Loan Application

LOAN APPLICATION - PDF

Loan Application

   

Type of Account Wanted

MARRIED APPLICANTS may apply for a separate account. A Credit Union may only extend direct credit to member. A joint applicant for credit will be considered a guarantor or co-signer if such person is not a Credit Union member. Check the type of credit account you wish to apply for.
- You must complete the applicant section about yourself and the other section about your spouse if: You live in a community property state (AK, AZ, CA, ID, LA, NM, NV, P.R., TX, WA, WI) or your spouse will use the account, or you are relying on your spouse's income as a source of repayment.
- If you are applying for a joint account or an account that you and another person will use, you must complete the applicant and the co-applicant section. If you intend to apply for joint credit, you understand that the Credit Union may need to document any non-member as a guarantor/co-signer as explained above.

INFORMATION ABOUT PROTECTION FOR YOUR LOANS
Group Credit Insurance is available on loans made to Credit Union members. Insurance is voluntary and not required to obtain credit. If you would like information about Group Credit Insurance, check below.

Single Credit Life Insurance

Joint Credit Life Insurance

Credit Disability Insurance

The Credit Union will disclose the cost of this Voluntary Insurance to you if you checked Yes. A separate election disclosing the terms and conditions of the Credit Insurance must be signed for the coverage to be effective. If you have attained or are over the ages indicated, you are not eligible for coverage.

Applicant

Complete for credit or if you live in a community property state

Date of Birth
 




 

Own or Rent?
 




 
Own or Rent?
 
Home Phone
Cell Phone
 
Business Phone

 

Social Security Number
 

 

 

 

Additional Information

 
 
 
 
Supervisor Phone
 
Date Employed
Self-Employed
 
Is Military Duty Station Transfer Expected within Next Year?
 
 

*You need not reveal income from alimony, child support, or separate maintenance payments unless you want it considered in evaluating this credit application.

 
Type of Income
 
 
 
Starting Date
Ending Date
 
 

Assets

 

CURRENT DEPOSITS AT OTHER FINANCIAL INSTITUTIONS

 
Account Type 1
 

Account Type 2
 

Account Type 3
 

 
Pledged As Collateral

 
Other Assets Pledged As Collateral
 

References

 
Relative Phone 1
 

Relative Phone 2
 
 

Co-Applicant

 
Co-Applicant Type
Complete for secured credit or if you live in a community property state
 
Co-Applicant Marital Status
 
Co-App Date of Birth
 
 
Co-App Own or Rent?
 
 
Co-App Previous Own or Rent?
 
Co-App Home Phone
Co-App Cell Phone
 
Co-App Business Phone
 
Co-App Social Security Number
 
 
 
 

Additional Information

 
 
 
 
Co-App Supervisor Phone
 
Co-App Date Employed
Co-App Self-Employed
 
Co-App Is Military Duty Station Transfer Expected Within Next Year?
 

*You need not reveal income from alimony, child support, or separate maintenance payments unless you want it considered in evaluating this credit application.

 
Co-App Net or Gross?
 
 
Co-App Starting Date
Co-App Ending Date
 
 

Assets

 

CURRENT DEPOSITS AT OTHER FINANCIAL INSTITUTIONS

 
Co-App Account Type 1
 

Co-App Account Type 2
 

Co-App Account Type 3
 

Co-App Pledged As Collateral

 
 
Co-App Other Pledged As Collateral
 

References

 
 
Co-App Relative Phone 1
 

 
Co-App Friend Phone
 
 

Outstanding Debts and Obligations - List Everything Owned
Please include house payment or monthly rent

 
Applicant or Co-Applicant 1
 
 

Applicant or Co-Applicant 2
 
 

Applicant or Co-Applicant 3
 
 

Applicant or Co-Applicant 4
 
 

Applicant or Co-Applicant 5
 
 

Applicant or Co-Applicant 6
 
 

Have you ever filed a petition for bankruptcy?
Question Applicant 1
Question Co-Applicant 1

Have you ever filed a petition for Chapter 13 Bankruptcy?
Question Applicant 2
Co-Applicant Question 2

Are any suits pending, judgements filed, alimonys or support awards against you?
Applicant Question 3
Co-Applicant Question 3

Have you ever had any auto, furniture, or any property repossessed?
Applicant Question 4
Co-Applicant Question 4

Are you a party in a lawsuit?
Applicant Question 5
Co-Applicant Question 5

Do you have any outstanding judgements?
Applicant Question 6
Co-Applicant Question 6

Is any income you have shown likely to reduce in the next two years?
Applicant Question 7
Co-Applicant Question 7

Applicant Question 8
Co-Applicant Question 8

Are you a United States Citizen?
Applicant Question 9
Co-Applicant Question 9

It is the Credit Union's policy not to discriminate against any applicant with respect to race, color, religion, national origin, sex, martial 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 familial 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 statutes and regulations.

Note: Please click on the Submit button only one time.

   

 

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You are leaving Piedmont Plus CU's website. Links that may be accessed via this site are for the convenience of informational purposes only. Any products or services accessed through this link are not provided or guaranteed by Piedmont Plus Credit Union. The site you are about to visit may have a privacy policy that is different than Piedmont Plus Credit Union’s. Please review their privacy policy. Piedmont Plus Credit Union does not endorse the content contained in these sites, nor the organizations publishing these sites, and hereby disclaims any responsibility for such content.

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You are leaving Piedmont Plus CU's website. Links that may be accessed via this site are for the convenience of informational purposes only. Any products or services accessed through this link are not provided or guaranteed by Piedmont Plus Credit Union. The site you are about to visit may have a privacy policy that is different than Piedmont Plus Credit Union’s. Please review their privacy policy. Piedmont Plus Credit Union does not endorse the content contained in these sites, nor the organizations publishing these sites, and hereby disclaims any responsibility for such content.

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You are leaving Piedmont Plus CU's website. Links that may be accessed via this site are for the convenience of informational purposes only. Any products or services accessed through this link are not provided or guaranteed by Piedmont Plus Credit Union. The site you are about to visit may have a privacy policy that is different than Piedmont Plus Credit Union’s. Please review their privacy policy. Piedmont Plus Credit Union does not endorse the content contained in these sites, nor the organizations publishing these sites, and hereby disclaims any responsibility for such content.

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You are leaving Piedmont Plus CU's website. Links that may be accessed via this site are for the convenience of informational purposes only. Any products or services accessed through this link are not provided or guaranteed by Piedmont Plus Credit Union. The site you are about to visit may have a privacy policy that is different than Piedmont Plus Credit Union’s. Please review their privacy policy. Piedmont Plus Credit Union does not endorse the content contained in these sites, nor the organizations publishing these sites, and hereby disclaims any responsibility for such content.

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