HELOC/Home Equity Application
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.
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.
Repayment:
Payroll Deduction
Cash
Automatic Payment
Military Allotment
Other
Please list Repayment Method
How did you hear about this loan?
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
Email Address *
Present Address *
Previous Address
List Ages of Dependents Not Listed By Other Applicant (Exclude Self)
Name and Address of Employer
Your Title/Grade
Supervisor's Name
If Employed Less Than Five Years, Complete Previous Employer Name and Address
MILITARY: Is Duty Station Transfer Expected Within Next Year
Yes
No
NOTICE: Alimony, child support, or separate maintenance income need not be revealed if you do not
choose to have it considered.
References
(Please include Street, City, State and Zip)
Name and Address of Nearest Relative Not Living With You *
Name and Address of Personal Friend - Not a Relative *
Phone *
Will a Co-Applicant / Spouse be included on this Application?
Yes
No
Co-Applicant
Spouse
Present Address
Previous Address
List Ages of Dependents Not Listed By Other Applicant (Exclude Self)
Name and Address of Employer
Your Title/Grade
Supervisor's Name
If Employed Less Than Five Years, Complete Previous Employer Name and Address
MILITARY: Is Duty Station Transfer Expected Within Next Year
Yes
No
NOTICE: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered.
REFERENCES
(Please include Street, City, State and Zip)
Name and Address of Nearest Relative Not Living With You
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
Other assets e.g., Auto, Boat, Stocks, Bonds, Cash, Household Goods, Real Estate, etc.
Other Information (Co-Applicant, Spouse)
Other assets e.g., Auto, Boat, Stocks, Bonds, Cash, Household Goods, Real Estate, etc.
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.
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
Other Information (Co-Applicant, Spouse)
List any names under which your credit references and credit history can be checked
Applicant
Other (Co-Applicant, Spouse)
You promise that everything you have stated in this application is correct to the best of your knowledge and that the above information is a complete listing of all your debts and
obligations. 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 crime to
willfully and deliberately provide incomplete or incorrect information in this application. 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 application for credit and for any update, renewal or extension of the credit received and for other accounts, products, or services we may offer you or for which you may qualify.