Fillable Form 2.: ft Application ST BERNARD SCHOOL BOARD

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Form 2.: ft Application ST BERNARD SCHOOL BOARD

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ft
ST BERNARD SCHOOL BOARD
EMPLOYEES FEDERAL CREDIT UNION
200
E
Saint
Bernard
Hwy
®Chalmette,
LA
70043-5162
HOW
TO
APPLY
• Please complete front
and
back
of application
• Sign on
back
page
• Return completed application
to
credit union
Application
• An incomplete
or
unsigned application
may
delay processing
Individual Credit:
You
must complete the
Applicant
section about yourself and the Other section about your spouse if:
1.
you
live
in
or the property pledged as collateral
is
located
in
a community property state (AK, AZ, CA,
ID
, LA,
NM
,
NV
,
TX
,
WA
,
WI
),
2.
your spouse will use the account, or
3.
you
are relying
on
your spouse's income as a basis for repayment.
If
you
are relying
on
income from alimony, child support, or separate m
ai
ntenance,
complete the Other section to the extent possible about the person
on
whose payments you are relying.
Joint Credit:
Each
Applicant
must
individually complete
the
appropriate section
below.
If
Co-Borrower
is
spouse
of
the
Applicant, mark
the
Co-Applica
nt
bo
x.
Guarantor: Complete the Other section if you are a guarantor
on
an
account/loan.
Check below to Indicate the type of account(s) and type of credit for which you are applying. Married Applicants may apply for a separate account.
0 LOANLINER'"
Account/Loan:
0 Individual 0 Joint Amount Requested $ Purpose/Collateral:
____
_
____
_
(Including ATM!Debit Card Access
to
the Account
if
Available)
Repayment: 0 Payroll Deduction 0 Cash 0 Military Allotment 0 Automatic Payment
Are you interested
in
having your loan protected? D Yes D No
If you answer "yes", the credit union will disclose the cost to protect your loan. The protection
is
voluntary and does not affect your
loan approval.
In
order for your loan to
be
covered, you will need to sign a separate application that explains the terms and conditions.
ACCOUNT NUMBER
SOCIAL SECURITY NUMBER
DRIVER'S LICENSE NUMBER
I
STATE
LIST AGES OF DEPENDENTS NOT LISTED
BY OTHER APPLICANT (Exclude Sel
f)
BIRTH
DATE
HOME PHONE
CELL PHONE BUSINESS PHONE/ EX
T.
E-MAIL ADDRESS
PRESENT ADDRESS (
Street-
City-
State
-Zip)
PREVIOUS ADDRESS (Street
-Cit
y - State - Zip)
START DATE
HOURS AT WORK
SUPERVISOR'S NAME
IF SELF EMPLOYED, TYPE OF BUSINESS
MILITARY:
IS
DUTY STATION TRANSFER EXPECTED DURING
WHERE
PREVIOUS EMPLOYER NAME AND ADDRESS IF EMPLOYED LESS
THAN FIVE YEARS
ENDING DATE
ACCOUNT NUMBER
DRIVER'S LICENSE NUMBER
I S
TATE
SOCIAL SECURITY N
UM
BER
LI
ST AGES OF DEPENDENTS NOT LISTED
BY APPLICANT (Exclu de Self)
BIRTH
DATE
HOME PHONE CELL PHONE BUSINESS PH
ON
E/ E
XT.
E-MAIL ADDRESS
PRESENT ADDRESS (
Street-
City-
State - Zi
p)
PREVIOUS ADDRESS (Street - City - Sta
te-
Zip)
COMPLETE FOR JOINT CREDIT, SECURED CREDIT OR IF
YO
U LIVE IN A COMMUNITY
PROPERTY
STATE
:
NAME AND
ADDRESS OF
EMPLOYER
TITLE/GRADE STA
RT
DATE
HOURS AT WORK
SUPERVISOR'S NAME IF SELF EMPL
OY
E
D,
TYPE OF BUSINESS
PREVIOUS EMPLOYER NAME AND ADDRESS IF EMPL
OY
ED LESS
THAN
FI
VE YEARS
STARTING
DATE
ENDING
DATE
©
CUNA
Mutual
Group
1980
,
82
,
84
,
86
,
89
,
98
,
2001
,
03
,
08-10
All
Rights
Reserved
CONTINUED
ON
REVERSE
SIDE
AXX027
Applicant Reference!
RELATIONSHIP
Other Reference I
RELATIONSHIP
NAME AND ADDRESS
NAME AND ADDRESS
OF NEAREST
. . . . . . . . . . . . . . . . . . . . . .
..
. .
....
. .
...
. . .
....
.
....
OF NEAREST
. . . . . . . . . . . . . . . . . . . . . . . . . . ' . . . . . . . . . .
