HELOC/Home Equity Loan Application - America's First Network Credit Union

HELOC/Home Equity Application

Phone 860-291-0345
Fax 860-282-5819
Email: loans@afncu.com

NOTE AND COMPLETE

NOTICE TO OHIO APPLICANTS: The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.
WISCONSIN RESIDENTS ONLY: (1) No provision of any marital property agreement, unilateral statement under Section 766.59, or count decree under Section 766.70 will adversely affect the rights of the Credit Union unless the Credit Union is furnished a copy of the agreement, statement or decree, or has actual knowledge of its terms, before the credit is granted or the account is opened. (2) Please sign if you are not applying for this account or loan with your spouse. The credit being applied for, if granted, will be incurred in the interest of the marriage or family of the undersigned.

Signature For Wisconsin Residents Only

Date

Married Applicants may apply for a separate account.

INDIVIDUAL CREDIT: Complete Applicant section. Complete Co-Applicant, Spouse, (referred to as "Other") section: (1) about your spouse if you live in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI), or (2) if your spouse will use the Account. Please check box to indicate whom the information is about JOINT CREDIT: Each Applicant must individually complete the appropriate section below. If Co-Borrower is spouse of the Applicant, mark the Co-Applicant box.

Amount Requested

Purpose

Repayment:

Payroll Deduction Cash Automatic Payment Military Allotment Other

Please list Repayment Method

STATEMENT OF INTENT

Are you interested in having your loan protected?

Yes No

If you answer "yes", the credit union will disclose the cost to protect your loan. The protection is voluntary and does not affect your loan approval. In order for your loan to be covered, you will need to sign a separate application that explains the terms and conditions.

APPLICANT INFORMATION

Applicant

Last Name

First Name

M.I.

Driver's Licence Number/State

Date of Birth

Account Number

Social Security Number *

Home Phone

Cell Phone

Business Phone/Ext.

Email Address *

Present Address *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Ownership status *

Own Rent

Years at this residence *

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

Ownership Status

Own Rent

Years at this residence

Complete for Joint Credit, Secured Credit or if you Live in a Community Property State: *

Married Separated Unmarried (Single/Divorced/Widowed)

List Ages of Dependents Not Listed By Other Applicant (Exclude Self)

EMPLOYMENT INFORMATION

Name and Address of Employer

Your Title/Grade

Supervisor's Name

Start Date

Hours at Work

If Self Employed, Type of Business

If Employed Less Than Five Years, Complete Previous Employer Name and Address

Starting Date

Ending Date

MILITARY: Is Duty Station Transfer Expected Within Next Year

Yes No

Where

Ending/Separation Date

INCOME INFORMATION

NOTICE: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered.

Employment Income *

Per *

*

Net Gross

Other Income

Per

Net Gross

References

(Please include Street, City, State and Zip)

Name and Address of Nearest Relative Not Living With You *

Relationship *

Phone *

Name and Address of Personal Friend - Not a Relative *

Phone *

Will a Co-Applicant / Spouse be included on this Application?

Yes No

OTHER

Co-Applicant Spouse

Last Name

First Name

M.I.

Driver's License Number / State

Date of Birth

Account Number

Social Security Number

Home Phone

Cell Phone

Business Phone/Ext.

Present Address

Address Line 1

Address Line 2

City

State

Zip Code

Ownership Status

Own Rent

Years at this address

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

Ownership Status

Own Rent

Years at this address

Complete for Joint Credit, Secured Credit or if you Live in a Community Property State: *

Married Separated Unmarried (Single/Divorced/Widowed)

List Ages of Dependents Not Listed By Other Applicant (Exclude Self)

EMPLOYMENT INFORMATION

Name and Address of Employer

Your Title/Grade

Supervisor's Name

Start Date

Hours at Work

If Self Employed, Type of Business

If Employed Less Than Five Years, Complete Previous Employer Name and Address

Starting Date

Ending Date

MILITARY: Is Duty Station Transfer Expected Within Next Year

Yes No

Where?

Ending/Separation Date

INCOME INFORMATION

NOTICE: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered.

Employment Income

Per

Net Gross

Other Income

Per

Net Gross

REFERENCES

(Please include Street, City, State and Zip)

Name and Address of Nearest Relative Not Living With You

Relationship

Phone

Name and Address of Personal Friend - Not a Relative

Phone

ASSETS/PROPERTY

Check box for Applicant/Other. List all assets and account number(s)

Applicant Information

Share Draft or Checking Amount

Name and Address of Depository

Share Draft of Checking Amount

Name and Address of Depository

Asset/Location

Market Value

Collateral on another loan?

Yes No

Other assets e.g., Auto, Boat, Stocks, Bonds, Cash, Household Goods, Real Estate, etc.

Asset/Location

Market Value

Collateral on another loan?

Yes No

Asset/Location

Market Value

Collateral on another loan?

Yes No

Asset/Location

Market Value

Collateral on another loan?

Yes No

Asset/Location

Market Value

Collateral on another loan?

Yes No

Asset/Location

Market Value

Collateral on another loan?

Yes No

Other Information (Co-Applicant, Spouse)

Share Draft of Checking Amount

Name and Address of Depository

Share Draft or Checking Amount

Name and Address of Depository

Asset/Location

Market Value

Collateral on another loan?

Yes No

Other assets e.g., Auto, Boat, Stocks, Bonds, Cash, Household Goods, Real Estate, etc.

Asset/Location

Market Value

Collateral on another loan?

Yes No

Asset/Location

Market Value

Collateral on another loan?

Yes No

Asset/Location

Market Value

Collateral on another loan?

Yes No

Asset/Loation

Market Value

Collateral on another loan?

Yes No

Asset/Location

Market Value

Collateral on another loan?

Yes No

LIST EVERY LIEN AGAINST YOUR HOME -- This section must be completed for the property which will be given as security, if applicable.
A lien is a legal claim filed against property as security for payment of a debt. Liens include mortgages, deeds of trust, land contracts, judgments and past due taxes.

First Mortgage Held By

Present Balance

Other Liens

Is the property described in this section: Your principal dwelling?

Yes No

Is anyone other than your spouse a part owner of your home?

Yes No

Listed as the applicant's address in the "applicant information" section?

Yes No

DEBTS

In addition to Rent/Mortgage list all other debts (for example, auto loans, credit cards, second mortgage, home assoc. dues, alimony, child support, child care, medical, utilities, auto insurance, IRS liabilities, etc.) Please use a separate line for each credit card and auto loan. Attach other sheets if necessary.

Applicant Information

Debt Type
Original Balance

Creditor Name and Address
Present Balance

Account Number
Monthly Payment

Debt Type
Original Balance

Creditor Name and Address
Present Balance

Account Number
Monthly Payment

Debt Type
Original Balance

Creditor Name and Address
Present Balance

Account Number
Monthly Payment

Debt Type
Original Balance

Creditor Name and Address
Present Balance