CREDIT APPLICATION
This is not a contract for a loan nor does it lock you into any commitment with a contractor. This is an application that will allow us
to proceed with your request for a loan to finance your improvement(s). This will include reviewing your credit history.
Please complete all information requested. Incomplete applications will be returned to you for completion. Only new projects not
yet started are eligible for financing. Please submit a copy of the AUSTIN ENERGY approved Home Energy Loan Program Bid
Summary and, if necessary, proof of income (as determined from your pre-approval) with this completed application to your
selected AUSTIN ENERGY participating company, or mail/fax to:
Austin Energy, c/o Velocity Credit Union, P.O. BOX 1089, Austin, Tx 78767-1089
512-469-7060 (lending), 1-800-933-2029 (toll free), 512-225-9205 (fax)
SECTION A - INDIVIDUAL APPLICANT INFORMATION
Mr/Mrs/Ms Last Name First Name MI Jr/Sr/I/II
Birth Date Home Phone Social Security Number Marital Status (only for residents of: AZ, CA, ID, LA, NV, NM, TX, WA, WI)
Married Separated UnMarried (single, divorced, widowed)
Installation Address (where home improvements are to be made) Unit # City State Zip
Do You Currently Years at Current Do or Will you own and reside at the above Dwelling Type (Multi (3 units +) does not qualify) Mo. Mortgage Payment
Address installation address? (including taxes)
Own Rent Yes No Single Family Duplex Condo $
Current Address (if different than the above Installation Address) City State Zip
Mailing Address (if different than the above Current Address) City State Zip
Employer Name / Company Employer's Address City State Zip How Long
Employed?
Business Phone Ext Position or Title Monthly Gross Salary Circle One Below Are you Self-Employed? How Long
Self-Employed?
$ FullTime PartTime Both Yes No
Sources of Other Income Monthly Gross Salary Purchase Price of Home Date of Purchase
$ $
Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Alimony, child support, separate maintenance received under: Court Order Written Agreement Oral Understanding
SECTION B - JOINT APPLICANT
Complete only for joint credit.
(A joint application requires the signatures of both applicants on the reverse side of this form.)
Mr/Mrs/Ms Last Name First Name MI Jr/Sr/I/II
Birth Date Home Phone Social Security Number Marital Status (only for residents of: AZ, CA, ID, LA, NV, NM, TX, WA, WI)
Married Separated UnMarried (single, divorced, widowed)
Current Address (if different than the above Installation Address) City State Zip
Do You Currently Years at Current Do or Will you own and reside at the above installation address?
Address
Own Rent Yes No
Employer Name / Company Employer's Address City State Zip How Long
Employed?
Business Phone Ext Position or Title Monthly Gross Salary Circle One Below Are you Self-Employed? How Long
Self-Employed?
$ FullTime PartTime Both Yes No
Sources of Other Income Monthly Gross Salary
$
Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Alimony, child support, separate maintenance received under: Court Order Written Agreement Oral Understanding
SECTION C - UTILITY INFORMATION
%LECTRIC 5TILITY #O %LECTRIC !CCOUNT .O 7ATER (EATING &UEL 4YPE CIRCLE ONE 3PACE (EATING &UEL 4YPE CIRCLE ONE
AUSTIN ENERGY Natural Gas Electric LP Oil Other Natural Gas Electric LP Oil Other
SECTION D - LOAN TERM DESIRED
Select Desired Loan Option: Option 1 For Home Energy Improvements and Central Air Systems
Maximum Loan Amount = $7,000 for Single Family; $9,500 for Duplexes.
Option 1: Solar Water Heating Systems. Home Improvement Loan Minimum is $1,500
3 Years
Home Improvement Loan Minimum is $1,500. Maximum @ 0%
Loan APR = $5,000 for
Amount 5 Single
Years Family;
@ 0% $10,000
APR for duplexes.
7 Years @ 2.9% APR 10 Years @ 4.5% APR
3 Years @ 0% APR 5 Years @ 0% APR 7 Years @ 0% APR 10 Years @ 0% APR
Personal Loan Minimum is $500.
Personal Loan Minimum is $500. 3 Years @ 2.0% APR 5 Years @ 4.5% APR
3 Years @ 2.0% APR 5 Years @ 2.0% APR
Option 2 For Home Energy Improvements, Conversions from Window to Central Systems
Note: Two percent interest will and for homes with two air conditioning systems. Maximum Loan Amount = $9,500.
be added to the interest rates
Option 2: Solar Photovoltaic Systems. Home Improvement Loan Minimum is $1,500
quoted here if the credit score
is 639 or below. 3 Years @ 1.5% APR 5 Years @ 2.9% APR
Home Improvement Loan Minimum is $1,500. Maximum Loan Amount = $20,000.