HOME PHONE
HOME PHONE
RELATIVE NOT
RELATIVE NOT
LIVING WITH
YOU
LIVING WITH YOU
-
OWED BY
CREDITOR NAME OTHER
THAN
THIS CREDIT UNION INTEREST
What
You
Owe
(Attach
additional
sheet(s)
if
necessary)
RATE
PRESENT
BALANCE
MONTHLY PAYMENT
Applicant
Other
D RENT D FIRST
(Include
Tax
~~~I?AGE
$ $
2nd MORTGAGE
$ $
1st AUTO LOAN
$
$
2nd AUTO LOAN
$ $
CHILD-CARE
$
$
CHILD SUPPORT
$
$
CREDIT CARD
$ $
CREDIT CARD
$ $
OTHER
$ $
OTHER
$
$
LIST ANY NAMES UNDER WHICH YOUR CREDIT REFERENCES AND CREDIT HISTORY CAN BE CHECKED:
TOTALS
$
$
PLEDGED
AS
COLLATERAL
OWNED BY
What
You
Own
LIST LOCATION OF PROPERTY OR FINANCIAL INSTITUTION
MARKET
VALUE
FOR ANOTHER LOAN
Applicant
Other
HOME
$
YES NO
AUTO
$
YES
NO
SAVINGS
$
YES NO
CHECKING
$
YES
NO
OTHER (Describe)
$
YES NO
Other Information
I IF YOU ANSWER "
YES"
TO ANY QUESTION OTHER
THAN
#1, EXPLAIN ON AN ATTACHED SHEET
APPLICANT OTHER
About You
YES NO YES NO
1. ARE
YOU
A U.S. CITIZEN OR PERMANENT RESIDENT ALIEN?
2. DO
YOU
CURRENTLY HAVE ANY OUTSTANDING JUDGMENTS OR HAVE
YOU
EVER FILED FOR BANKRUPTCY, HAD A DEBT ADJUSTMENT
PLAN CONFIRMED UNDER CHAPTER 13, HAD PROPERTY FORECLOSED UPON OR REPOSSESSED
IN
THE LAST 7 YEARS, OR BEEN A
PARTY
IN
A LAWSUIT?
3.
IS
YOUR INCOME LIKELY TO DECLINE
IN
THE NEXT TWO YEARS?
4.
ARE
YOU
A CO-MAKER, CO-SIGNER OR GUARANTOR ON ANY LOAN NOT LISTED ABOVE?
FOR WHOM (Name of Others Obligated
on
Loan
):
TO WHOM (Name of Creditor):
I
OHIO
RESIDENTS
ONLY:
The
Ohio
laws
against
copy
of
the
agreement,
statement
or
decree
,
or
has
actual
knowledge
of
its
terms,
State Law Notices
discrimination
require
that
all
creditors
make
credit
before
the
credit
is
granted
or
the
account
is
opened.
(2)
Please
sign
if
you
are
not
equally
available
to
all
creditworthy
customers,
and
that
applying
for
this
account
or
loan
with
your
spouse.
The
credit
being
applied
for,
if
credit
reporting
agencies
maintain
separate
credit
histories
on
each
individual
upon
granted,
will
be
incurred
in
the
interest
of
the
marriage
or
family
of
the
undersigned
.
request
The
Ohio
Civil
Rights
Commission
administers
compliance
with
this
law.
WISCONSIN
RESIDENTS
ONLY:
(1)
No
provision
of
any
marital
property
agreement,
unilateral
statement
under
Section
766.59,
or
court
decree
under
Section
766.70
will
I X
adversely
affect
the
rights
of
the
Credit
Union
unless
the
Credit
Union
is
furnished
a
SIGNATURE FOR WISCONSIN RESIDENTS ONLY
DATE
Signatures
You
promise
that
everything
you
have
stated
in
this
application
is
correct
to
the
best
of
Credit
Union
will
rely
on
the
information
in
this
application
and
your
credit
report
to
make
y
our
knowledge
and
that
the
above
information
is
a
complete
listing
of
what
you
owe
:
If
its
decision.
If
you
request,
the
Credit
Union
will
tell
you
the
name
and
address
of
any
there
are
any
important
changes
you
will
notify
us
in
writing
immediately
.
You
authorize
credit
bureau
from
which
it
received
a
credit
report
on
you.
It
is
a
crime
to
willfully
and
the
Credit
Union
to
obtain
credit
reports
in
connection
with
this
application
for
credit
and
deliberately
provide
incomplete
or
incorrect
information
in
this
application
.
for
any
update
,
renewal
or
extension
of
the
credit
received.
You
understand
that
the
II
X (
SEAL
)
II II
X
I.!;
AP
"'
P
~
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IC
;;;;
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E
=================•
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;;;;
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E
=~
OTHER SIGNATURE
LINE
OF
CREDIT
$
SIGNATURES:
X
X
OTHER
OTHER
$ $
(
SEAL
)
DATE
DEBT
RATIO
/
SCORE
BEFORE
AFTER
II
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Form 2.: ft Application ST BERNARD SCHOOL BOARD

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Completed 24 June 2021

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