Loan Type Auto Personal Recreational Other
Requested Loan Amount Requested Terms Mos.
Account Number Name (First M. Last)
Social Security No. Date of Birth
No. of Dependents Address
City, State Zip , Years There Own Rent
    Monthly Payment
Preferred Method of Contact Cell Phone Home Phone Email Cell Phone
Home Phone Email Address
Driver's License No. Present Employer
Position Starting Date
Business Phone Monthly Income (Gross/Net)
Name, Address and Phone Number of nearest relative not living with you.
Relative Name Address
City, State Zip , Relative Phone

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.

ALIMONY, CHILD SUPPORT, SEPARATE MAINTENANCE RECEIVED UNDER: Other Income: $ Per
Court Order Written Agreement Oral Understanding

Complete if you live in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI) or if you are applying for joint credit:

Married Unmarried Separated

Co-Applicant Name (First M. Last) Co-Applicant Social Security No.
Co-Applicant Date of Birth Co-Applicant Driver's License No.
Co-Applicant Employer Co-Applicant Position
Co-Applicant Starting Date Co-Applicant Business Phone
Co-Applicant Monthly Income (Gross/Net)

Are you a United States Citizen?

Applicant Yes No
Co-Applicant Yes No

Preferred Branch of Business

Comments

Information Concerning Credit Insurance

Are you interested in having your loan protected?    

If you answer 'yes', the Credit Union will disclose the cost to protect your loan. The credit insurance is voluntary and does not affect your loan approval. In order for your loan to be covered, you will need to sign a separate application that explains the terms and conditions.

Disclosure and Authorization

By checking this box, you certify that you are at least 18 years of age, and that you have read and agree to all the terms, authorizations and disclosures and that everything you have stated in this application is true and correct. You understand that it may be a federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of the United States Criminal Code. You authorize the credit union named on this application to check your credit record and to verify your credit, employment and income reference.

NOTICE TO BORROWERS
CERTAIN LOAN AGREEMENTS MUST BE IN WRITING

TEXAS LAW (Section 26.02, Business and Commerce Code) requires that all financial institutions conspicuously post notices summarizing requirements that loan agreements be in writing. You should know that:

As part of the documentation required for loans over $50,000, BORROWERS MUST BE PROVIDED AND MUST SIGN A NOTICE conspicuously stating that:

"THIS WRITTEN LOAN AGREEMENT REPRESENTS THE FINAL AGREEMENT BETWEEN THE PARTIES AND MAY NOT BE CONTRADICTED BY EVIDENCE OF PRIOR, CONTEMPORANEOUS, OR SUBSEQUENT ORAL AGREEMENTS OF THE PARTIES."

THERE ARE NO UNWRITTEN ORAL AGREEMENTS BETWEEN THE PARTIES.