Loan Application KentCU

Type of Loan Requested:

First Name:

Last Name:

Amount Of Loan Requested:

Term Of Loan?

Where would you like to close the loan?

Are you a member of Kent Credit Union?
Yes
No

Account Number:

Social Security Number:

Date Of Birth:

Down Payment (if applicable):

Year:

Make:

Model:

VIN:

Phone:

Email:

Preferred Contact Method?

Please leave comments here:

Street Address:

City:

State:

Zip:

How long have you lived at this address?

Own or Rent?

Previous Address:

Previous City:

Previous State:

Previous Zip:

How long did you live at this address?

Own or Rent?

Employer Name:

Employer Address:

Employer Phone Number:

Start Date:

Position:

Annual Income*:
*Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered.

Employer Name:

Employer Address:

Employer Phone Number:

Start Date:

Position:

Reference Name:

Address:

Phone Number:

Relationship to you:

Do you have any other credit applications pending?
Yes
No

Have you ever filed a petition for Chapter 13?
Yes
No

Have you ever filed a petition for bankruptcy?
Yes
No

Are there any pending suits or judgements or unsatisfied alimony or maintenance awards against you?
Yes
No

Ever had any auto, furniture or other property repossessed?
Yes
No

Do you have any past due bills?
Yes
No

Are you a co-maker or endorser on another loan or note?
Yes
No

Have you ever had any property foreclosed upon or given title or deed in lieu thereof in the past?
Yes
No

Do you have any past due obligations owed to or insured by an agency of the federal government?
Yes
No

Are you a U.S. citizen?
Yes
No

If no, are you a resident alien?
Yes
No

If no, are you a non-resident alien?
Yes
No

Monthly Rent/Mortgage Expense:

Rent or Mortgage?

Creditor Name:

Balance:

Payment:

Creditor Name:

Balance:

Payment:

Creditor Name:

Balance:

Payment:

Creditor Name:

Balance:

Payment:

Creditor Name:

Balance:

Payment:

OHIO RESIDENTS ONLY: The Ohio laws against discrimination require that all creditors 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.

You promise that everything you have stated in this application is correct to the best of your knowledge and that the above information is a complete listing of what you owe. If there are any important changes you will notify us in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this 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 is received a credit report on you. It is a crime to willfully and deliberately provide incomplete or incorrect information in this application.

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 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 shares and deposits.

Kent Credit Union

Secure Loan Application Form