7 Years @ 5.0% APR 10 Years @ 6.5% APR
Market Rate Loan - Finance remaining
Personal Loanof
balance Minimum
system is $500.
cost after Austin Energy’s rebate.
3 Years @ 4.5% APR 5 Years @ 6.5% APR
Note: Two percent interest will be added to all rates if the credit score is 639 or below.
Solar System Market Rate Loan (Call Velocity for current market rates).
Maximum Loan Amount = $20,000
SECTION E - ASSET AND DEBT INFORMATION
(If Section B has been completed, include information about both the Applicant and Joint Applicant)
QUESTIONNAIRE !TTACH !DDITIONAL 3HEET IF NEEDED
!RE YOU OBLIGATED TO MAKE !LIMONY 3UPPORT OR )F YES TO WHOM .AME!DDRESS !MOUNT PER -ONTH
-AINTENANCE 0AYMENTS Yes No $
!RE YOU A CO
MAKER ENDORSER OR GUARANTOR ON ANY LOAN )F YES FOR WHOM 4O WHOM !MOUNT PER -ONTH
OR CONTRACT Yes No $
!RE THERE ANY UNSATISFIED JUDGEMENTS AGAINST YOU )F YES TO WHOM OWED 4OTAL !MOUNT /WED
Yes No $
(AVE YOU DECLARED BANKRUPTCY IN THE LAST YEARS )F YES WHAT CITYSTATE 9EAR
Yes No
INFORMATION FOR GOVERNMENT MONITORING PURPOSES
4HE FOLLOWING INFORMATION IS REQUESTED BY THE &EDERAL 'OVERNMENT FOR CERTAIN TYPES OF LOANS RELATED TO A DWELLING IN ORDER TO MONITOR THE LENDERS COMPLIANCE WITH EQUAL CREDIT
OPPORTUNITY FAIR HOUSING AND HOME MORTGAGE DISCLOSURE LAWS 9OU ARE NOT REQUIRED TO FURNISH THIS INFORMATION BUT ARE ENCOURAGED TO DO SO 4HE LAW PROVIDES THAT A LENDER
MAY DISCRIMINATE NEITHER ON THE BASIS OF THIS INFORMATION NOR ON WHETHER YOU CHOOSE TO FURNISH IT &OR RACE YOU MAY CHECK MORE THAN ONE DESIGNATION )F YOU DO NOT FURNISH
ETHNICITY RACE OR SEX UNDER &EDERAL REGULATIONS THIS LENDER IS REQUIRED TO NOTE THE INFORMATION ON THE BASIS OF VISUAL OBSERVATION OR SURNAME )F YOU DO NOT WISH TO FURNISH THE
iNFORMATION PLEASE CHECK THE BOX BELOW
!PPLICANT 9OU DO NOT WISH TO FURNISH THIS INFORMATION #O
!PPLICANT 9OU DO NOT WISH TO FURNISH THIS INFORMATION
%THNICITY (ISPANIC OR ,ATINO .OT (ISPANIC OR ,ATINO %THNICITY (ISPANIC OR ,ATINO .OT (ISPANIC OR ,ATINO
2ACE !MERICAN )NDIAN OR !LASKA .ATIVE !SIAN 2ACE !MERICAN )NDIAN OR !LASKA .ATIVE !SIAN
"LACK OR !FRICAN !MERICAN 7HITE "LACK OR !FRICAN !MERICAN 7HITE
.ATIVE (AWAIIAN OR /THER 0ACIFIC )SLANDER .ATIVE (AWAIIAN OR /THER 0ACIFIC )SLANDER
3EX &EMALE -ALE 3EX &EMALE -ALE
SIGNATURES
By signing below, I acknowledge that I have made this application with the intent that you or any agent (including any affiliate) of yours should rely on
the information it contains in granting the credit requested. I understand that if credit is granted to me, you (or your affiliate) may report information
concerning my credit and payment record to consumer reporting agencies and others.
I authorize you to utilize the service of any agent or affiliate in connection with processing this application and extending credit. I affirm that the
information is true and I authorize you (or your affiliate) to verify and investigate the information I have provided you. I authorize you (or your affiliate)
to accept my fascimile signature on this application and agree that it will have the same legal effect as my original signature. I understand that the federal
Equal Credit Opportunity Act prohibits creditors from discriminating against applicants on the basis of sex or marital status.
Applicant Signature Date Joint Applicant Signature Date
Joint applications require the signatures of both applicants.
