Loan Application - Isabella Community Credit Union

Attention Mortgage Applicants: Please use ICCU's Mortgage Application to apply. Using the form below can cause delays in processing your request. Thank you.

VISA Credit Card Account Agreement and Disclosure

This is a secure website and form. Your information will be kept confidential.

* Required Fields

Purpose of Loan:

Term:

Amount Requested:

This application initiates the loan process. Final signature(s) will be required to advance funds, including signatures for joint applicants. We will contact you the next business day.

Please Tell Us About Yourself (Primary Borrower)

Full Name:

Street Address:

City:

State:

Zip:

Years There:

Home Phone:

Work Phone:

Email Address:

Please Tell Us About Your Job (Primary Borrower)

Current Employer:

Years Employed There:

Phone Number:

Position:

Gross Montly Income:

Note: Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation

Other Income:

Source:

Monthly Payments

Do you:

Have a mortgage payment

Pay rent

Not applicable

How much do you
pay each month?

How much do you pay in alimony/child support?

Is there a Co-Borrower?

Yes

Please Tell Us About Yourself (Co-Borrower)

Note: You are not obligated to have a co-borrower.

Full Name:

Address:

City:

State:

ZIP:

Years There:

Home Phone:

Work Phone:

Please Tell Us About Your Job (Co-Borrower)

Current Employer:

Years Employed There:

Phone Number:

Position:

Gross Montly Income:

Note: Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation

Other Income:

Source:

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

To help the government fight the funding of terrorism and money laundering activites, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

Agreement

DISCLAIMER: I/WE HEREBY CERTIFY THAT ALL STATEMENTS MADE ARE TRUE AND COMPLETE, ARE SUBMITTED FOR THE PURPOSE OF OBTAINING CREDIT, AND THAT THE CREDIT UNION MAY RELY ON THEM FOR SUCH DETERMINATION. WE UNDERSTAND THAT FEDERAL LAW REQUIRES THE VERIFICATION OF IDENTIFICATION FOR ALL NEW ACCOUNTS SHOULD I NOT HAVE AN EXISTING ACCOUNT. I/WE AUTHORIZE YOU TO OBTAIN SUCH INFORMATION AS YOU MAY REQUIRE CONCERNING THE STATEMENTS MADE IN THIS APPLICATION AND PROPER IDENTIFICATION, AND AGREE THAT THE APPLICATION SHALL REMAIN YOUR PROPERTY, AND YOU ARE AUTHORIZED TO ANSWER QUESTIONS ABOUT YOUR CREDIT EXPERIENCE WITH ME/US.

I accept the terms of the disclaimer above and submit my application.

Security Code: