Fort Randall Federal Credit Union
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What's it for?
About Yourself
Review
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How can we Help?
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Loan Purpose
(Please Select)
New Vehicle
Used Vehicle
Personal Loan
Recreation Equipment
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*
*
Amount in Dollars
$
*
Term in Months
*
*
Desired Monthly Payment
$
*
Preferred Method of Payment
Deduct from my Paycheck
Send Check By Mail
Online Bill Pay
Automatic Payment
Other
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Which Branch is most Convenient?
(Please Select)
Internet
Wagner - 231 NW Lake Street PO Box 297 Wagner, SD 57380
Platte - 100 West 7th Street PO Box 927 Platte, SD 57369
No Preference
Note to Loan Officer
Application Type
Primary
Name
Contact
Housing
Employment
Secondary
Name
Contact
Housing
Employment
Application Type
Application
Application Type
Primary
Name
Contact
Housing
Employment
Application Type
Who is this loan for?
Individual
Joint
Review
Loan Purpose:
Loan Amount:
$30,000.00
Term:
60 Months
Monthly Payment:
$300.00
Payment Method:
Online Bill Pay
Branch:
Online
Loan For:
Online Bill Pay
Comments:
Online
-
Name:
Johny Tester
SSN:
123-32-2234
Date of Birth:
July 1st, 1990
Driver's License:
RF124321 (OH)
Affiliation:
Family Member
Lead:
Radio Advertising
Preferred Contact:
Phone
Email:
JohnyTester@cuinterface.com
Phone:
877-317-2792
Housing Status:
Monthly Rent/Mortgage:
Address:
895 Hampshire Rd. Stow, OH 44224
Time at Residence:
877-317-2792
Employer - CU Awesomeness
Address:
CU Awesomeness
Status:
Full Time
Title:
Project Manager
Income:
$2,000.00
Date Started:
Jan. 1st, 2013
Phone:
800-123-4321
Previous Employer - CU Awesomeness
Address:
CU Awesomeness
Status:
Full Time
Title:
Project Manager
Income:
$2,000.00
Contact:
800-123-4321
Date Started:
Jan. 1st, 2013
Date Ended:
Jan. 1st, 2013
-
Name:
Johny Tester
SSN:
123-32-2234
Date of Birth:
July 1st, 1990
Driver's License:
RF124321 (OH)
Affiliation:
Family Member
Lead:
Radio Advertising
Preferred Contact:
Phone
Email:
JohnyTester@cuinterface.com
Phone:
877-317-2792
Housing Status:
Monthly Rent/Mortgage:
Address:
895 Hampshire Rd. Stow, OH 44224
Time at Residence:
877-317-2792
Employer - CU Awesomeness
Address:
CU Awesomeness
Status:
Full Time
Title:
Project Manager
Income:
$2,000.00
Date Started:
Jan. 1st, 2013
Phone:
800-123-4321
Previous Employer - CU Awesomeness
Address:
CU Awesomeness
Status:
Full Time
Title:
Project Manager
Income:
$2,000.00
Contact:
800-123-4321
Date Started:
Jan. 1st, 2013
Date Ended:
Jan. 1st, 2013
I have Read and Agreed to the
Terms and Conditions
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Terms and Conditions
I hereby certify everything I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or not it is approved.
Fort Randall Federal Credit Union is authorized to check my credit and employment history and to answer questions about their credit experience with me.
"The 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 civil rights commission administers compliance with this law".
I allow Fort Randall Federal Credit Union to contact me on my cell phone regarding this obligation. In addition, I consent to prerecorded and automated voice calls to both my cell and landline numbers.
I may be asked to answer a few multiple-choice questions in order to verify my identity and prevent someone else from fraudulently using my personal information.
The Social Security Number or employer identification number I have provided is my correct Tax Identification Number.
Credit Authorization:
By submitting this request, I authorize the Credit Union to obtain credit reports in connection with this request for credit and for any update, increase, renewal, extension, or collection of the credit received. I understand that the Credit Union will rely on information in this request and my credit report to make its decision. When applicable, spousal information may also be requested as a part of this request. If I 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 requests made to federal credit unions or state chartered credit unions insured by NCUA.
If I am applying for a credit card, I understand that the use of my card will constitute acknowledgment of receipt and agreement to the terms of the credit card agreement and disclosures.
YOU GRANT US A SECURITY INTEREST IN ALL INDIVIDUAL AND JOINT SHARE AND/OR DEPOSIT ACCOUNTS YOU HAVE WITH US NOW AND IN THE FUTURE TO SECURE YOUR CREDIT CARD ACCOUNT.
If I am in default, I authorize Fort Randall Federal Credit Union to apply the balance in these accounts to any amounts due. Shares and deposits in an Individual Retirement Account, and any other account that would lose special tax treatment under state or federal law if given as security, are not subject to the security interest you have given in my shares and deposits.
×
Information