LOAN APPLICATION LOAN APPLICATION Please

							LOAN APPLICATION
(Please print clearly and return to any UMCU office)
P.O. Box 7850 Ann Arbor, MI 48107

Loan Amount $ Purpose of Loan

Loan Term (Months) UMCU Acct No: [ ] Co-Applicant [ ] Co-Signer _______

Applicant Information Name Home Address
How Long?
Check here if this is a new address. This will serve as permission to change your current address with UM Credit Union.

_______

Name Home Address ___

How Long?
Check here if this is a new address. This will serve as

___

permission to change your current address with UM Credit Union.

Email Day Time Phone ( Evening/Cell ( )_ )

______

Email Day Time Phone ( )

______

Birth Date [ ] Own [ ] Rent ____________

Evening/Cell (

)_

Birth Date [ ] Own [ ] Rent _____________

Monthly Housing Payment $ Employer

Monthly Housing Payment $ Employer

Address ___________________________________ Position Gross Income $ Start Date Per
(Bi-wkly/monthly/yrly)

Address ___________________________________ Position Gross Income $ Start Date Per
(Bi-wkly/monthly/yrly)

_______

_______

Previous Employer ______________How long?____ Reference: (Name of nearest relative (not living with you) Name:____________________ Phone:____________ Address:____________________________________ Relationship:_________________________________

Previous Employer ______________How long?____ Reference: (Name of nearest relative (not living with you) Name:____________________ Phone:____________ Address:____________________________________ Relationship:_________________________________

I/We declare that all information in this application is true. I/We authorize the University of Michigan Credit Union to request and obtain all credit and employment information necessary to process this application. I/We understand the Credit Union reserves the right the request additional information. I/We agree that all parties to this application will be jointly and severally liable for repayment of the entire debt.

Applicant Signature (Required)

Date

Co-Applicant/Co-Signer Signature (Required)

Date

Optional Comments/Information:

For Debt Consolidation Loans or to List Debt not on your Credit Report: Creditor: Balance/Payoff:

INCOME VERIFICATION: UM CREDIT UNION REQUIRES INCOME VERIFICATION FOR ALL LOANS. TO EXPEDITE YOUR LOAN, PLEASE INCLUDE PROOF OF INCOME WITH THIS APPLICATION (e.g. copy of last 2 pay stubs, W-2 forms, etc.) FOR OFFICE USE ONLY:
Gap Insurance (Auto/Truck loans only) (Optional) Credit Life Insurance (Optional) Automatic Payment Transfer Savings Checking Phone Numbers: All Offices: 1-734-662-8200 Toll Free: 1-800-968-UMCU
Revised 11/26/08 EB 353

Fax: (734) 996-4522 Time Received: Initials: