Neighborhood Community Federal Credit Union
Loan Application

Individual Credit:
You must complete the Application section about yourself and the Other section about your spouse if:

  1. You live in or the property pledged as collateral is located in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI),

  2. Your spouse will use the account, or

  3. You are relying on your spouse's income as a basis for repayment. If you are relying on income from alimony, child support, or separate maintenance, complete the Other section to the extent possible about the person on whose payments you are relying.

Joint Credit: If you are applying with another person, complete the Applicant and Other sections.
Guarantor: Complete the Other section if you are a guarantor on an account/loan.

Privacy Policy

Neighborhood Community FCU Loan Application

Check below to indicate the type of account(s) and type of credit for which you are applying.
Married Applicants may apply for a separate account.

Account/Loan

Account Status
Amount Requested
Purpose
Collateral

Repayment

Payroll Deduction
Cash
Military Allotment
Automatic Payment
Payment Protection
Check coverage(s) desired. The Credit Union will disclose the cost of this voluntary insurance to you. A separate insurance election which discloses the terms and conditions must be signed for coverage to become effective.
Insurance
Applicant
Name
Mothers Maiden Name
Account Number
Social Security Number
Drivers License Number/State
Age of Dependents
Date of Birth
E-mail Address
Home Phone
Business Phone
Present Address
City
State
Zip
Do You
Years at This Address
Previous Address
City
State
Zip
Complete Marital Status for joint credit, secured credit or if you live in a community property state:
Marital Status
Employment/Income
Employer
Address
Title/Grade
Start Date
Hours at Work
Supervisor's Name
If Self Employed, Type of Business
Employment Gross Income
Per
Other Income
Per
Source
Previous Employer Name and Address
If Employed Less Than Five Years
Starting Date
Ending Date
Military
Is duty station transfer expected during next year?
Where
Ending/Separation Date

Other

Co-Applicant
Name
Mothers Maiden Name
Account Number
Social Security Number
Drivers License Number/State
Age of Dependents
Date of Birth
Home Phone
Business Phone
Present Address
City
State
Zip
Do You
Years at This Address
Previous Address
City
State
Address
Complete for joint credit, secured credit or if you live in a community property state:
Married
Separated
Unmarried
Employment/Income
Employer
Address
Title/Grade
Start Date
Hours at Work
Supervisor's Name
If Self Employed, Type of Business
Employment Gross Income
Per
Other Income
Per
Source
Previous Employer Name and Address
If Employed Less Than Five Years
Starting Date
Ending Date
Military
Is duty station transfer expected during next year?
Where
Ending/Separation Date
Applicant Reference
Relationship
Name of nearest relative not living with you
Address of nearest relative not living with you
Home Phone
Co-Applicant Reference
Relationship
Name of nearest relative not living with you
Address of nearest relative not living with you
Home Phone
What You Owe
Mortgage
Creditor Name
Interest Rate
Present Balance
Monthly Payment
Owned By
Mortgage
Creditor Name
Interest Rate
Present Balance
Monthly Payment
Owned By
1st Auto Loan Creditor Name
Interest Rate
Present Balance
Monthly Payment
Owned By
2nd Auto Loan Creditor Name
Interest Rate
Present Balance
Monthly Payment
Owned By
Child-Support
Present Balance
Monthly Payment
Credit Card
Interest Rate
Present Balance
Monthly Payment
Owned By
Credit Card
Interest Rate
Present Balance
Monthly Payment
Owned By
Other
Interest Rate
Present Balance
Monthly Payment
Owned By
Other
Interest Rate
Present Balance
Monthly Payment
Owned By
Please List All Other (If Needed)
What You Own
Home
Location of Property or Financial Institution
Market Value
Pledged As Collateral For Another Loan
Owned By
Auto
Make/Model
Market Value
Pledged As Collateral For Another Loan
Owned By
Savings
Location of Property or Financial Institution
Market Value
Pledged As Collateral For Another Loan
Owned By
Checking
Location of Property or Financial Institution
Market Value
Pledged As Collateral For Another Loan
Owned By
Other
Location of Property or Financial Institution
Market Value
Pledged As Collateral For Another Loan
Owned By
Other Information About You
Are you a U.S. Citizen or Permanent Alien?
Do you currently have any outstanding judgments or have you ever filed for bankruptcy, had a debt adjustment plan confirmed under Chapter 13, had property foreclosed upon or repossessed in the last 7 years, or been a party in a lawsuit?
Is your income likely to decline in the next two years?
Are you a Co-Maker, Co-Signer or Guarantor on any loan not listed above?
Other Information About Co-Applicant
Are you a U.S. Citizen or Permanent Alien?
Do you currently have any outstanding judgments or have you ever filed for bankruptcy, had a debt adjustment plan confirmed under Chapter 13, had property foreclosed upon or repossessed in the last 7 years, or been a party in a lawsuit?
Is your income likely to decline in the next two years?
Are you a Co-Maker, Co-Signer or Guarantor on any loan not listed above?
State Law Notices
Ohio Residents Only
The Ohio law against discrimination require that all creditors make credit equally available to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.
Wisconsin Residents Only
(1) No provision of any marital property agreement, unilateral statement under Section 766.59, or court decree under Section 766.70 will adversely affect the rights of the Credit Union unless the Credit Union is furnished a copy of the agreement, statement or decree, or has actual knowledge of its terms, before the credit is granted or the account is opened. (2) Please notify this Credit Union if you are not applying for this account or loan with your spouse. The credit being applied for, if granted, will be incurred in the interest of the marriage or family
of the undersigned.
Electronic Application Submission
You promise that everything you have stated in this application is correct to the best of your knowledge and that the above information is a complete listing of what you owe. If there are any important changes you will notify us in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and any update, renewal or extension on the credit received. You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. 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. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federal credit unions or state chartered credit unions insured by the NCUA.