United 1st FCU
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Loan Application
Individual Credit: You must complete the Applicant section about yourself and the Other section about your spouse if:
1. you live in or the property pledged as collateral is located in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI),
2. If you are relying on income from alimony, child support, or separate maintenance, complete the Other section to the extent possible about the person on whose payments you are relying.
Joint Credit: Each Applicant must individually complete the appropriate section below. If Co-Borrower is spouse of the Applicant, mark the Co-Applicant box.
Guarantor: Complete the Other section if you are guarantor on an account/loan.
Check below to indicate the type of account(s) and type of credit for which you are applying. Married Applicants may apply for a separate account.
LOANLINER Account/Loan: Individual Joint
(Including ATM/Debit Card Access to the Account if Available)

Amount Requested:

Purpose/Collateral:


Repayment:
Payroll Deduction Cash Military Allotment Automic Payment

PAYMENT PROTECTION: Are you interested in having your loan protected? YES NO
If you answer "yes", then the credit union will disclose the cost of this voluntary payment protection to you. A separate election which discloses the terms and conditions must be signed for protection to be effective.
APPLICANT
NAME ACCOUNT NUMBER
SOCIAL SECURITY NO. 
DRIVER LICENSE NUMBER /STATE
/
PRESENT ADDRESS


CITY


STATE ZIP
BIRTH DATE 
HOME PHONE 
BUSINESS PHONE/EXT 
EMAIL ADDRESS 
LENGTH OF RESIDENCE: OWN RENT
   MORTGAGE/RENT TO OWED TO:
MORTGAGE BALANCE $ MONTHLY PAYMENT $ INTEREST RATE %
COMPLETE FOR JOINT CREDIT, SECURED CREDIT OR IF YOU LIVE IN A COMMUNITY
PROPERTY STATE: MARRIED SEPARATED UNMARRIED (Single - Divorced - Widowed)
EMPLOYMENT AND INCOME
NAME AND ADDRESS OF EMPLOYER
PRESENT ADDRESS
CITY
STATE ZIP
START DATE  
NOTICE: ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED IF YOU DO NOT CHOOSE TO HAVE IT CONSIDERED
EMPLOYMENT INCOME
OTHER INCOME
PER
PER
NET GROSS SOURCE
CO-APPLICANT
NAME ACCOUNT NUMBER
SOCIAL SECURITY NO. 
DRIVER LICENSE NUMBER /STATE
/
PRESENT ADDRESS


CITY


STATE ZIP
BIRTH DATE 
HOME PHONE 
BUSINESS PHONE/EXT 
EMAIL ADDRESS 
LENGTH OF RESIDENCE: OWN RENT
   MORTGAGE/RENT TO OWED TO:
MORTGAGE BALANCE $ MONTHLY PAYMENT $ INTEREST RATE %
COMPLETE FOR JOINT CREDIT, SECURED CREDIT OR IF YOU LIVE IN A COMMUNITY
PROPERTY STATE: MARRIED SEPARATED UNMARRIED (Single - Divorced - Widowed)
EMPLOYMENT AND INCOME
NAME AND ADDRESS OF EMPLOYER
PRESENT ADDRESS
CITY
STATE ZIP
START DATE  
NOTICE: ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED IF YOU DO NOT CHOOSE TO HAVE IT CONSIDERED
EMPLOYMENT INCOME
OTHER INCOME
PER
PER
NET GROSS SOURCE
STATE LAW NOTICES
OHIO RESIDENTS ONLY: the Ohio laws against discrimination require that all make credit equally available to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.
  WISCONSIN RESIDENTS ONLY: (1) No provision of any marital property agreement, unilateral statement under Section 766.70 will adversely affect the rights of the Credit Union unless the Credit Union is furnished a copy of the agreement, statement or decree, or has actual knowledge of its terms, before the credit is granted or the account is opened. (2) Please sign if you are not applying for this account or loan with your spouse. The credit being applied for, if granted, will be incurred in the interest of the marriage or family of the undersigned.
Click here if you agree to the terms and conditions above. Click here if you agree to the terms and conditions above.
SIGNATURES
1. You promise that everything you have stated in this application is correct to the best of your knowledge. If there are any important changes you will notify use in writing immediately You authorize the Credit Union to Obtain credit reports in connection with its application for credit and for any update, increase, renewal, extension or collection 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. 2. If you are applying for a credit card, you understand that the use of your card will constitute acknowledgment of receipt and agreement to the terms of the credit card agreement and disclosures. You grant us a security interest in all individual and joint share and/or deposit accounts you have with us now and in the future to secure your credit card account. When you are in default, you authorize us to to apply the balance in these accounts to any amounts due. Shares and deposits in an individual Retirement Account, and any other account that would lose special tax treatment under state or federal law if given as security, are not subject to the security interest you have given in your share and deposits.
Click here if you agree to the terms and conditions above. (required)
    
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  For mortgage loans, please contact your local Member Service Center.

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