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liner.gif (2890 bytes) LOAN REQUEST


 LOAN CALCULATOR

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Instructions:   Complete the loan application, print it and submit it to Marsh Employees Federal Credit Union for processing.  Please remember to submit verification of income for all applicants (ie: paycheck stub, social security verification, child support verification, etc.)

Mail to:
Marsh EFCU
8980 Technology Drive
Fishers, IN 46038

FAX TO: 317-577-8561

Married applicants may apply for a separate account. If you are applying for Individual Credit, you must complete the Applicant section about yourself and the Co-Applicant section about your spouse if:

  1. Your spouse will use the account, or
  2. You are relying on your spouse's income as a basis for repayment.

If you are relying on income from alimony, child support or separate maintenance, complete the Co-Applicant section to the extent possible about the person on whose payments you are relying.

If you are applying for Joint Credit with another person, complete the Applicant and Co-Applicant sections.

TYPE AND AMOUNT OF CREDIT YOU'RE REQUESTING

Is this your first loan from us? yes no
Amount/Credit Limit Requested: $
Approximate Time to Repay: How Many? Periods:
Loan Type:
Security Offered:
(for secured credit only)
Type of Credit: Individual Joint

PAYMENT PROTECTION COVERAGE

Find out more about Payment Protection Insurance and why it's a better consumer value when offered through your credit union. Just click on the "life and disability credit insurance" link in the Table of Contents.

TELL US ABOUT YOURSELF

Applicant Co-Applicant
Name: Name:
CU Account #: CU Account #:
Social Security #: Social Security #:
Please indicate your marital status if you are applying for Joint Credit, secured credit or if you live in a community property state:
Married Separated Unmarried (Single - Divorced - Widowed)		 Please indicate your marital status if you are applying for Joint Credit, secured credit or if you live in a community property state:
Married Separated Unmarried (Single - Divorced - Widowed)
Driver's License #: State: Driver's License #: State:
Birth Date: Birth Date:
Home Phone:
Business Phone: 		Home Phone:
Business Phone:
Present Address:
Years There: Own Rent		 Present Address:
Years There: Own Rent
DEBTS DEBTS
Mortgage/Rent owed to: Mortgage/Rent owed to:
Balance (Mortgage only): Balance (Mortgage only):
Monthly Payment:
Monthly Payment:
Car payment owed to:
Monthly Payment:

Insurance Company:

Car payment owed to:
Monthly Payment:

Insurance Company:

INCOME INCOME
Employer: how long: Employer: how long:
Income: $ Net Gross
Annual Monthly Bi-weekly Weekly		 Income: $ Net Gross
Annual Monthly Bi-weekly Weekly
Other Income: (Notice: Alimony,child support or separate maintenance income need not be revealed if you do not have it considered as a basis for repaying this obligation.)
Source: How long:
$ Annual MonthlyHourly		 Other Income: (Notice: Alimony,child support or separate maintenance income need not be revealed if you do not have it considered as a basis for repaying this obligation.)
Source: How long:
$ Annual MonthlyHourly

Please list all other debts listed in your name or jointly with your spouse, co-applicant etc.

Please include the name of the creditor, current balance and monthly payments.
Applicant Co-applicant
   
   
   
   
   
You must answer all four questions for your application to be acceptable to the Credit Union
Have you ever filed bankruptcy?        Yes       No Do you pay child support, alimony etc?  Yes, how much per month    No
Any legal proceedings against you?   Yes    No Are you a co-signer on any other loans?  Yes  No

SIGNATURES: You promise that everything you have stated in this request is correct to the best of your knowledge. If there are any important changes, you will notify us in writing immediately. You also agree to notify us of any change in your name, address or employment within a reasonable time thereafter. You authorize the credit union to obtain credit reports in connection with this request. If you request, the credit union will tell you the name and address of any credit bureau from which it received a credit report on you. You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on requests made to Federal Credit Unions or State Chartered Credit Unions insured by the NCUA. You understand that the credit union will rely on the information in the request and your credit report to make its decision.

X________________________________
Applicant Signature and Date		 X________________________________
Co-Applicant Signature and Date
Indiana state law will govern any dispute that may occur from the submission of this loan application.

By submitting this loan request, you agree that the information is correct to the best of your knowledge. You also agree to notify us of any changes to your name, address or employment.

You authorize the credit union to obtain credit reports in connection with this request.

©CUNA MUTUAL INSURANCE SOCIETY, 1980, 82, 84, 86, 89. ALL RIGHTS RESERVED CSTLR1 6857 - Internet Loan Request

 

 

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WE DO BUSINESS IN ACCORDANCE WITH THE FEDERAL FAIR HOUSING LAW AND THE EQUAL CREDIT OPPORTUNITY ACT

Marsh EFCU welcomes your comments and questions.
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