Loan Application

How to Apply
Complete all information. Incomplete applications will delay processing.

In order to expedite the processing of you loan application, please fax proof of all income (pay stub, rental income, child support, social security) to 716.691.6860

Repayment
Type of Application
Individual    Joint
Term of loan
Purpose of loan
Amount Requesting
Name
Mother's Maiden Name
Account Number
Social Security
- -
Drivers License Number
Number of Dependants
(Exclude Self)
Birthday
- -
Home Phone #
- -
Work Phone #
- -
Email Address
Address
Own or Rent
Own    Rent
Years There
Previous Address (If less than 3 years)
Own or Rent
Own    Rent
Years There
Complete for joint credit, or secured credit
Married    Separated    Unmarried
Group Credit Insurance is voluntary and not a requirement of your loan agreement.
To be eligible for Group Credit Life/ or Disability Insurance, you must be less than
70 years old. Additionally, to be eligible for Credit Disability Insurance, you must
be actively at work and gainfully employed at least 20 hours per week. As part
of the enrollment process, you must satisfatorily complete a Statement of Insurability.

Assuming your application for credit is approved and you are eligible for insurance, the credit
union will disclose its cost to you. You will also be asked to sign a request for coverage form.
Indicate which credit insurance(s) you desire by checking the appropriate area(s) below.
Would you like to purchase Credit Life Insurance
Single Credit Life (Applicant Only)   
Joint Credit Life    None
Would you like to purchase Credit Disability Insurance
Applicant    None
Your Employer's Name

Employer's address

or shop Number

Supervisor
Occupation
Start Date
Gross Income
per
Week    Month    Year
# of hours worked per week
Other income
per
Week    Month    Year
Source

Previous Employer's Name & address if employed less than 2 years

Starting Date
Ending Date
Nearest relative not living with you?
Relationship
Home Phone
- -

Their address 

Other Reference
Relationship
Home Phone
- -

Their address 


Co-Applicant - If Applicable
Name
Mother's Maiden Name
Account Number
Social Security
- -
Drivers License Number
Number of Dependants
(Exclude Self)
Birthday
- -
Home Phone #
- -
Work Phone #
- -
Email Address
Address
Own or Rent
Own    Rent
Years There
Previous Address (If less than 3 years)
Own or Rent
Own    Rent
Years There
Complete for joint credit, secured credit
Married    Separated    Unmarried
Your Employer's Name

Employer's address

or shop Number

Supervisor
Occupation
Start Date
Gross Income
per
Week    Month    Year
# of hours worked per week
Other income
per
Week    Month    Year
Source

Previous Employer's Name & address if employed less than 2 years

Starting Date
Ending Date
Nearest relative not living with you?
 
Relationship
Home Phone
- -

Their address 

Other Reference
 
Relationship
Home Phone
- -

Their address 

What You Owe Creditor Name Other Than This Credit Union Interest Balance Payment Owed By  
Applicant Other
Rent or
First Mortgage
2nd Mortgage
1st Auto Loan
2nd Auto Loan
Child Care
Child Support
Credit Card
Credit Card
Other
Other

What You Own  List Location of Property or Financial Institution  Market Value   Pledged as collateral   Owned By
Yes No Applicant Other
Home
Auto
Savings
Checking
Other

 

Other Infomation About You Applicant
 Other
Yes No Yes No
Are you a U.S. Citizen or Permanent Resident Alien?
Do you currently have any outstanding judgements or have you ever filed for bankruptcy, had a debt adjustment plan confirmed under chapter 13, had property foreclosed upon or repossessed in the last 7 years, or been a party in a lawsuit?
Is your income likely to decline in the new two years?
Are you a co-maker, co-signer, or guarantor on any loan not listed above?
    For whom (Name of others obligated on loans)
    To whom (Name of creditor)

If applying for a Home Equity Loan please complete the following:
 (this application will be used to pre-qualify only)

Year Home Purchased
Purchase Price
Current Value
Names on deed
Will proceeds pay off any current Real Estate Loan?
Own    Rent

You promise that everything you have stated in this application is correct to the best of your
knowledge and that the above information is a complete listing of what you owe. If there
are any important changes you will notify us in writing immediatey. You authorize the Credit
Union to obtain credit reports in connection with this application for credit and for any update,
increase, renewal, extension, or collection of the credit received. You understand that the Credit
Union will rely on the information in this application and your credit report to make its decision.
If you request, the Credit Union will tell you the name and address of any credit bureau from
which it recieved a credit report on you. It is a federal crime to willfully and deliberately
provide incomplete or incorrect information on loan applications made to federal
credit unionS or state chartered credit unions insured by NCUA.

Do you agree with these conditions? Applicant
yes
Do you agree with these conditions? Co Applicant (If Applicable)
yes

By submitting this application, I authorize Boulevard Federal Credit Union to verify my
employment and payroll information.

 

 

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