Loan Application

Sections

Loan Information
Applicant Information
Spousal Information
Joint Applicant Information
Reference Information
Monthly Income Information
Assets and Debts
Notable Events
Collateral and Insurance
Bottom of Application

PLEASE FILL OUT THE ENTIRE APPLICATION
 
Loan Information

Loan Purpose

Desired Loan Amount

Desired Loan Term (in months)

Applicant Information
Personal Information

First Name

Middle Initial

Last Name

Current Address

Address 1

Address 2

City, State
-
ZIP Code

Years/Months At Above Address
$
Payment / Rent
Previous Address

Address 1

Address 2

City, State
-
ZIP Code

Years/Months At Above Address


Home Phone

Work Phone

Fax Number


E-Mail Address

Date of Birth (mm/dd/yyyy)

Social Security Number


Driver's License Number

Mother's Maiden Name
Employment Information

Current Occupation

Years in Occupation

Average Annual Salary

Current Employer

Employer's Name

Address 1

Address 2

City, State
-
ZIP Code

Length At Above Position
Previous Employer

Employer's Name

Address 1

Address 2

City, State
-
ZIP Code

Length At Above Position

Spousal Information
Joint Applicant Information
Reference Information (Family or Friend)

Full Name

Relation

Phone Number

Monthly Income Information
Primary Applicant

Net Pay
(After taxes and/or deductions)

Gross Pay
(Before taxes and/or deductions)


Other Income
(Source and Amount)
Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered for repaying this obligation.

Assets & Liabilities If you are married, some assets and income may be considered community property, and all liabilities are considered community obligations. The laws and regulations that pertain to the state in which you reside will determine how the credit union views assets and liabilities listed on this application.

Assets
Financial Institution Account Type Account Number Current Balance Jointly Owned

Liabilities
Owed Institution Debt Description Account Number Current Balance Monthly Payment

Notable Events




Collateral & Insurance

Payment Protection

Check coverage(s) desired. The credit union will disclose the cost of this voluntary insurance to you. A separate insurance election which discloses the terms and conditions must be signed for coverage to become effective.

Application Notes

  • Applicant(s) will be required to sign application in person at the Credit Union.
  • This application does not guarantee an account will be opened.
  • Qualification for an account is not determined soley by this application's contents.
  • If required information, or valid contact information is missing, this application may be discarded.
  • There may be more than one type of account in this category, the credit union will contact you for further information.

By submitting this loan application, you are granting Hartford Firefighters' Federal Credit Union full permission to seek and obtain a credit report using your personal information.