Aurora Burlington Credit Union
Loan Application

Amount Requested: I desire this loan for the following purpose (explain fully):
Applicant
   
Name (Last - First - Initial): SSN:
Street: Date of Birth:
City/State/Zip Code: Home Phone:
Years at this address: Work Phone:
   
Do you Rent or Own?
Mortgage/Rent owed to: Mortgage balance: $
 
Employer Name: Start Date:
Street: Position:
City/State/Zip Code:  
 
Employment Income: Net Gross Per
   
Are you relying on income from another person to repay this loan? Yes No
If yes, please complete the section below.
   
OTHER: Co-Applicant Spouse

**Please include data about Co-Applicant if application is for joint credit with a Co-Applicant or if applicant will rely on Co-Applicant's income. Required fields for the Co-Applicant are the same as those for the Applicant.
Name (Last - First - Initial): SSN:
Street: Date of Birth:
City/State/Zip Code: Home Phone:
Years at this address: Work Phone:
 
Do you Rent or Own?
Mortgage/Rent owed to: Mortgage balance: $
   
Employer Name: Start Date:
Street: Position:
City/State/Zip Code:
. .

Employment Income: Net Gross

Per
   
Financial Information
Please provide financial information for both the Applicant and the Co-Applicant if applying jointly.
   
Auto Owned:
Make: Model:
Real Estate:  
  Reasonable Market Value of Real Estate Owned: $
Business Reference:
Name: Phone:
Street:
  City/State/Zip Code:  
Bank Reference:  
  Name of Bank: Savings Checking
  City:  
Debt Information:
To Whom Owed
Purpose
Present Balance
Monthly Payment
Rent/Mortgage
$
$
Auto Loan
$
$
$
$
$
$
 
SIGNATURES & CERTIFICATIONS

Everything that I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or not it is approved. You are authorized to check my credit and employment history and to answer questions about your credit experience with me.

X_______________________________________________________
Applicant's Signature
 
X_______________________________________________________
Co-Applicant's Signature
By submitting the application, I am authorizing A.B.C.U. to pull my credit report.


Simply submit your completed application and a representative will contact you.
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