Staley Credit Union Loan Application

To apply for an SCU Loan, print the application, fill out the information and return it to SCU.

Type of Loan Applying For

_____ Vehicle Loan

_____ Home Equity Loan

_____ Signature Loan Amount Requested: $___________________________

Date: ____________________________

PRIMARY APPLICANT

Last Name __________________________________________________

First Name _________________________________________________

Address: __________________________________________________

City: _____________________ State ___________ Zip _______

Home Telephone: (_______)__________________________________________

Social Security #: __________________________________________________

Member Account #: __________________________________________________

E-Mail Address: __________________________________________________

Gross Monthly Income: __________________________________________________

Name of Employer: ___________________________________________________

Employer City: ___________________________________________________

Employer Telephone #: ___________________________________________________

Mtg. Holder/Landlord: ___________________________________________________

Monthly Payment: ___________________________________________________

 

JOINT APPLICANT

Last Name __________________________________________________

First Name _________________________________________________

Address: __________________________________________________

City: _____________________ State ___________ Zip _______

Home Telephone: (_______)__________________________________________

Social Security #: __________________________________________________

Member Account #: __________________________________________________

E-Mail Address: __________________________________________________

Gross Monthly Income: __________________________________________________

Name of Employer: ___________________________________________________

Employer City: ___________________________________________________

Employer Telephone #: ___________________________________________________

Mtg. Holder/Landlord: ___________________________________________________

Monthly Payment: ___________________________________________________

Alimony, child support, or separate maintenance income need not be listed unless you choose to have such income considered regarding extension and repayment of the credit requested.

Source of Other Income: _______________________________________________________

Note: Income verification required.

I/We promise that everything stated in this application is correct to the best of my/our knowledge. I/We authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, renewal or extension of the credit received. Upon request, the Credit Union will tell me/us the name & address of any credit bureau from which it received a credit report. I/We understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on this loan application. All loan requests subject to credit approval.

 

X________________________________ X__________________________________

Applicant’s Signature Date                            Joint Applicant’s Signature Date

Application must be signed to process.

ASI INSURED -- Equal Housing Lender

To submit your application:

Fax us at: 217-872-5986

Call us at: 800-223-8356

Mail us at: Staley Credit Union, P.O. Box 2290, Decatur, Illinois 62524-2290

Or drop your application by your local SCU office.