LOAN APPLICATION

Use this application to apply for all loan types except First Mortgage, Home Equity, and Second Mortgage Fixed Rate Loans.  Please fill the application out with all of the requested information.  When you have completed the application, press the Send to FTCU button to send your application to Fulton Teachers' Credit Union for processing.  This is a secured page so all information entered is protected. There is normally a half day turn around on loan processing. You must be a Fulton Teachers' Credit Union member in order to apply for a loan.

Type of loan requested: 
Amount requested:  $ Ex.3500.00  
Desired first payment date:  Term:

BORROWER INFORMATION
ACCOUNT NUMBER : 

Last name:  First name:  Middle name: 
Address: 
City: State:  Zip code: 

Social Security:   -  - Date of birth: Ex.1999
Home phone:  ( )  - Work phone:  ( )  -
Cell phone:  ( )  -
E-mail address:

Employer:  Date of employment:  Ex.1999
Position/Title: 
Net (after taxes) monthly income:  $ Ex.3500.00
Additional monthly income:  $ Source: 

*Income from alimony and child support does not have to be revealed if you do not wish to have it considered as a basis for repaying this loan obligation.
Monthly amount:  $
Do you own or rent a house? 
Monthly rent or mortgage payment:  $
How many years:  Market Value:  $

List all debt beginning with creditors, monthly payments, beginning balance and current balance: (Please only put 5 spaces between each category)

Creditors-------Mon. payment-------Beg. Balance-------Curr. Balance
Have you ever filed bankruptcy?   
Date of bankruptcy:  Ex.1999 Was it discharged? 
Would you like Credit Life and Disability Insurance?


CO-BORROWER INFORMATION
Last name:  First name:  Middle name: 
Address: 
City: State:  Zip code: 

Social Security:   -  - Date of birth: Ex.1999
Home phone:  ( )  - Work phone:  ( )  -
E-mail address:

Employer:  Date of employment:  Ex.1999
Position/Title: 
Net (after taxes) monthly income:  $ Ex.3500.00
Additional monthly income:  $ Source: 

Comments:
 (If no comments are needed, please type N/A)
 

By submitting this application, you agree that all the information entered is correct to the best of your knowledge. You authorize Fulton Teachers' Credit Union to obtain a credit report in connection with this loan application. You understand that it is a federal offense to willfully and deliberately provide incomplete or incorrect information on an application to a state chartered credit union insured by the NCUA. You agree to be bound by the terms of the Loan Agreement which you will receive if loan is granted.