Loan Application

* Required Field
  Type of Loan




Please note if you have selected :

Unsecured Loan - please fill in Reason for Loan Request.

Auto Refinance - please fill in all information in the Collateral Information section.

Auto Purchase - please fill in Year, Make, Model, VIN (if known) and Sellers Name in the Collateral Information section..

RV Purchase - please fill in Year, Make, Model, VIN (if known) and Sellers Name in the Collateral Information section.


  Amount Requested
  Term Requested
  Reason for Loan Request


Please Tell Us About Yourself (Primary Borrower)

* Full Name
* Street Address
* City
* State
  Housing Status
  Monthly Housing Payment
* Zip Code
* Phone Number() - ext
* Social Security Number - -
* Birth Date / / (mm/dd/yyyy)
* Email Address

Please Tell Us About Your Job (Primary Borrower)

  Current Employer
  Years There
  Gross Monthly Salary/Hourly Income

Monthly dollar amount that you receive in alimony, child support, or separate maintenance - this income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation


Please Tell Us About Yourself (Co-Borrower)

  Full Name
  Street Address
  City
  State
  Zip Code
  Housing Status
  Monthly Housing Payment
  Phone Number() - ext
  Social Security Number - -
  Birth Date / / (mm/dd/yyyy)
  Email Address

Please Tell Us About Your Job (Co-Borrower)

  Current Employer
  Years There
  Gross Monthly Salary/Hourly Income

Monthly dollar amount that you receive in alimony, child support, or separate maintenance - this income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation


Collateral Information

  Year of the Vehicle
  Make & Model of the Vehicle
  Approximate Mileage
  Current Loan Holder
  (if applicable)
  Amount left on loan
  (If applicable)
  Seller Name
  (If applicable)
  Purchase Price
  (If applicable)


By submitting this application, I certify that the information submitted is true and correct and represents my current financial condition accurate, and that I have no other debts than those stated. If there are important changes, I will notify you in writing immediately. I understand that any false statements or willful over-evaluation of land, property or security for the purpose of influencing in any way the action of any federally insured credit union upon any loan application is a violation of Section 1014, Title 18, US Code.

The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

I authorize you to gather whatever credit and employment information you consider necessary and appropriate. I authorize you to give information concerning your credit experience with me to others. I understand that you will retain this application whether or not credit approved. If this application is signed by more than one person, the words "I" and "my" shall mean all those who sign the application.

  I accept


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