ST. THOMAS HOSPITAL EMPLOYEES CREDIT UNION 99 White Bridge Rd by crunchy

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									ST.THOMASHOSPITAL
EMPLOYEES
99White
             CREDIT
       Bridge Suite
Nashville,
              Rd.,
        Tennessee
                     UNION
                      201
                   37205
                                              Proof of
                                              required
                                                            income on all
                                                            at submission
                                                                                  applicants   i-s
                                                                                  of application.                  MNruM
          (61
Telephone: 5) 292-7 828
         Appicants: May apply for a separateaccount
 tdividualCredit: You must completethe Applicant section about yourself and the Other section about your spouseif:
 . you live in or the property pledgedas collateralis located in a community property state (AZ, CA, lD, LA, NM, NV, TX, WA, Wl),
 . your spousewill use the account, or
   you are relying on your spouse's income as a basis for repayment.lf you are relying on incomefrom alimony, child support, or separatemaintenance,
   completethe Other section to the extent possibleabout the personon whose paymentsyou are retying.
      Credit: Each Applicant must individuallycomplete the appropriatesection below. lf Co-Borroweris spouse of the Applicant, mark the

          : Comoletethe Other section if vou are a

           ATM/Debit Card Access to the Account if Available)




      PRoTEcTlottl Are you interested in having your loan protected? LlYes LJlrto
  YMENT
                   lf you answer "yes", then the credit union will disclose the cost of this voluntary payment
                   protection to ydu.. A separate election which discloses the terms and conditions hust be
                   signed for protection to be effective.

                                                                                                     E co-npplrcnrr E spouse E orxen




                                                                                  STATE:
                                                                           PROPERTY
   rAL STATUS:                                                             MARITALSTATUS:




        REVEALED YOU DO NOT CH@SE TO HAVEIT CONSID€RED
               IF                                                                        IF                TO
                                                                                  REVEALED YOU DO NOT CHOOSE HAVEIT CONSIDERED.


                                    SOURCE                                 $                                    souncr
                                    SOURCE                                 $                                    souncr
                                    SOURCE                                 $                                    sounce
                                    SOURCE                                 $                                    sounce

WHERE                                   ENDING/SEPARATION
                                                       DATE




    AND ADDRESS NEAREST
               OF            NOT LIVINGWITH YOU
                      RELATIVE                                                             OF     RELATIVE
                                                                                AND ADDRESS NEAREST      NOT LIVINGWITH YOU




@ CUNA MUTUALGROUP,
                  1980, A2, 84, 86, 89, 2OOO, 03. ALL RIGHTS
                                            01,             RESERVED   PAGE1
                                                                    In^n    I nrJ   ulEur   I                                I ETEJ   I                                     |w r       I nlt                  UWLU BY
A'HATYOUOWE                                       (Attach addiuffal 3lset(s) it @sry)                                        RATE                 PRESE'IT8AI.AJ{CE         PAYMEI{T                                  OIHE'

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-rsT ANY NAMESUNDER               REFERENCES CREDTT
                   wHrCH YOURCREDTT       AND     HTSTORY
                                                        cAN BE CHECKED:
                                                                                                                  I       T9T4t!          l
                                                                                                                                              !                       l$

                                                                                                                                                           TLEUUTU    A)   SUL6I         EGL             OWNED EY
WHAT YOU OWN                            LIST LOCANOil OF PROPERTY fII{ANCIAL IT{STITUTOI{
                                                                OR                                                           MARKET VALUE                       FORA'IOTHER LOA]I                    APPLICAII   I    OIHTR

                                                                                                                      $
                                                                                                                      $
                                                                                                                      s
                                                                                                                      $
                                                                                                                      $
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                                                                                                                      $

