WESLA - Loan Or Mortgage Application

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Loan Or Mortgage Application

Simply fill out this application, then click "I Agree" to accept the terms and send your application. You're done. Once we receive the application we will process it and have a response within 24 hours.

Are you filing Jointly? Yes No Amount Applying For:

Purpose of Loan:

Primary Applicant

Current Address

Full Legal Name:	Email Address:
Street Address:	City:
State:	Zip Code:
Years At Address:	Own: or Rent:
Rent or Mortgage:
Home Phone #:	CellPhone #:
Drivers License #:	State Issued:
Social Security #:	Date Of Birth:

Dependents

How Many? Ages: 1: 2: 3: 4:

Previous Address (if less then 2 yrs at current address)

Street Address:	City:
State:	Zip Code:
Years At Address:

Employment And Income

Employer Name:	Position:
Street Address:	City:
State:	Zip Code:
Hire Date:	Work Phone #:
Supervisor:	Gross Income:

Other Income (You need not list income from alimony, child support or separate maintenance unless you wish it considered for purposes of granting this credit.)

Income Type:	Income Amount:
Income Type:	Income Amount:

Joint Applicant

Current Address

Full Legal Name:	Email Address:
Street Address:	City:
State:	Zip Code:
Years At Address:	Own: or Rent:
Rent or Mortgage:
Home Phone #:	CellPhone #:
Drivers License #:	State Issued:
Social Security #:	Date Of Birth:

Dependents

How Many? Ages: 1: 2: 3: 4:

Previous Address (if less then 2 yrs at current address)

Street Address:	City:
State:	Zip Code:
Years At Address:

Employment And Income

Employer Name:	Position:
Street Address:	City:
State:	Zip Code:
Hire Date:	Work Phone #:
Supervisor:	Gross Income:

Other Income (You need not list income from alimony, child support or separate maintenance unless you wish it considered for purposes of granting this credit.)

Income Type:	Income Amount:
Income Type:	Income Amount:

Deposits Assets

	Bank Name	Account Number	Approximate Balance
Checking
Savings
Other

Assets

	Description or Address	Value	Pledged as Collateral
Home			Yes or No
Auto			Yes or No
Other			Yes or No

Personal Reference/Relative (not living in same household)

Relative's Name:	Relationship:
Street Address:	City:
State:	Zip Code:
Home Phone #:

Personal Reference/Friend

Reference's Name:	Home Phone #:
Street Address:	City:
State:	Zip Code:

Financial Obligations

Creditors (or other financial obligations) Do Not List WESLA Loans	Balance	Monthly Payments

Few Simple Questions

	Yes	No
Do you have any outstanding judgments?
Have you filed for Chapter 7 or Chapter 13 bankruptcy in the last ten years?
Have you had property foreclosed upon or repossessed in the last seven years?
Are you a party in a lawsuit?
Are you anything other than a U.S. citizen or permanent resident alien?
Is your income likely to decline in the next two years?
Are you a co-maker, co-signer, or guarantor on any other loans not listed here?

I certify that everything I have stated in this application is correct to the best of my knowledge and that the above information is a complete listing of all my debts and obligations. I authorize WESLA Federal Credit Union to check my employment and credit history and to obtain credit reports in connection with this application for credit and for any update, renewal or extension of the credit received. If I request, WESLA Federal Credit Union will tell me the name and address of any credit bureau from which it received a credit report on me. I understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to Federal Credit Unions insured by the NCUA.

This Form will be transmitted using a Microsoft secure, encrypted process to safeguard your data. However, neither WESLA Federal Credit Union nor its Internet Provider, Bellsouth Internet Services, assumes liability for inadvertent compromising or corruption of data transmitted via the Internet.

I Agree

Clear