UHS Employees Federal Credit Union Loan Application

Single
Joint
Payroll Deduction
Direct Debit from outside source
Coupons(not available with Line of Credit)


Primary Applicant - Personal information







Married
Separated
Unmarried (single-divorced-widowed)


Employment information




Credit information


Own
Rent
Lives with relatives
Yes
No
Yes
No
Yes
No
Yes
No


Reference





Home equity information




If you are filling this out as a single applicant, skip this page.




Co-Applicant information





Married
Separated
Unmarried (single-divorced-widowed)


Employment information




Credit information


Own
Rent
Lives with relatives


Reference






Home equity information



Home equity information


Yes
No
Applicant
Co-Applicant

Yes
No
Applicant
Co-Applicant

Yes
No
Applicant
Co-Applicant

Yes
No
Applicant
Co-Applicant




Applicant
Co-Applicant

Applicant
Co-Applicant

Applicant
Co-Applicant

Applicant
Co-Applicant

Applicant
Co-Applicant

Applicant
Co-Applicant












Terms and Conditions

I hereby certify that all information contained in the application is furnished for the purpose of obtaining the loan requested herein and is true to the best of my knowledge and belief. I further certify that no consideration has passed or will pass from me, as borrower, to an endorser for his endorsement or to co-maker for his/her signature. You are authorized to check my credit and employment history and to answer questions about your credit experience with me. I have assisted the Credit Union in the preparation of this application; I have provided the Credit Union with all of the information contained therein; I hereby certify that this loan application is truthful and complete to the best of my knowledge and that I have read the entire completed application before signing same.


Yes

Co-Applicant

Yes