Loan and Credit Application

Loan and Credit Application

Step 1. Loan Information
I am applying as
Loan Type	If other, specify
Loan Term
Amount Requested
Purpose
If purchasing a car, will you be trading in current car?
Financed by
If refinancing, name of current finance company
Payment Method
Payment Option
Payment Protection Coverage (optional)

1.	The borrower understands that he or she has the option of assigning any other policy or policies the borrower owns or may procure for the purpose of covering such loan and that the policy need not be purchased from the creditor agent in order to obtain the loan.
2.	The borrower understands that the credit life coverage may be deferred if, at the time of application, the borrower is unable to engage in employment or unable to perform normal activities of a person like age, sex, if the proposed credit life insurance policy contains this restriction.
3.	The borrower understands that the benefits under the policy will terminate when the borrower reaches a certain age and that the borrower's age is accurately represented on the application or policy.
Other fees may apply depending on the loan you are requesting.

Step 2. Personal Information
First Name, MI, Last Name
Primary Applicant SCCU Account Number (non-members leave blank)
Primary Applicant e-mail address
Social Security #
Date of Birth
Street address, Apt/Unit#
City
How Long at this address?	Years Months
Own/Buying RentLeasingLive w/relativesOther
Amount of Monthly Rent
Do you have a first mortgage?
Original Amount
Current Balance
Monthly Payment
Do you have a second mortgage?
Original Amount
Current Balance
Monthly Payment
Current Market Value
Purchase Price
Home Phone
Cell Phone
Marital Status

Step 3. Income
Employment Status
Employer
Work Phone
Date of Hire
Position
Gross Monthly Salary
Other Income (Excluding Spouse's Income)
Source
Do you or your spouse receive alimony?*
If so, what is the monthly amount?*
* 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.

Step 4. Spouse or Co-Applicant Information
First Name, MI, Last Name
Social Security #
Date of Birth
Click here if same address as above
Street Address, Apt/Unit#
City, State, Zip
How long at this address?	Years Months
Own/Buying RentLeasingLive w/relativesOther
Monthly Rent (if not living with spouse)
Home Phone
Marital Status

Step 5. Spouse or Co-Applicant Income
Employment Status
Employer
Work Phone
Date of Hire
Position
Gross Monthly Salary
Other Income (Excluding Spouse's Income)
Source
Do you or your spouse receive alimony?
If so, what is the monthly amount?

AS A CONDITION OF CREDIT UNION OPENING MY ACCOUNT, I HEREBY GRANT TO CREDIT UNION A SECURITY INTEREST IN ALL SHARES, DEPOSITS AND OTHER FUNDS ON DEPOSIT WITH THE CREDIT UNION IN WHICH I HAVE AN OWNERSHIP INTEREST (other than an IRA account or an account where this security interest would cause the loss of tax-exempt or tax-deferred status). THE SECURITY INTEREST IS FOR ALL AMOUNTS OWED TO CREDIT UNION UNDER THE TERMS OF THIS AGREEMENT. IF I AM IN DEFAULT UNDER ANY TERM OF THIS AGREEMENT, CREDIT UNION SHALL HAVE A RIGHT TO IMMEDIATELY SEIZE MY SHARES, DEPOSITS AND/OR OTHER FUNDS WITH OUT NOTICE OR DEMAND TO ME AND TO APPLY SUCH FUNDS TO THE AMOUNTS OWED TO CREDIT UNION.