Loan Application

Apply for a Loan...

Getting ready to make a large purchase? Get pre-approved so you can negotiate as a "Cash" buyer. Just complete the below application and submit it. Once received, your Credit Union loan officer will process your application and grant you pre-approval, subject to verification of information. In order for your application to be processed we need you to either email or fax a copy of you most recent pay check stub to (850) 342-1230. If you are applying for a personal loan please describe exactly what the funds are being used for in the section labeled Other Information.

For your security, we use SSL encryption. If you prefer, you can print out this application, complete it and fax it to the above number. You should see a secure symbol on your browser, if not, click through to the secure server.

Please note: Your account will be charged the $10.00 loan processing fee.

Online Loan Application

Loan Type Requested
Loan Amount Requested $
Repayment Method

Credit Type Individual Credit Joint Credit
If joint, fill out Co-Applicant section also

Applicant

Account #
Name
Address 1
Address 2
City	State Zip

Home Number	-
Work Number	-
Other Number	- (i.e. pager, cellular)
Social Security #
Date of Birth
Email

How Long at this Residence? Years Months
Rent Own Monthly Payment $

Employer Name
Employer Address
Employer City/State	State
Department/Position
Length of Employment	Years Months
Gross Income	$
Other Income*	$

* Income from alimony, child support or separate maintenance payment need not be revealed if you do not choose to disclose it as income.

Co-Applicant (Fill out only if Joint Credit)

Account #
Name
Address 1
Address 2
City	State Zip

Home Number	-
Work Number	-
Other Number	- (i.e. pager, cellular)
Social Security #
Date of Birth
Email

How Long at this Residence? Years Months
Rent Own Monthly Payment $

Employer Name
Employer Address
Employer City/State	State
Department/Position
Length of Employment	Years Months
Gross Income	$
Other Income*	$

* Income from alimony, child support or separate maintenance payment need not be revealed if you do not choose to disclose it as income.

Comments/Other

By clicking on the Submit button below, I/we certify that the information herein is true and complete. I/we agree that inquiries may be made to verify information and that credit references or verification may be given based on inquiries from other parties. This offer is subject to the credit policies of the credit union. I/We understand that you shall retain this application whether or not it is approved.

1500 West Washington St.
Monticello, Florida 32344
(850) 342-0250 / (850) 342-1230 Fax

Insured by NCUA

To assist members in accessing information not maintained on this site, the credit union provides links to other Internet addresses. Be advised that: 1) by clicking on any link to other Internet addresses, you are leaving the credit union’s web site; 2) you are linking to an alternate web site not operated by the credit union; 3) the credit union is not responsible for the content of the alternate web site; 4) the credit union does not represent either the third party or the member if the two enter into a transaction; and 5) privacy and security policies may differ from those practiced by the credit union.