AFFCU Loan Application | Always Where You Are

All fields with a * are required
Type of loan*
Auto     Motorcycle     Boat     RV     Education     Overdraft Protection
Share Secured Loan     Signature Loan     VISA Credit Card
 
Loan Requested For
Term Requested
Amount Requested*
Collateral
Purpose of Loan*
Purchase Vehicle     Home Improvement      Refinance Vehicle     VISA Credit Card

Other    
 
Is this an individual or joint loan?
Individual     Joint
Primary Borrower Information
Name (First M. Last)*
Date of Birth (mm/dd/yyyy)*
Social Security Number*
Member Number
Number of Dependents
Driver's License Number         State
E-mail*
Current Address*
City, State Zip* ,  
Current Home Phone Number ( ) -
Cell Phone Number ( ) -
Current Employer*
Start Date(mm/dd/yyyy)
Current Job Title
Current Work Address
City, State Zip ,  
Current Work Phone Number ( ) - ext.
Former Employer
Former Job Title
Former Work Address
City, State Zip ,  
Former Work Phone Number ( ) -
 
Co-Borrower Information
Name (First M. Last)*
Date of Birth (mm/dd/yyyy)*
Social Security Number*
Number of Dependents
Driver's License Number         State
E-mail*
Current Address*
City, State Zip* ,  
Former Address
City, State Zip ,  
Current Home Phone Number ( ) -
Cell Phone Number ( ) -
Current Employer*
Start Date(mm/dd/yyyy)
Current Job Title
Current Work Address
City, State Zip ,  
Current Work Phone Number ( ) - ext.
Former Employer
Former Job Title
Former Work Address
City, State Zip ,  
Former Work Phone Number ( ) -
 

Income

Fax most recent paystub to AFFCU at (410) 584-8061.

 
  Borrower Co-Borrower
Gross Income* $ $
Borrower Frequency of Pay* Weekly   Bi-Weekly   Semi-Monthly
Monthly
Co-Borrower Frequency of Pay Weekly   Bi-Weekly   Semi-Monthly
Monthly
Rental Income $ $
Other $ $
Total: $ $
Note: Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered for repaying this loan.

     LIABILITIES   BALANCE   MONTHLY PAYMENTS
Real Estate      


$ $


$ $


$ $
Autos $ $
  $ $
  $ $
Credit Cards $ $
  $ $
  $ $
  $ $
  $ $
Others $ $
  $ $
Total Liabilities
Other Questions
(Check box for 'yes' or leave blank for 'no')
Borrower
Are there any judgments against you?
Have you been declared bankrupt within the past 7 years?
Have you had property foreclosed upon or given title/deed in lieu thereof in the last 7 years?
Are you a party to a law suit?
Are you obligated to pay alimony, child support, or separate maintenance?
Is any of the down payment borrowed?
Are you a co-maker or endorser on a note?
Co-Borrower
Are there any judgments against you?
Have you been declared bankrupt within the past 7 years?
Have you had property foreclosed upon or given title/deed in lieu thereof in the last 7 years?
Are you a party to a law suit?
Are you obligated to pay alimony, child support, or separate maintenance?
Is any of the down payment borrowed?
Are you a co-maker or endorser on a note?
Additional Information    

Please read and agree to the following before submitting this loan application:

LOAN APPLICATION DISCLOSURE

I/we agree that everything stated in this application is true and correct to the best of my/our knowledge. Atlantic Financial FCU or its agent is authorized to investigate my/our credit worthiness, employment history and to obtain a credit report and review my/our credit history with the credit union. I/we certify that employment and income verification submitted is true and correct. I/we understand that any false or misleading statements in this application may cause anyloan or line of credit granted to be in default. I/we agree that this application shall be the credit union's property whether or not this credit application is approved. If I/we applied for and are approved for a VISA credit card or overdraft line of credit, by submitting this application, using the line of credit, or permitting another to use the credit card(s) or line of credit, I/we agree to be bound by the VISA agreement sent with the VISA credit cards or the overdraft line of credit agreement mailed separately after the line of credit is approved. I understand the USA Patriot Act requires the credit union to obtain, verify and record information that identifies each person who opens the account.

*I have read, understood, and agreed to this disclosure
I wish to settle this loan at the
Hunt Valley Branch Inner Harbor Branch