(585) 589-5286 299 West Ave Albion, NY 14411

Cobblestone Country FCU Loan Application
Loan Information
Primary Information

Cobblestone FCU Loan Application

Will this be a Single or Joint Application? *

No dashes, spaces, or parentheses

Enter a value no greater than 999,999

Repayment Method

Do you want Credit Disability Insurance in connection with this loan?

Do you want Credit Life Insurance in connection with this loan?

Personal Information

Primary Applicant - Personal information

No dashes, spaces, or parentheses

No dashes, spaces, or parentheses

Complete for joint credit, secured credit, or if you live in a community property state *

Employment information

Credit information

Residence

Is the property described your principal dwelling?

Any proceeds for a Refinanced Mortgage, Home Equity, or Home Improvement?

Is the property described listed as the applicant's address in the "Personal Information" section?

Is anyone other than your spouse a part owner of your home?

Have you ever had a car or other personal property repossessed by a dealer or finance company, filed for bankruptcy, or been a party to a wage assignment or collection suit, or have you ever been declined on a loan application with this credit union?

Reference

No dashes, spaces, or parentheses

Additional Questions

Are you other than a US citizen or permanent resident alien? *

Do you have any outstanding judgments? *

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? *

Have you filed for bankruptcy or had a debt adjustment plan confirmed under chapter 13? *

Have you had property foreclosed upon or given a deed in lieu of foreclosure in the last 7 years? *

Joint Information

Joint Applicant - Personal information

No dashes, spaces, or parentheses

No dashes, spaces, or parentheses

No dashes, spaces, or parentheses

Complete for joint credit, secured credit, or if you live in a community property state *

Employment information

Credit information

Residence

Is the property described your principal dwelling?

Any proceeds for a Refinanced Mortgage, Home Equity, or Home Improvement?

Is the property described listed as the applicant's address in the "Personal Information" section?

Is anyone other than your spouse a part owner of your home?

Have you ever had a car or other personal property repossessed by a dealer or finance company, filed for bankruptcy, or been a party to a wage assignment or collection suit, or have you ever been declined on a loan application with this credit union?

Reference

No dashes, spaces, or parentheses

Additional Questions

Are you other than a US citizen or permanent resident alien? *

Do you have any outstanding judgments? *

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? *

Have you filed for bankruptcy or had a debt adjustment plan confirmed under chapter 13? *

Have you had property foreclosed upon or given a deed in lieu of foreclosure in the last 7 years? *

Agree and Submit

List Your Debts

Debt 1 Owner:


Debt 2 Owner:


Debt 3 Owner:


Debt 4 Owner:


Debt 5 Owner:


Debt 6 Owner:

Disclosure and Agreement to Terms

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.

Do you agree with the above terms and conditions? *

Co-Applicant

Do you agree with the above terms and conditions? *