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Loan Application

THIS FORM IS NOT INTENDED FOR MORTGAGE LOANS. Please use Prequalify for Home Loan to provide the loan information required for home mortgages.
Do use this application for a Home Equity Line of Credit.

This form is encrypted. If you are still concerned with the security of transmitting this information via the internet MCU offers a printable loan form that may be mailed or faxed. To view this optional form please use this link: Printable Form.
  • For individual credit application, required fields marked * must be completed.
  • For joint credit application, required fields marked * and ** must be completed.
  • Required fields must be completed before application can be submitted successfully.

Married applicants may apply for a separate account. If you are applying for individual credit*, you must complete the applicant section about yourself and the co-applicant section about your spouse if:
  1. Your spouse will use the account, or
  2. You are relying on your spouse's income as a basis for repayment.
If you are applying for joint credit** with another person, complete the applicant and co-applicant sections.
 

AMOUNT OF CREDIT YOU'RE REQUESTING

Is this your first loan from us?
$
Payroll Deduction?
Pre-approval only:
(for secured credit only)
Type of Credit

PAYMENT PROTECTION COVERAGE (Check, if desired)

Find out more about Payment Protection InsuranceCredit Disability Protection for Loans and Credit Life Protection for Loans — and why it's a better consumer value when offered through your credit union. Check coverage(s) desired. We will disclose the cost of this Payment Protection Voluntary Insurance - Credit Disability and Credit Life - to you. A separate enrollment form which discloses the terms and conditions must be signed for coverage to become effective.
Do you want your loan protected for you and your family if you become disabled?
Do you want your loan protected for you and your family in the event of your death?

Tell us About Yourself

Social Security #
- -
Please indicate your marital status if you are applying for Joint Credit, secured credit or if you live in a community property state:
Birth Date*
/ /
Home Phone*
- -
Cell Phone
- -

Debts

$ (Enter 0 for none owed)
$ (Enter 0 for none owed)

Income

Employer Phone*
- -
Job Start Date*
/ /
$

If on the job less than two years, enter the following data.

Employer Phone
- -
Job Start Date
/ /
$

Other Income

(Notice: Alimony,child support or separate maintenance income need not be revealed if you do not have it considered as a basis for repaying this obligation.)
$

About Your Co-Applicant

Social Security #**
- -
Please indicate your marital status if you are applying for Joint Credit, secured credit or if you live in a community property state:
Birth Date**
/ /
Home Phone**
- -
Cell Phone
- -

Debts

$ (Enter 0 for none owed, NUMBERS ONLY otherwise)
$ (Enter 0 for none owed, NUMBERS ONLY otherwise)

Income

Employer Phone**
- -
Job Start Date**
/ /
$

If on the job less than two years, enter the following data.

Employer Phone
- -
Job Start Date
/ /
$

Other Income

(Notice: Alimony,child support or separate maintenance income need not be revealed if you do not have it considered as a basis for repaying this obligation.)
$

References

Provide the name and address of a relative not living with you.
Home Phone
- -
Provide the name and address of a personal friend who is not a relative.
Home Phone
- -

Disclosures

Home Equity Line of Credit

Do you agree with the Home Equity Line of Credit disclosures? Click the link provided and the disclosure will appear in a new window. Review its information, close the window and click the radio button to acknowledge your agreement with the disclosure.

I have read and agree to Missouri Credit Union's Home Equity Line of Credit Disclosure.

Home Equity Line of Credit Booklet

Have you read the Home Equity Line of Credit Booklet? Click the link provided and the booklet will appear in a new window. Review its information, close the window and click the radio button to acknowledge you read the booklet.

I have read the Home Equity Line of Credit Booklet.


Signatures

You promise that everything you have stated in this request is correct to the best of your knowledge. If there are any important changes, you will notify us in writing immediately. You also agree to notify us of any change in your name, address or employment within a reasonable time thereafter. You authorize the credit union to obtain credit reports in connection with this request. 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. You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on requests made to Federal Credit Unions or State Chartered Credit Unions insured by the NCUA. You understand that the credit union will rely on the information in the request and your credit report to make its decision. Please type your FULL NAME and DATE below, this will serve as your on-line signature. By signing this form you promise that everything you have stated in this request is correct to the best of your knowledge.
Date*
/ /
Date**
/ /
 

By submitting this loan request, you agree that the information is correct to the best of your knowledge. You also agree to notify us of any changes to your name, address or employment. You authorize the credit union to obtain credit reports in connection with this request.

Verification

Please check the box below to prove that you are a human.