A Credit Application can be submitted to the Credit Union using three different options:  Fill in the application and print it out, this can then be mailed or faxed or brought into the office.  You can also copy the application and then paste onto an e-mail and send to us at loans@olcu.org 

CREDIT APPLICATION    

Amount Requested $

Purpose

Married Applicants may apply for a separate account.  Check the appropriate box to indicate Individual Credit or Joint Credit.

   Individual Credit:  Complete Applicant Section

   Joint Credit:  Provide information about both of you by completing Applicant and Other section.

APPLICANT

Name

Street Address

City, State, Zip

For your residence, do you   Own        or   Rent      ?

Monthly payment (or rent) amount? 

How long?  

Social Security Number 

Birthdate 

Drivers License Number          

Home Phone 

Employer 

Title/Position               

Date Started 

Years in the same field of work? 

Married     Single  Number of Dependents

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

Net Wages per Month 

Other Income per Month Source

Name and Address of Nearest Relative Not Living With You

Name

Address

Phone 

Answer the following questions:

Do you have any outstanding judgments? Yes    No

Have you had property foreclosed upon or repossessed in the last 7 year?   Yes   No

Are you a party in a lawsuit?  Yes   No

Are you other than a US Citizen?  Yes    No

Have you ever filed for Bankruptcy or had a Debt Adjustment Plan confirmed under Chapter  13?  Yes     No

Complete this section if  

   1) you live in a community property state (AZ,CA,ID,LA,NM,NV,TX,WA,WI) or

   2)  your spouse will use the account or 

   3)  there is a guarantor on this account.

Please CLICK button to indicate whom the information is about

  CO-APPLICANT   SPOUSE   GUARANTOR

Name

Please enter address if different from above applicant:

Street Address

City, State, Zip

For your residence, do you   Own        or   Rent      ?

Monthly payment (or rent) amount? 

How long?

Social Security Number 

Birthdate

Drivers License Number          

Home Phone 

Employer 

Title/Position               

Date Started 

Years in the same field of work? 

Married      Single  Number of Dependents

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

Net Wages per Month 

Other Income per Month Source

Name and Address of Nearest Relative Not Living With You

Name 

Address

Phone

Answer the following questions:

Do you have any outstanding judgments? Yes    No

Have you had property foreclosed upon or repossessed in the last 7 years?   Yes   No

Are you a party in a lawsuit?  Yes   No

Are you other than a US Citizen?  Yes    No

Have you ever filed for Bankruptcy or had a Debt Adjustment Plan confirmed under Chapter  13?  Yes     No

I/We have an interest in Credit Disability Insurance and/or Credit Life Insurance.  Please inform us of the premium costs for these voluntary coverages.    Yes     No

EXPENSE                    Present Balance        Monthly Payment

Car Payment                $      $

Car or RV Payment      $      $

Credit Card                  $      $

Credit Card                  $      $

Credit Card                  $      $

Other Child Support Credit Card Rental House Payment Vacation Home Payment              $

 Other Child Support Credit Card Rental House Payment Vacation Home Payment              $  

Are you a co-maker, co-signer or guarantor on any loan not listed above?   No     Yes                                                                To whom? 

List Home, Autos, and Other Assets You Own

Home Market Value 

Auto Market Value 

Name of Financial Institution where you have your checking account -

This information about the costs of the card described in this application is accurate as of 06/01/2001.  The information may have changed after that date.  To find out what may have changed, write or call the credit union.

If there are any important changes, you will notify us in writing immediately.  You also agree to notify us of any change in your name, address or employment within a reasonable time thereafter.  You also 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 all your debts and obligations.  You authorize the credit union to obtain credit reports in connection with this application for credit and for any update, renewal or extension of the credit received.  If you request, we will tell you the name and address of any credit bureau from which we received a credit report on you.  You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to State Chartered Credit Unions insured by the National Credit Union Administration.

Applicant's Signature                                           Date

Other Applicant's Signature                                 Date

E-mail address (required)