Bellwood CU - Apply for a Loan

IMPORTANT APPLICANT INFORMATION: Federal law requires financial institutions to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. By submitting this application, you agree to an electronic signature. However, we may not be able to disburse funds without obtaining an original signature authorizing your personal loan request. The information you provide is protected by our privacy policy and federal law.

Type of Loan Requested

Applicant or Co-Applicant

Individual Credit - Relies solely on my income/assets

I am applying for credit with Co-Applicant

Applicant acknowledges the Co-Applicant intends to apply for this loan

If you intend to apply for credit with co-applicant, enter applicant's initials:

If you intend to apply for credit with co-applicant, enter Co-Applicant's initials:

Type of Loan *

Amount Request *

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Loan Proceeds Use *

Individual Applicant Information

First Name *

Last Name *

Mother's Maiden Name *

DOB *

SSN *

Home Phone *

Cell Phone

Email Address

Address *

City *

County

State *

Zip *

Driver's License # *

License State *

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ID Expiration Date *

ID Issue Date *

Do You...

Monthly Housing Payment

Est. Home Value (if owned)

If you are a renter, please list the name of your landlord or apartment complex.

How long have you lived at your current residence? *

Individual Applicant Other Assets

Please list the dollar amount of any savings or money market accounts, cds, stocks, or other real estate in your name:

For Example: $10,000 cd with XYZ Credit Union

Individual Applicant Employment Information

Applicant Employer Name

Check here if you do not have an employer

If checked, reason for unemployment:

Applicant Employer Address *

Business Phone

Position/Title

For How Long? *

Gross Salary (per mo.)

Prior Employment: If you have been employed with your current employer less than one year, please provide your prior employment information below:

Prior Employer

Prior Business Phone

Prior Employer Address

Prior Position/Title

For How Long?

Individual Applicant - 1st Personal Reference

1st Reference First Name *

1st Reference Phone *

1st Reference State

1st Reference Last Name *

1st Reference Address

1st Reference Zip

1st Reference Relationship *

1st Reference City

Please Note: Your personal references you chose to list should be family members and not friends

Individual Applicant - 2nd Personal Reference

2nd Reference First Name *

2nd Reference Phone *

2nd Reference State

2nd Reference Last Name *

2nd Reference Address

2nd Reference Zip

2nd Reference Relationship *

2nd Reference City

Please Note: Your personal references you chose to list should be family members and not friends

Co-Applicant Information

Relationship to Primary Applicant

Co-Applicant First Name

Co-Applicant Last Name

Co-Applicant MI

Co-Applicant Address

Co-Applicant City

Co-Applicant State

Co-Applicant County

Co-Applicant Zip

Do You...

If you are a renter, please list the name of your landlord or apartment complex.

How long have you lived at your current residence?

Co-Applicant Home Phone

Co-Applicant Cell Phone

Co-Applicant Email Address

Co-Applicant DOB

Co-Applicant SSN

Co-Applicant Driver's License #

Co-Applicant State ID Issued?

Co-Applicant Monthly Housing Payment

Co-Applicant Est. Home Value (if owned)

Co-Applicant Other Assets

Please list the dollar amount any money market accounts, Certificates of Deposit, Stocks, other real estates in your name.

Co-Applicant Employment Information

Co-Applicant Employer Name

Co-Applicant Business Phone

Co-Applicant Employer Address

Co-Applicant Position/Title

For How Long?

Co-Applicant Gross Salary (per mo.)

Prior Employment: If you have been employed with your current employer less than one year, please provide your prior employment information below:

Co-Applicant Prior Employer Name

Co-Applicant Prior Business Phone

Co-Applicant Prior Employer Address

Co-Applicant Prior Position/Title

For How Long?

Co-Applicant Personal Reference

First Name

Last Name

Address

Home Phone

City

State

Zip

Please Note: Your personal references you chose to list should be family members and not friends

Secured Credit Request

Complete if you will be using a vehicle or cash as collateral for your loan.
Briefly describe the property to be given as security.

Property Description (vehicle type or amount of cash)

Names & Addresses of all Co-Owners of the Property

Comments

ELECTRONIC SIGNATURES:

I/We certify that everything I/We have stated in this request and on any attachments is correct. Lender may keep this request whether or not it is approved. By submitting this request I/We authorize Lender to check my credit and employment history and to answer questions others may ask Lender about my credit record with Lender. I/We understand that I/We must update credit information at Lender's request if my financial condition changes.

Before submitting, please type in the security code below: *

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Apply for a Loan

Digital Banking

Loan Application

Type of Loan Requested

Individual Applicant Information

Individual Applicant Other Assets

Individual Applicant Employment Information

Individual Applicant - 1st Personal Reference

Individual Applicant - 2nd Personal Reference

Co-Applicant Information

Co-Applicant Other Assets

Co-Applicant Employment Information

Co-Applicant Personal Reference

Secured Credit Request