Liberty Mutual

AutoHome120x90x1 

Better Choice Program

betterchoice
THE CREDIT UNION IS NOW OFFERING A
SHORT TERM CASH ADVANCE LOAN

- Maximum loan amount of 20% of weekly or 
   bi-weekly NET direct deposit*
- Interest rate of 15%
- Repayment term 1 payroll cycle
- Application fee of $20
- 10% of loan amount held in savings as security

    * ask Member Services for more details

Loan Application
How to Apply
  • Please complete application completely
  • Press the submit button only once at the end of the application
  • An incomplete application may delay processing
Individual Credit: You must complete the Applicant section about yourself and the Other section about your spouse, if:
  1. you live in or the property pledged as collateral is located in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI).
  2. your spouse will use the account, or
  3. you are relying on your spouse's income as a basis for repayment. If you are relying on income from alimony, child support, or separate maintenance, complete the Other section to the extent possible about the person on whose payments you are relying.
Joint Credit: If you are applying with another person, complete the Applicant and Other sections.
Guarantor: Complete the Other section if you are a guarantor on an account/loan.
Check below to indicate the type of account(s) and type of credit for which you are applying. Married applicants may apply for a separate account.
Account/Loan: Individual Joint
Amount Requested $ Loan Purpose:
(Including ATM/Debit Card Access to the Account if Available)

Repayment: Payroll Deduction Cash Military Allotment Automatic Payment
Applicant: Other: Co-Applicant Spouse Guarantor
Name (Last/First/Initial) Mother's Maiden Name Name (Last/First/Initial) Mother's Maiden Name
Account Number Social Security Number Account Number Social Security Number
Driver's License Number/State
 List ages of dependents not listed by other applicant (Exclude Self) Driver's License Number/State
 List ages of dependents not listed by other applicant (Exclude Self)
Birth Date
 Home Phone Business Phone/Ext. Birth Date
 Home Phone Business Phone/Ext.
Present Address (Street / City / Zip) Own Rent Present Address (Street / City / Zip) Own Rent
Years at
this Address 		Years at
this Address
Previous Address (Street / City / Zip) Own Rent Previous Address (Street / City / Zip) Own Rent
Years at
this Address 		Years at
this Address
Complete for Joint Credit, Secured Credit Or if you live in a community property State:
Married Separated Unmarried
                                     (Single - Divorced - Widowed) 		Complete for Joint Credit, Secured Credit Or if you live in a community property State:
Married Separated Unmarried
                                     (Single - Divorced - Widowed)
Employment / Income: Employment / Income:
Name and Address of Employer
Name and Address of Employer
Title/Grade
 Start Date Hours at work Title/Grade
 Start Date Hours at work
Supervisor's Name If self employed, type of business Supervisor's Name If self employed, type of business
Notice: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered. Notice: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered.
Employment Income

$ per            Other Income $ per Net Gross   Source 		Employment Income

$ per            Other Income $ per Net Gross   Source
Military: Is duty station transfer expected during next year?
Yes No
Where                              Ending/Separation Date                 		Military: Is duty station transfer expected during next year?
Yes No
Where                              Ending/Separation Date                
Previous employer name and address if employed less Than five years
Starting Date
Ending Date
Previous employer name and address if employed less Than five years
Starting Date
Ending Date
Applicant Reference: Other Reference:

Name and Address of Nearest Relative Not Living with you
Relationship
Home Phone

Name and Address of Nearest Relative Not Living with you
Relationship
Home Phone
What You Owe Creditor name other than Fairless Credit Union Interest Rate Present Balance Monthly Payment Owed by
  Applicant Other
Rent 1st Mortgage (include Tax and Ins.)
2nd Mortgage
1st Auto Loan
2nd Auto Loan
Child-Care
Child Support
Credit Card
Credit Card1
Other
Other1
List any names under which your credit references and credit history can be checked. Totals:
What You Own List location of property or financial institution Market
Value		 Pledged as collateral for another loan Owned by
  Applicant Other
Home YES NO
Auto YES NO
Savings YES NO
Checking YES NO
Other (Describe) YES NO
Other Information
About You 		If you answer "Yes" to any question other than #1, explain on an attached sheet. Applicant Other
  YES NO YES NO
1. Are you a U.S. citizen or permanent resident alien?
2. Do you currently have any outstanding judgments or have you ever filed for bankruptcy, had a debt adjustment plan confirmed under chapter 13, had property foreclosed upon or repossessed in the last 7 years, or been a party in a lawsuit?
3. Is your income likely to decline in the next two years?
4. Are you a co-maker, co-signer or guarantor on any loan not listed above?
      For Whom (Name of Others Obligated on Loan):         To Whom (Name of Creditor):                           
Signature(s)
You promise that everything you have stated in this application is correct to the best of your knowledge and that the above information is a complete listing of what you owe. If there are any important changes you will notify us in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, renewal or extension of the credit received.

You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. If you request, the Credit Union will tell you the name and address of any credit bureau from which it received a credit report on you. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federal credit unions or state chartered credit unions insured by NCUA.
Signature (Applicant) Signature (Other)