                                                                                                                      $
crHER lNFoRMATlof{         ABour    you               .yEs" ro Ar{y eu€snoir orHERrHArtr ExpLArr{ Ar{ ATTAcHED
                                            you ArrswER
                                       I tF                                            #1,     orrr          SHEET                                                                 AppllcAr{r                  orHER
r.      you A u.s.crrzENoR IERMANENT
      ARE                              ALIEN?
                                  RESTDENT                                                                                                                                         L           ]]]        i      _l
2.    DO YOU CURRENTLY
      CONFIRMEOUNDER
                     HAVEANY OUTSTANDINGJUDGMENTS HAVEYOU EVER
                    CHAPTER 3, HAD PROPERTY
                           T              FORECLOSED
                                                 OR            FILEDFORBANKRUPTCY,
                                                                     IN
                                                                                  HAD A DEETADJUSTMENT
                                                   UPONOR REPOSSESSED THE LAST7 YEARS, BEEN PARTYIN A LAWSUIT?
                                                                                     OR     A
                                                                                                      PLAN
                                                                                                                                                                                   lltt
3.                       TO     IN
      IS YOURINCOMELIKELY DECLINE THE NEXTTWO YEARS?
                                                                                                                                                                                   t             l tI                   ]
4.    AREYOU A CO-MAXER,
                       CO.SIGNER GUAMNTOR ON ANY LOAN NOT LISTED
                               OR
      FOR WHOM (Name of Othe6 Obligoted on L@n)
                                                                ABOVE?
                                                                                            TO WHOM (Name of Creditor)l
                                                                                                                                                                                   trtl
STATE    tAW NOTTCES IOHIO RESIDENTS             ONIY: The Ohio taws                                 unlessthe Credit Union is furnisheda copy of the agreement,statement or
:J                         against discriminationrequire that all creditors                          decree, or has actual knowledge of its terms, before the credit is granted
nake credit equally availableto all creditworthy customers,and that credit                           or the account is opened. (2) Pleasesign if you are not applying for this
'eporting agencies maintain separate credit histories on each individual                             account or loan with your spouse. The credit being appliedfor, if granted,
rpon request. The Ohio Civil Rights Commissionadministerscompliance                                  will be incurred in the interest of the marriage or family of th€
      this law.                                                                                      undersigned.
^rith
,lrlsCOf{Slt{ RESIDENTS   ONIY: (1) No provision of any marital property
rgreement,unilateralstatement under Section 766.59, or court decree                                  t r\
rnder Section 766.70 will adverselyaffect the rights of the Credit Union                             SIGNATURE FOR WISCONSIN RESIDENTS ONLY


                                                                                            SIGNATURES
You promise that eve0/thing you have stated in this application is correct                           in this application and your credit report to make its decision. lf you
to the best of your knowledge and that the above information is a                                    request, the Credit Union will tell you the name and address of any credit
complete listing of what you owe. lf there are any important changes you                             bureau from which it received a credit report on you. lt is a federal crime
will notify us in writing immediately. You authorize the Credit Union to                             to willfully and deliberately provide incomplete or inconect information on
obtain credit reports in connection with this application for credit and for                         loan applications made to federal credit unions or state chartered credit
any update, increase. renewal, extension or collection of the credit                                 unions insured by NCUA.
received. You understand that the Credit Union will rely on the information


r
APPLICANT'S
          SIGNATURE
                                                                  ffil              DATE             OTHERSIGNATURE                                                                                      DATE

                                                                                FORCREDIT
                                                                                        UNIONUSEONTY
DATE                                               APPROVED SIGNATURE                             LINEOF CREDIT                OTHER                        OTHER                                DEBTRATIO/SCORE
                         \PPROVED                  LIMITS:                                                                                                                                       BEFORE   AFTER
                         )ENIED
                         Advqs Action Notice Sent)          $$$                                                                                             $

LOANOFFICER
          COMMENTS:

X                                                                                                    X
                                                                                DATE                                                                                                                     DATE



     Remember:                                                                                  PAGE2                                                                                                                 LAX023

     Proof of income              on all          applicants               is       required             at   submission                      of      application.

								
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