Please Note: Income
verification may be required.
Alimony, child support,
or separate income need not be listed unless you choose to have such income
considered regarding extension and repayment of the credit requested.
Other
Applicant Information
Click here if
Name:
(First, Middle Initial, Last)
Number of
Dependents:
Social
Security Number:
Birth Date:
If the
following information is same as applicants, click here
and
continue to Other
Applicant Employment Information .
Home Phone:
Length of
Residence:
Years
Months
Address:
City:
State:
Zip:
Previous
Address if Current Address is less than five years:
Previous
Length of Residence:
Years
Months
Address:
City:
State:
Zip:
Other
Applicant Income Statement
Please
Note: Income verification may be required.
Self
Employed:
Yes
No
Employment
Income:
$
Hrly
| Wkly
| Mo
| Yrly
Gross
| Net
Employer
Name:
Employer
Address:
City:
State:
Zip:
Business
Phone:
Start Date:
Position:
How long
there?
Years
Months
Telco Triad Community Credit Union
Online Loan Application Con't
Monthly Obligations
In
addition to rent/mortgage, list all other debts (i.e.:
auto loans, credit cards, second mortgages, home assoc.
dues, alimony, child support, child care, medical,
utilities, auto insurance, IRS liablilities, etc).
Please use a separate entry for each credit card, loan,
etc.
To
Whom Owed
Balance Owed
Monthly Payment
Mortgage/Landlord:
How
would you like us to respond?
Phone:
Email:
Best
time to contact you:
Did
you like applying for a loan over the internet?
Yes No
Why
or why not?
Tell us what you like of dislike about Telco Triad.
By
electronically submitting this application, I/we have
applied for credit from the Lender. As part of the
application process, the Lender and any potential
investor or insurer of this loan may verify the
information contained in my/our credit application and
in other documents required in connection with this
loan.
I/We
authorize you to provide to the Lender and to any
potential investor or insurer of this loan, any and all
information and documentation requested. Such
information may include, but is not limited to:
employment and income history; bank, money market, and
similar account balances; credit history; and copies of
income tax returns. The source of the information may
come from but is not limited to: credit bureaus; banks
and other depository institutions; current and former
employers; federal or state records including State
Employment Security Agency records; or other sources as
required.
I/We agree that everything stated in this application
whether oral, written, or through a fax machine is
correct to the best of my/our knowledge. The credit
union is authorized to investigate my/our
credit-worthiness, employment history, and to obtain a
credit report and to answer questions about my/our
credit experience. I/We understand that any false or
misleading statements in my/our application may cause
any loan or extension to be in default. I/We understand
that 18 U.S.C. & 1014 makes it a federal crime to
knowingly make any false statement on this application.
It
is the credit union's policy to not discriminate against
any applicant with respect to race, color, religion,
national origin, sex, marital status, age, the receipt
of public assistance, part time income, or exercising
rights under any consumer protection credit act. In
addition, it is our policy not to discriminate based on
familiar status or a handicap in the extension of credit
for housing. It is the credit union's intent to comply
with all consumer credit protection statues and
regulations.
I/We understand that due to this application being
submitted electronically, my/our signatures on any loan
documents in relation to this application will attest to
the validity of my/our request for the granting of the
above credit.
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