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Credit Union Loan Application Form

The document is a loan application form for The Communal Co-operative Credit Union Ltd. It requests personal information such as name, address, contact details, employment history, assets, liabilities, expenses, and proposed loan details from the applicant. It also includes sections to evaluate the applicant's home ownership status, employment tenure, savings contributions, net worth, and eligibility for the loan. References are also requested from non-relatives. The applicant confirms that the information provided is true and complete, and authorizes the credit union to verify any details.

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MAXEEM EMMONS
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47 views2 pages

Credit Union Loan Application Form

The document is a loan application form for The Communal Co-operative Credit Union Ltd. It requests personal information such as name, address, contact details, employment history, assets, liabilities, expenses, and proposed loan details from the applicant. It also includes sections to evaluate the applicant's home ownership status, employment tenure, savings contributions, net worth, and eligibility for the loan. References are also requested from non-relatives. The applicant confirms that the information provided is true and complete, and authorizes the credit union to verify any details.

Uploaded by

MAXEEM EMMONS
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as ODT, PDF, TXT or read online on Scribd
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THE COMMUNAL CO-OP CREDIT UNION LTD.

Loan Application Form


Branch:
Name: A/c no: Date:

Address: Code: Ref. no.


Address Since: Lives in: Date of Birth:
T/phone no. Home: Work: Cell: Member since:
Former address (if less than 1 yr. at present)
How long: Identification - Type: I.D. No.
Marital Status: Dependents (numb.): Ages: Other C/U Membership: (name)
Landlord(Name, address & phone):
Employer: Position or Occupation:
Employer's Add: Length of employment:
Former Employer: (if less than 3
yrs. at present) How Long: E-mail:
Former Position or occupation: Banker:
Co-appl/Co-borrower
Name: A/c no:

Co appl. address Code: Ref. no.


Address Since: Lives in: Date of Birth:
T/phone no. Home: Work: Cell: Member since:
Former address (if less than 1 yr. at present) E-mail:
How long: 0yrs Identification - Type: I.D. No.
Marital Status: Single Dependents (numb.): 0 Ages: Other C/U Membership: (name)
Landlord(Name, address & phone):
Employer: Position or Occupation:
Employer's Add: Length of employment:
Assets & Liabilities
Assets Description Value Liabilities Monthly pmts.
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $

TOTALS $ $ $

Net Worth: $
BUDGET
Taxes $ Electricity $ Rent $

NIS $ Water $ Mortgage $

Pension/medical Ins. $ Telephone & I-net $ Other Loans $

Insurance (veh & house) $ Cable $ New Loan Payment $


Educ. & child maintenance $ Hire Purchase $

Food $ SUB TOTAL $

Travel & vehicle $

Miscellaneous(med, clothes) $
Other (entertainment etc.) $

SUB TOTAL $ SUB TOTAL $ Total Expenses $


Gross Salary $ Co-appl. income $ Total Income $
Allowances $ Residue $ DSR
Other income $

Other (state sources)


Total main appl inc. $

Loan Purpose:
Amount: $

Repayment Period:
Interest Rate:
Mthly Repayment:
PROPOSED DISBURSEMENT
1

2
3

4
5

6
7
TOTAL $

SECURITY

4
References: (Name, address, telephone nos., occupation & relationship. Relatives or friends not living with applicant)
Name: Name:
Address: Address:
Occupation: Occupation:
Telephone: Telephone:
Relationship: Relationship:
I/We confirm that the information given herein is true to the best of my/our knowledge, and that all outstanding financial obligations and commitments are declared. I/We understand clearly that it is being used to
determine my/our Credit responsibility and for the purpose of obtaining the loan. I/We hereby authorize The Communal Co-operative Credit Union Ltd. to obtain any information they may require from any institution,

Signature of Applicant: Date:


Signature of Applicant: Date:
Witness:
Home Occupancy Employment status Savings contribution Score /24

Own 5 Permanent F/T 4 75-99% 5

Rent unfurnished 3 Permanent P/T 3 50-74% 4

Rent furnished 2 Contract/Temp 2 21-49% 3

Room & Board 1 Self-employed 1 15-20% 2

Length of Residency Employment tenure 10-15% 1

over 10 yrs. 4 over 10 yrs. 5 <10% 0

6-10 yrs. 3 6-10 yrs. 4

3-5 yrs. 2 3-5 yrs. 3 Net worth

1-2 yrs. 1 1-2 yrs. 2 Positive 1

Less than 1 yr 0 Less than 1 yr 0 Negative 0

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