Will this be a Single or Joint Application? *
No dashes, spaces, or parentheses
Do you want payment protection with this loan?
Do you want Credit Disability Insurance in connection with this loan?
Do you want Credit Life Insurance in connection with this loan?
Complete for joint credit, secured credit, or if you live in a community property state *
I hereby certify that all information contained in the application is furnished for the purpose of obtaining the loan
requested herein and is true to the best of my knowledge and belief. I further certify that no consideration has passed
or will pass from me, as borrower, to an endorser for his endorsement or to co-maker for his/her signature. You are
authorized to check my credit and employment history and to answer questions about your credit experience with me. I
have assisted the Credit Union in the preparation of this application; I have provided the Credit Union with all of the
information contained therein; I hereby certify that this loan application is truthful and complete to the best of my
knowledge and that I have read the entire completed application before signing same.
Do you agree with the above terms and conditions? *