #

Make

Model

Year

Mileage

Loan Term (in months)*

Do you want Credit Disability Insurance in connection with this loan?

Yes, I want Credit Disability Insurance

No, I do not want Credit Disability Insurance

Do you want Credit Life Insurance in connection with this loan?

Yes, I want Credit Life Insurance

No, I do not want Credit Life Insurance

Primary Applicant - Personal information

Social Security No.*

No dashes, spaces, or parentheses

Driver's License No.*

No dashes, spaces, or parentheses

Driver's License State *

Date of Birth *

Address *

Address 2

City *

State *

Zip Code *

Years There *

Own / Rent *

Employment information

Current Employer *

Position *

Annual Income *

Employee Start Date *

Other Income

Source

Reference

Name of nearest relative not living with you *

Relatives Address *

Address 2

City *

State *

Zip Code *

Relationship *

Phone *

No dashes, spaces, or parentheses

Additional Questions

Are you a US citizen or permanent resident alien? *

Yes, I am a US Citizen or permanent resident alien

No, I am not a US Citizen or permanent resident alien

Do you have any outstanding judgments? *

Yes, I have outstanding judgments

No, I do not have outstanding judgments

Is your income likely to decline in the next two years? *

Yes, my income is likely to decline

No, my income is not likely to decline

Are you a co-maker, co-signer, or guarantor on any loan not listed? *

Yes, I am a co-maker

No, I am not a co-maker

Joint Applicant - Personal information

First Name*

Last Name*

Email*

Phone (Best contact phone #)*

No dashes, spaces, or parentheses

Social Security No.*

No dashes, spaces, or parentheses

Driver's License No.*

No dashes, spaces, or parentheses

Driver's License State*

Date of Birth *

Address *

Address 2

City*

State*

Zip Code*

Years There*

Own / Rent *

Employment information

Current Employer*

Position*

Annual Income*

Employee Start Date*

Other Income

Source

Reference

Name of nearest relative not living with you*

Relatives Address*

Address 2

City *

State *

Zip Code*

Relationship*

Phone*

No dashes, spaces, or parentheses

Additional Questions

Are you a US citizen or permanent resident alien?

Yes, I am a US Citizen or permanent resident alien

No, I am not a US Citizen or permanent resident alien

Do you have any outstanding judgments?

Yes, I have outstanding judgments

No, I do not have outstanding judgments

Is your income likely to decline in the next two years?

Yes, my income is likely to decline

No, my income is not likely to decline

Are you a co-maker, co-signer, or guarantor on any loan not listed?

Yes, I am a co-maker

No, I am not a co-maker

Disclosure and Agreement to Terms

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, renewal or extension 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.

Do you agree with the above terms and conditions? *

Yes, I agree to the terms

No, I do not agree to the terms

Signature (type your full name)*

Date*

Co-Applicant

Do you agree with the above terms and conditions?*

Yes, I agree to the terms

No, I do not agree to the terms

Signature (type your full name)*

Date*