Chaffey Federal Credit Union

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Loan Application

NOTE: In order to apply for a loan using the online loan application, you must be a member of Chaffey Federal Credit Union. If you are not a member and are interested in becoming one, please see How to Join.

Loan Information
Applicant Information
Applicant Information Continued
Employment Information
Co-Applicant Information
Co-Applicant Information Continued
Co-Applicant Employment Information
Other Income
Debt Information
History
Comments

Loan Information

Loan Amount:

Payment Method:

Loan Type:

Loan Term:

Application Type:

Individual

Joint

Credit Insurance Available
Single Life $.68 per $1,000 of balance:

Yes

No

Joint Life $1.16 per $1,000 of balance:

Yes

No

Disability - Only for Primary
$2.30 per $1,000 of balance:

Yes

No

Applicant Information

First Name: *

Last Name: *

Driver's License Number:

Date of Birth:

Email Address:

Marital Status:

Address:

City / State / Zip:

Own or Rent:

Own

Rent

Years at Current Address:

Monthly Rent or Mortgage:

Applicant Information Continued

Work Phone:

Home Phone:

Best Phone Number to Call You: *

Best Time to Call:

9:00 am - Noon

Noon - 5:00 pm

Note: If you've been at your current address less than 3 years please enter the following information:

Previous Address:

Previous City/State/Zip:

Employment Information

Please fax most current pay stub to: 909-949-3878

Employer: *

Employment Type:

Years on the Job: *

Address:

City / State / Zip:

Title or Position:

Gross Monthly Salary:

Co-Applicant Information

First Name:

Last Name:

Driver's License Number:

Date of Birth:

Email Address:

Marital Status:

Address:

City / State / Zip:

Own or Rent:

Own

Rent

Years at Current Address:

Monthly Rent or Mortgage:

Co-Applicant Information Continued

Work Phone:

Home Phone:

Note: If you've been at your current address less than 3 years please enter the following information:

Previous Address:

Previous City/State/Zip:

Co-Applicant Employment Information

Employer:

Employment Type:

Years on the Job:

Address:

City / State / Zip:

Title or Position:

Gross Monthly Salary:

Other Income

Please Fax most current pay stub to: (909) 949-3878 Please list any other income you receive. You do not have to reveal child support, alimony or separate maintenance income if it isn't to be considered for repayment of this loan. Please list both the source of the income and the monthly dollar amount.

Other Income:

Debt Information

Creditor #1:

Balance Amount:

Monthly Payment:

Creditor #2:

Balance Amount:

Monthly Payment:

Creditor #3:

Balance Amount:

Monthly Payment:

History

Have you ever obtained credit under another name?:

Yes

No

Have you ever filed bankruptcy?:

Yes

No

Have you ever had a repossession?:

Yes

No

Are you a cosigner or guarantor on any other loan?:

Yes

No

Are there any judgments or liens against you?:

Yes

No

Do you have any past due bills?:

Yes

No

Comments

Comments:

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