Loan Application

Getting Started
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Personal Information

Primary Applicant
Are you a Current Member?
(mm/dd/yyyy)
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$
Joint Applicant
Type of Applicant
(mm/dd/yyyy)
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$

Previous Address

Primary Applicant
Joint Applicant

Employment/Income

Primary Applicant
() -
(mm/dd/yyyy)
$
$
Notice: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered.
If employed in current position less than three years, complete the following
(mm/dd/yyyy) (mm/dd/yyyy)
Joint Applicant
() -
(mm/dd/yyyy)
$
$
Notice: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered.
If employed in current position less than three years, complete the following
(mm/dd/yyyy) (mm/dd/yyyy)

References

Primary Applicant
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Joint Applicant
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These Questions Apply to both Applicant and Co-Applicant
Question Applicant Co-Applicant
Have you ever applied for credit with us in the past?
Do you have any outstanding judgments?
In the last 10 years, have you been declared bankrupt or filed a petition for Chapter 13?
Have you had property foreclosed upon or given title or deed in lieu thereof, in the last 7 years?
Are you a party in a lawsuit?
Are you other than a U.S. citizen or permanent resident alien?
Is your income likely to reduce in the next two years?
Are you a co-maker or co-signer on any loan?
Type of Credit Requested
IMPORTANT: Check the appropriate boxes and complete the applicable sections:
Type of Credit Requested
If Secured:
Almost Done
User Agreement

You certify that everything you have stated in this application is correct to the best of your knowledge. If there are any important changes you will notify us in writing immediately. You declare that the above information is a complete listing of what you owe. You authorize Credit Union of Dodge City to obtain one or more credit reports, check references, and to verify your employment history in connection with this application for credit and for any update, increase, renewal, extension or collection of the credit received. You understand that Credit Union of Dodge City will rely on the information in this application and your credit report to make its decision. If you request, the we 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 a loan application to a Credit Union insured by NCUA.

 

If you are applying for a credit card, you understand that the use of your card will constitute acknowledgement 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. When you are in default, you authorize us 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 your shares and deposits.
 
Account Disclosures
Click here to view the Account Disclosures.
 
Electronic Communications Disclosure & Consent
Read the Disclosure
If you do not consent, your online application will not be saved and you will be required to contact the Credit Union at 620-227-7181 for alternative application options.
Which location do you prefer to finalize your loan?
(mm/dd/yyyy)
 
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