Cabin Fever Loan Special

cab·in fe·ver

/ˈkabən ˈfēvər/

noun

INFORMAL•NORTH AMERICAN

irritability, listlessness, and similar symptoms resulting from long confinement or isolation indoors during the winter.

Symptoms sound familiar?

Right now you can borrow up to $10,000.00

24 months with rates as low as 2.99% APR

36 months with rates as low as 3.99% APR

48 months with rates as low as 4.99% APR

*APR is annual percentage rate. Actual rate based on credit score. New money only. Certain restrictions apply. Federally insured by the NCUA.

*Loan special valid from January 21, 2022 – March 31, 2022
Consumer Loan Application

Step 1 of 7

In order to open an account, add a signer or make a loan, Federal Law (USA Patriot Act of 2001) requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.
Please fill out application completely. Applications that are not completely filled out may take longer to process.

Will there be a co-applicant on this loan application?*

Yes

No

Regulation B, Section 202.7(d)(1): A person's intent to be a joint applicant must be evidenced at the time of application. Signatures on a promissory note may not be used to show intent to apply for joint credit. On the other hand, signatures or initials on a credit application affirming applicants' intent to apply for joint credit may be used to establish intent for joint credit. The method used to establish intent must be distinct from the means used by individuals to affirm the accuracy of information. For example, signatures on a joint financial statement affirming the veracity of information are not sufficient to establish intent to apply for joint credit.

Loan Type:*

Other Loan Type

Term:*

Account Type:*

Individual

Joint

Amount Requested:*

Which location would you like to complete the loan paper work?

Primary Applicant

Personal Information

Member Number

Name*

First

Last

Social Security Number*

Date of Birth*

MM slash DD slash YYYY

Address*

Street Address

Address Line 2

City

State

ZIP Code

Phone*

Drivers License #:

Email*

Primary Applicant

Employment Information

Employer's Name*

Address

Street Address

Address Line 2

City

State

ZIP Code

Phone

Start Date*

MM slash DD slash YYYY

Hours Worked Per Week*

Hourly Pay Rate $

Avg Gross Monthly Income $*

Position Title*

Other Income

Alimony, child support, or separate maintenance income need not be listed unless you choose to have such income considered regarding extension and repayment of the credit requested.

I have other Income

Yes

Child Support/Alimony Income

Additional Income

Source of Additional Income

Name of Nearest Relative not living with you*

First

Last

Relationship*

Address*

Street Address

Address Line 2

City

State

ZIP Code

Phone

Joint Applicant

Personal Information

Member Number

Name*

First

Last

Social Security Number*

Date of Birth*

MM slash DD slash YYYY

Address*

Street Address

Address Line 2

City

State

ZIP Code

Phone*

Drivers License #:

Email*

Joint Applicant

Employment Information

Employer's Name*

Address

Street Address

Address Line 2

City

State

ZIP Code

Phone

Start Date*

MM slash DD slash YYYY

Hours Worked Per Week*

Hourly Pay Rate $

Avg Gross Monthly Income $*

Position Title*

Other Income

Alimony, child support, or separate maintenance income need not be listed unless you choose to have such income considered regarding extension and repayment of the credit requested.

I have other Income

Yes

Child Support/Alimony Income

Additional Income

Source of Additional Income

Name of Nearest Relative not living with you*

First

Last

Relationship*

Address*

Street Address

Address Line 2

City

State

ZIP Code

Phone

Debts

Rent Balance

Rent Monthly Payment

Mortgage Balance

Mortgage Monthly Payment

Auto Balance

Auto Monthly Payment

Child Support/Alimony Monthly Payment

Credit Card Debts
Please list all Credit Card Debts below

Card Balance Monthly Payment

Other Debts
Please list all Other Debts Below

Debt Amount Balance Monthly Payment

Insurance

Are you interested in having your loan protected?

Yes

No

If you answer yes, the credit union will disclose the cost to protect your loan. The Credit Insurance is voluntary and does not affect your loan approval. In order for your loan to be covered, you will need to sign a separate application that explains the terms and conditions.

Disclosures

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask you for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your drivers’ license or other identifying documents.
Insurance products sold through or in the credit union are not insured by the National Credit Union Administration and are not issued, guaranteed, or underwritten by the credit union or the National Credit Union Administration or any other federal government agency.
That there is no requirement or obligation to purchase insurance from the credit union or any subsidiary, affiliate, or particular unaffiliated third party as a condition to obtaining a loan, and a decision as to insurance agents will not affect the credit terms in any way. The credit union may not condition an extension of credit on an agreement not to obtain, or a prohibition on the applicant from obtaining an insurance product or annuity from an unaffiliated entity.

Signature*

I certify that statements on this application are true and complete. I authorize any person, association, firm, or corporation to furnish, on request of this Credit Union, information concerning me or my affairs. (Sec. 1014, Title 13, U.S. Code makes it a Federal Crime to knowingly make a false statement on this application of a Federal Credit Union.)

Please note: Income verification is required; other information may be required. Signatures are required before funds are disbursed.

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Cabin Fever Loan Special

Symptoms sound familiar?

Consumer Loan Application

Step 1 of 7

Primary Applicant

Personal Information

Primary Applicant

Employment Information

Other Income

Joint Applicant

Personal Information

Joint Applicant

Employment Information

Other Income

Debts

Insurance

Disclosures

Card	Balance	Monthly Payment

Debt	Amount	Balance	Monthly Payment