The Tulalip Tribes Application#: _______
6406 Marine Drive Membership Loan #: _____
Tulalip, WA 98271 Tulalip Tribal Number #: ____
5 | Page
_ ___ (initials)
NOTARIZED SIGNATURE REQUIRED ONLY WHEN MAILING IN APPLICATION
State of Washington
County of Snohomish
Signed or attested before me on ______________, 2020 by
_______________________________________________,
___________________ Tribal Identification Number.
(Seal or stamp)
Print Notary Name _____________________________
My appointment expires _________________________
For Official use only:
BOD Approval date and Resolution or Directive #
Loan ID #:
Customer Number
Address:
Mailing Address if different:
Beginning Balance
Interest Rate:
Loan Type: Fixed
Period type: Month
Number of Periods: 60
Payment Amount:
AR Code:
Start Date: