Online Loan App

Please complete the information on this application to apply for any type of loan. All information is required in order to process your application. After you have completed the form, press the "Submit Application" button to send your application.

Once your application is received at the credit union, a Loan Officer may contact you for additional information.

Online Loan Application

Will you be applying for Individual or Joint Credit?

If applying for joint credit, please read below to verify that you intend to apply for joint credit:

By checking this box, I acknowledge that I'm the joint applicant on this loan application.

Martial Status: Complete marital status if this loan is for joint or secured credit.

Account Number

Amount Requested

Type of Loan Applying For

Primary Applicant
Name: First, Middle, Last	Social Security No.	Date of Birth
E-mail Address	Phone No.	Cell No.
What is your home address
Street	City	State
Zip Code	Years at Address	Housing Payment
Current Employer	Phone No.	Job Title
Date of Hire	Gross Monthly Salary (Before Taxes)
Other Income	Source
Nearest Relative (Not Living with you)
Name
Address

Phone

Joint Applicant
Name: First, Middle, Last	Social Security No.	Date of Birth
E-mail Address	Phone No.	Cell No.
What is your home address
Street	City	State
Zip Code	Years at Address	Housing Payment
Current Employer	Phone No.	Job Title
Date of Hire	Gross Monthly Salary (Before Taxes)
Other Income	Source
Nearest Relative (Not Living with you)
Name
Address
Phone


You do not need to provide information about alimony, child support or separate maintenance or sources or income if you do not wish to have them considered as income. All applications are subject to approval.

I hereby authorize the Credit Union to whom this application is made, or any Credit Bureau or other investigative agency employed by such Credit Union, to investigate the references herein listed or statements or other data obtained from me or from any other source whatsoever pertaining to my credit and financial responsibility. 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.