First Education Federal Credit Union

Loan Application


Note: All information marked with an asterisk (*) is required.
Account Number:   (if none, leave blank)
Desired Loan Type:
Loan Amount:
Desired Loan Term:

 
Application Type: Individual Credit
Joint Credit
*Married applicants may apply for Individual Credit. However; if your spouse will use the account or you are relying on your spouse's income as a basis for repayment, you must apply for Joint Credit.

  Primary Applicant Information
First Name: *
Middle Name:
Last Name: *
Date of Birth: *  (MM/DD/YYYY)
Social Security Number: *  (000-00-0000)
Driver's License or State I.D. Number:    State:  
Home Phone: *  (000) 123-4567
Work Phone:    (000) 123-4567
Email Address: *
Verify Email Address: * (enter twice to confirm spelling)
Street Address: *
 
City: * State * Zip *
Time at Current Address: Years Months
Type of Housing:  Own
Rent 
Other
Mortgage or Rent Payment
 
If Own, Mortgage Balance(s) 
 
Employer: *
Job Title:
Employment Start Date:   (MM/DD/YYYY) *

(Alimony, child support, or separate maintenance income need not be revealed if you choose not to have it considered)

Monthly Gross Income (Before taxes and deductions):   *
Other Income:
Do not list alimony, child support or separate maintenance payments unless you wish them considered as a basis for repayment of the credit requested. If listed, verification may be required.
References:
Name:   *
Phone *  (000) 123-4567
Address:   *
Relationship Type:   *
  Co-Applicant Information
Joint Application Authorization: Please check here to indicate your intent to be jointly obligated for this loan.
Name:
Date of Birth:   (MM/DD/YYYY)
Social Security #   (000-00-0000)
Home Phone:   (000) 123-4567
Work Phone:   (000) 123-4567
Street Address:
City: State Zip
Time at Current Address: Years Months
Type of Housing: Own
Rent 
Other
Mortgage or Rent Payment
 
If Own, Mortgage Balance(s) 
 
Employer:
Job Title:
Employment Start Date:   MM/DD/YYYY
Gross Monthly Income (Before taxes and deductions):
Other Income:  
Do not list alimony, child support or separate maintenance payments unless you wish them considered as a basis for repayment of the credit requested. If listed, verification may be required.
References:
Name:  
Phone:    (000) 123-4567
Address:
Relationship Type:

Additional Information:
Please provide any additional information about your loan application request.

DEBT PROTECTION COVERAGE
Do you want your loan protected?
Choose the following types of protection if you become disabled, become involuntarily unemployed or in the event of your death.
Protection for Disability, Unemployment and Death
Protection for Disability and Death Only
Protection for Death Only
No Protection

Check the level of coverage you desire. We will disclose the cost, terms and conditions of the coverage to you before the loan is closed. A separate enrollment form with all of these disclosures must be signed before coverage becomes effective

Application and Consent Form
You promise that everything you have stated in this request is correct to the best of your knowledge. If there are any important changes, you will notify us in writing immediately. You also agree to notify us of any change in your name, address or employment within a reasonable time thereafter. You authorize the credit union to obtain credit reports in connection with this request. 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. You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on requests made to Federal Credit Unions. You understand that the credit union will rely on the information in the request and your credit report to make its decision.

By submitting this loan request, you agree that the information is correct to the best of your knowledge. You also agree to notify us of any changes to your name, address or employment. You also authorize the credit union to obtain credit reports in connection with this request.

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Phone: (307) 432-7400
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