Mountain Laurel Federal Credit Union

LOAN  APPLICATION

All vehicle loans at Mountain Laurel FCU require full coverage insurance for the length of the loan. Please list the credit union as lien holder and have full coverage with comprehensive and collision deductibles $500 or  less.

Amount Requested:_____________________

Purpose of Loan:______________________

Name:____________________________________________________________________
Address:________________________________________Years there:__________________
Member Account #: ______________Social Security #:_______________________
Phone # Day: _________________D.O.B.:___ /___ /___ Drivers License Number:__________

Employer: ________________________  Length of Employment:___________________

Previous employer if less than 2 years at current employment:____________________________

Previous address if less than 2 years at current address:________________________________  

Gross Annual Income: _______________

*Alimony, child support or separate maintenance income need not be revealed  if you do not wish to  have it considered  as a basis for repaying this loan. 
Co-Applicant Name: ______________________________________________________
Address: ________________________________________________________________
Social Security #: _____________________Drivers License Number:__________________
Phone # Day: ___________________________     D.O.B.: _____ / _____ / _____
Employer: _______________________   Gross Annual Income: _____________________
Previous employer is less than two years:________________________________________

Previous address is less than two years at current address:___________________________

Length of Current Employment: ____________________

Outstanding Loans: 

Rent:_____or Mortgage_______Monthly Payment:_____________             

Auto Loan: ________________Monthly Payment:_____________            

Are there any other persons obligated on any listed loans?______________________

Are you a co-signer, co-maker or guarantor on any loan?_______________________

Have you been declared bankrupt in the last 14 years?___________

Credit Cards:                                                                                         

Company______________________ Monthly Payment:________

Company:______________________Monthly Payment:________

Company:______________________Monthly Payment:_________

Company: _____________________ Monthly Payment:_________

Other:____________________________________________________________

_________________________________________________________________

Name of nearest relative: ______________________________________________ Address_________________City_________Phone:__________

Everything I have stated in this request is correct to the best of my knowledge. Mountain Laurel  FCU is authorized to check my credit and employment history. I also agree to provide additional information or documents needed if my request is approved.

Applicant: __________________Date:_____________     

Co-Applicant: ______________________Date:____________
We are interested in:
(   ) New or used auto loan for $ ____________________
Make: ______________     Model: _________________ Year: _________
(   ) Refinancing an existing auto loan from another lender.

If you are refinancing a vehicle, please list make, model and year below:
Make: _________________     Model: _____________   Year: _________
(   ) Applicant's Signature only
(   ) Joint Credit - Joint Applicant or Co-maker (person who will be equally liable for repayment)
        Name: ___________________________  (Have this person complete a separate loan application.)
Relationship to applicant, if any________________________________________
(   )  Secured Credit - Collateral
        Shares in Account #'s: __________________     $ _____________________
        New / Used Auto - Make ____________________   Year ____________  
        Cost / Value $ ________________  Other:____________________________________
Owner's Names:_________________________________________

Required items: Pay stubs (income verification), all vehicle information (if auto loan) Payoffs (if consolidation)

Credit Committer or Loan Officer Signature:__________________________

Approved:_________________

Rejected:__________________Reason:__________________________________

_________________________________________________________________