Online Loan/VISA Card Application

Please note that this form is on a secure server. We value the safety of your financial information.

IF YOU ARE SEEKING A MORTGAGE... we need more details than this application provides. Give us a call at 952-445-0888 and ask to speak with one of our mortgage specialists.

WHAT DO YOU NEED?

Loan Amount/Credit Limit Desired: $

Is this a VISA Credit Card application?      Yes      No        
If Yes, please Download our VISA Credit Card Disclosure.

Purpose of Loan

Collateral N/A for VISA

Do you want automatic payment?      Yes      No

APPLICANT INFO

Note: If married you may apply for a separate loan.  If this is an application for a separate loan, no spousal information is requested except if you are married and reside in a community property state or if community property will be used to repay the loan.  A non-applicant spouse in a community property state must indicate their full name and social security number.
* Alimony, child support or separate maintenance need not be disclosed unless you desire such income to be considered.

Name

Credit Union Account Number

Email Address:
Without a valid e-mail address, we may not be able to contact you electronically.

Address

City       State     Zip

Daytime Phone        Evening Phone

Years at this Address        Rent      Own

Monthly Payment: $

Date of Birth

Social Security Number

Number of Dependents, Excluding Self

Employer

Occupation

How Long Employed Here? 

Previous Employer

How Long Employed Here? 

Gross Monthly Income: $ (must provide verification)

Total Monthly Debt: $ (excluding mortgage or rent)

CO-APPLICANT INFO

If a community property state resident, spouse must complete full name and social security number only if not a co-applicant

Co-Applicant Name

Address

City       State     Zip

Date of Birth

Social Security Number

Employer

How Long Employed Here? 

Gross Monthly Income: $ (must provide verification)

 
Additional Notes: 

By signing below you certify that all information is complete and both of you agree to be jointly and severally liable to repay this loan as required by the credit union. The credit union may verify this information from whichever sources it deems necessary (including credit reports) and may provide others with information regarding your credit history to the extent permitted by law. This application is, and shall remain, the property of the credit union.

Your share balances and deposits with the credit union are subject to a lien by the credit union to secure any loan or other obligation owed to the credit union

You understand you do not have to buy insurance to get your loan approved. You are applying for the Credit Insurance marked and authorizing the Credit Union to add charges for insurance to your loan each month as they become due. You have the right to stop this authorization.

I request single credit life insurance.   
I request joint credit life insurance.
I request credit disability insurance.
* If applying for a VISA Credit Card, please Download our VISA Credit Life Disability information

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