INDIVIDUAL CREDIT (Complete Applicant Section Only. Complete
other section if the following applies: You live in a community
property state (AZ, CA, ID, NM, P.R., TX, WA, WI) or you are relying
on your spouse/Co-Applicant's income as a source of repayment.)
JOINT CREDIT (Provide information about both of you.)
APPLICANT
E-mail Address:
First Name:
MI:
Last Name:
SSN:
Date of Birth:
Driver's License No.:
Current Street Address:(Not PO Box)
City:
State:
Zip:
Phone Number:
Applicant Employment Information
Employer Name:
Position:
Years in Line of Work:
Gross Income:
Years Employed:
Work Phone:
CO-APPLICANT
First Name:
MI:
Last Name:
SSN:
Date of Birth:
Driver's License No.:
Current Street Address:(Not PO Box)
City:
State
Zip
Phone Number
Co-Applicant Employment Information
Employer Name
Position
Years in Line of Work
Gross Income
Years Employed
Work Phone
OTHER INCOME INFORMATION
Alimony, child support, or separate maintenance income need not be revealed
if not considered as a basis for repaying this obligation.
Gross Monthly Wages
Other Income (Describe)
Total Monthly Gross Income
FEDERAL EQUAL CREDIT OPPORTUNITY NOTICE
THE FEDERAL EQUAL CREDIT OPPORTUNITY ACT PROHIBITS CREDITORS FROM DISCRIMINATING
AGAINST APPLICANTS ON THE BASIS OF SEX, MARITAL STATUS, RACE, AGE,
COLOR, RELIGION, NATIONAL ORIGIN, RECEIPT OF PUBLIC ASSISTANCE,
OR THE FACT THAT THE APPLICANT HAS EXERCISED RIGHTS UNDER THE CONSUMER
CREDIT PROTECTION ACT. THE FEDERAL AGENCY WHICH ADMINISTERS COMPLIANCE
WITH THE LAW CONCERNING THIS CREDIT UNION IS: THE NATIONAL CREDIT
UNION ADMINISTRATION, SOUTHEASTERN REGIONAL OFFICE, 7000 CENTRAL
PARKWAY, SUITE 1600 ATLANTA, GA 30328.
APPLICANT
Mortgage/Rent
Monthly Payment
Balance Owed
CO-APPLICANT
Mortgage/Rent
Monthly Payment
Balance Owed
Terms and Conditions
certify that the statements on this application are true and complete.
I authorize Georgia Federal Credit Union to obtain my credit history.
I understand that GFCU may contact me for additional information.
GFCU may obtain information from others about me and give information
to others. I authorize GFCU to issue any credit devices
requested by me. I understand that all funds advanced to
me will be subject to the terms and conditions of the loan agreement.
understand and acknowledge that this application is being made
by electronic communication. By submitting this application
electronically, I agree to the same terms that apply to a signed
application. If there is a co-applicant on this loan, that
co-applicant has authorized the submission of this application.
This electronic submission qualifies as my signature. I
understand that I/we have to sign loan documents before funds
can be disbursed.
By submitting this application, I agree that all the information
provided is correct to the best of my knowledge and I understand
that it is an offense to willfully and deliberately provide incomplete
or incorrect information on an application.
By clicking on “Submit Form”, I accept all Terms and Conditions
associated with this loan request.
