Loan Application


THIS IS A SECURE DOCUMENT

The lock or key at the bottom of your browser should be locked. If it is not, you may have followed an outdated link or used an incorrect URL to access this page. Click Here to reload this page as a secure document.
 
HOW TO APPLY
  • This application is not for mortgages - Click Here for real estate information and online application. Please Contact Us for mortgage loan questions.
  • Please complete the entire application
  • Submit completed application to credit union
  • An incomplete or unsigned application may delay processing
If you would like your application directed to a specific loan officer or associate please select:
Please Enter Your Email Address:

This is an individual credit request.

This is a joint credit request.

If you are applying for joint credit, secured credit or if you live in a community property state (AZ,CA,ID,LA,NM,NV,TX,WA,WI,Puerto Rico), please complete the following:
Married, Separated, Unmarried (Single, Divorced, Widowed)

 Type of Loan Applied For:
Personal (Signature), Visa, Share Secured, Unsecured Line of Credit,
New Vehicle, Used Vehicle, RV Purchase,
Other:



Purpose:



Security/Collateral (please list in detail below) None
Year/Make/Model/VIN

Mileage/Options (e.g. engine size, 4x4, power options, auto/manual transmission)



Amount applied for $
Desired Length of Repayment (mos):

Method of Payment
Cash, Transfer from acct.#

Payment Protection Plan:
Would you like to purchase Credit Life Insurance:
Single Credit Life,
Joint Credit Life,
None

Would you like to purchase Credit Disability Insurance:
Yes
No

Applicant:
Name:
Account #:
(New members - type in "New")
Social Security #:
Birthdate (MM/DD/YY):
Home Phone #:
Mothers Maiden Name:
Present Address:
Street:
City:
State & Zip:
Current Address since: (MM/YY)
If less than 3 yrs enter previous address:


 Joint Applicant:
Name:
Account #:
Social Security #:
Birthdate (MM/DD/YY):
Home Phone #:
Present Address:
Street:
City:
State & Zip:
Current Address since: (MM/YY)
If less than 3 yrs enter previous address:
Employment and Income: In order to expedite the processing of your loan application please fax your paystub copies to the appropriate branch location: Boise Branch (208) 343-4587; West Boise Branch (208) 947-0155; Coeur d'Alene Branch (208) 765-2127; La Grande Branch (541) 963-6104. If self-employed or retired, financial statement or income tax returns will be needed.

Employer Name:

Select here if retired and scroll
to Monthly Gross Income $
Employer Phone #:
Employer Address:


Position:
Supervisor's Name
Date Hired (MM/DD/YY):
Monthly Gross Income $
Other Income:$ per Month
Source

Employer Name:

Employer Phone #:
Employer Address:


Position:
Supervisor's Name
Date Hired (MM/DD/YY):
Monthly Gross Income $
Other Income:$ per Month
Source
NOTE:Alimony, child support, or separate maintenance income need not be revealed if You do not choose to have it considered as a basis for this credit request.
Complete if current is less than 2 years:
Previous Employers Name:

Yrs Employed:
Complete if current is less than 2 years:
Previous Employers Name:

Yrs Employed:
References:
Name of relative not living with you:

Address of relative:


Phone # of relative:
References::
Name of relative not living with you:

Address of relative:


Phone # of relative:
Credit Information
Please list all open Accounts with a balance.
Creditor Monthly
Payment
Housing
Rent , Mortgage
Creditor Monthly
Payment
Housing
Rent , Mortgage
Assets Information
Account Type Balance
Savings/Investments
Savings/Investments
 
Checking
Checking
Account Type Balance
Savings/Investments
Savings/Investments
 
Checking
Checking
VISA Credit Card Disclosure
Annual Percentage Rate 13.9% (Periodic rate used to compute the Finance Charge is 1.158% per month.)
Grace period Purchases - 25 days

Cash Advances-Finance charge may begin to accrue on the date of the cash advance
Method of Computing the Balance Average daily Balance Method (including current transactions)
Annual Fee NONE
Minimum Finance Charge NONE
Transaction Fee for Purchases NONE
Other Charges Late Payment Fee - $15.00
Returned Check Fee - $15.00
Collection Costs - See VISA Agreement
The minimum payment is 3.50% of your Total New Balance but not less than $15.00 PLUS the amount of any prior minimum payments that you have not paid.

You agree that everything stated in this application is correct to the best of Your Knowledge. The Credit Union is authorized to investigate Your creditworthiness, employment history, and to obtain a credit report and to answer questions about their credit experience with You. You understand that any false or misleading statement in Your application may cause any loan or extension of credit to be in default. You authorize Us to accept Your facsimile signatures on this application and agree that Your facsimile signature will have the same legal force and effect as Your original signature. You assume any risk that may be associated with permitting Us to accept Your facsimile signature.

By pressing the "Send Application" button below, you agree to the above statement. You understand that we may require your signature on additional documents prior to disbursing any credit proceeds.
©ICON Credit Union 2010