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Loan Application

Individual Credit: You must complete the Applicant section about yourself and the Other section about your spouse if:

1.you live in or the property pledged as collateral is located in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI),

2.your spouse will use the account, OR

3.you are relying on your spouse's income as a basis for repayment. If you are relying on income from alimony, child support, or separate maintenance, complete the Other section to the extent possible about the person on whose payments you are relying.

Joint Credit: If you are applying with another person, complete the Applicant and Other sections.
Guarantor: Complete the Other section if you are a guarantor on an account/loan.

Select One *

Individual

Joint

Amount Requested *

Purpose *

Repayment *

Payroll Deduction

Cash

Military Allotment

Automatic Payment

Other

Payment Protection

Check coverage(s) desired. The credit union will disclose the cost of this voluntary insurance to you. A separate insurance election which discloses the terms and conditions must be signed for coverage to become effective.

Single Credit Disability Insurance

Single Credit Life Insurance

Joint Credit Life Insurance

Applicant

Name *

First Name

Last Name

Mother's Maiden Name *

Account Number *

SSN *

DRIVER'S LICENSE NUMBER / STATE *

LIST AGES OF DEPENDENTS (Exclude Self)

Birth Date *

YYYY

Phone *

(###)

###

####

Present Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Own

Rent

Years at Address *

Previous Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Own

Rent

Years at Address

COMPLETE FOR JOINT CREDIT, SECURED CREDIT OR IF YOU LIVE IN A COMMUNITY PROPERTY STATE:

Married

Seperated

Unmarried

Single/Divorced/Widowed

Employment Income *

NAME AND ADDRESS OF EMPLOYER

Title/Grade

Start Date *

YYYY

Supervisor's Name

First Name

Last Name

IF SELF EMPLOYED, TYPE OF BUSINESS

Employment Income

$______ (Net/Gross) Per ________

Other Income

$________ Per_______ Source_______

MILITARY: IS DUTY STATION TRANSFER EXPECTED DURING NEXT YEAR?

Where? Ending/Separation Date

PREVIOUS EMPLOYER NAME AND ADDRESS IF EMPLOYED LESS THAN FIVE YEARS

Start/End Date

Other

Co-Applicant

Spouse

Guarantor

Name

First Name

Last Name

Mother's Maiden Name

Account Number

SSN

DRIVER'S LICENSE NUMBER / STATE

LIST AGES OF DEPENDENTS (Exclude Self)

Birth Date

YYYY

Phone

(###)

###

####

Present Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Own

Rent

Years at this address

Previous Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

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

Employment Income

NAME AND ADDRESS OF EMPLOYER

Title/Grade

Start Date

YYYY

Supervisor's Name

IF SELF EMPLOYED, TYPE OF BUSINESS

Employment Income

$______ (Net/Gross) Per ________

Other Income

$________ Per_______ Source_______

MILITARY: IS DUTY STATION TRANSFER EXPECTED DURING NEXT YEAR?

Where? Ending/Separation Date

PREVIOUS EMPLOYER NAME AND ADDRESS IF EMPLOYED LESS THAN FIVE YEARS

Start/End Date

Applicant Reference *

NAME AND ADDRESS OF NEAREST RELATIVE NOT LIVING WITH YOU RELATIONSHIP PHONE

Other Reference *

NAME AND ADDRESS OF NEAREST RELATIVE NOT LIVING WITH YOU RELATIONSHIP PHONE

You promise that everything you have stated in this application is correct to the best of your knowledge. If there are any important changes you will notify use in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and any update, increase, renewal or extension of the credit received. You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. 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. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federal credit unions or state chartered credit unions insured by NCUA.

Applicant Signature *

Date *

YYYY

Other Signature

Date

YYYY

Thank you!

Member Services

204 Gobblers Knob Road
Lufkin, TX 75904
936-632-4397 (Office)
936-632-3044 (Fax)
Lost/Stolen VISA Debit Cards: 1-888-263-3370

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Message *

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Thank you!

*APR = ANNUAL PERCENTAGE RATE. RATE BASED ON CREDITWORTHINESS AND TERM OF LOAN.

**APY = ANNUAL PERCENTAGE YIELD. RATES ARE SUBJECT TO CHANGE AT ANY TIME AND ARE NOT GUARANTEED.

WE PROVIDE LINKS TO THIRD PARTY PARTNERS, INDEPENDENT FROM LUFKIN FEDERAL CREDIT UNION. THESE LINKS ARE PROVIDED ONLY AS A CONVENIENCE. WE DO NOT MANAGE THE CONTENT OF THOSE SITES. THE PRIVACY AND SECURITY POLICIES OF EXTERNAL WEBSITES WILL DIFFER FROM THOSE OF LUFKIN FEDERAL CREDIT UNION.