ITT EFCU - Loan Application


ITT EFCU has provided a loan application for your convenience. Application information can be entered online from your computer. Once the application is complete, print it and return it to the credit union for processing.
Applications can be faxed to 260.451.6442 or mailed to:

PO BOX 12685
FORT WAYNE, IN 46864-2685

Please Note: This application is NOT valid for Home Equity Loans or Visa Charge Accounts. If you wish to apply for these types of credit, please contact the Credit Union directly.

APPLICATION FOR CREDIT
Member Acct. No.:
Loan amount:
 
List the purpose of the loan. If this is a vehicle,
please list the year, make and model.

 

Credit Life Insurance? Yes No
Credit Disability Insurance? Yes No
Applicant
First Name, Middle Initial, and Last Name
Residence Address:
City:
State: Zip:
Time at Current Address Years Months
Home Phone:
Work Phone:
E-Mail Address
Date of Birth:
Social Security Number:
Number of Dependents
Name of Employeer
Length of Employment Years Months
Gross pay: Hourly Annually
Source of Other Income(If applicable):You need not disclose the following sources of income: Alimony, Child Support, or Maintenance unless you want the credit union to consider such income in connection with this loan application.
Monthly Amount:
Co-Applicant: Please include data about co-applicant if application is for joint credit with a co-applicant, or if applicant will rely on co-applicant's income.
First Name, Middle Initial, and Last Name:
Street address if different from applicant:
City:
State: Zip:
Date of Birth:
Social Security Number:
Home Phone:
Work Phone:
Time at Current Address: Years Months
Employed by:
Length of Employment Years Months
Gross pay: Hourly Annually
Source of Other Income(If applicable):You need not disclose the following sources of income: Alimony, Child Support, or Maintenance unless you want the credit union to consider such income in connection with this loan application.
Monthly Amount:
HOME AND AUTO
Home: Own Buying Rent
Landlord or mortgage holder:
Value:
Mortgage Balance if buying:
Monthly Payment:
 
Auto Loan financed with:
Balance:
Monthly Payment:
   
Second Auto Loan financed with:
Balance:
Monthly Payment:
 
Insurance Agent on home and car:
   
Credit Cards or Unsecured Loans
Creditor:
Balance:
Monthly payment:
 
Creditor:
Balance:
Monthly payment:
 
Creditor:
Balance:
Monthly payment:
 
Creditor:
Balance:
Monthly payment:
 
Are you a co-signer on any other loans? Yes No
Do you pay alimony, child support or maintenance payments: Yes No
If so, monthly payment:
Any legal proceedings against you? Yes No
Have you ever filed bankruptcy? Yes No
If Yes, When:
Reason:
 

I/We swear or affirm, UNDER THE PENALTIES OF PERJURY, that all information contained on this application is true and accurate. I/We further swear or affirm that the statement of debts contained in this application is true, accurate, and a complete listing of all my/our debts and obligations. This application is presented to induce the credit union to extend credit to me/us on my/our behalf.

I/We authorize you to check my/our credit and employment history from time to time as you deem necessary and to answer questions from others about your credit experience with me/us.

 
_________________________________
Applicant's Signature
_______________
Date
   
_________________________________
Co-Applicant's Signature
_______________
Date

 

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