Welcome to Twin Rivers Federal Credit Union Secure Online Loan Application Form.
Please fill out all Applicable fields and click submit at the bottom of the page.

 


Married Applicants:
  May apply for a separate account.

Individual Credit: You must complete the Applicant Section about yourself and Other section about your spouse if:

1. you live in or the property pledged as collateral is located in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI),

2. your spouse will use the account or,

3. you are relying on your spouses income as a basis of 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.

Select Individual Credit if you applying for yourself only,. Select Joint if you are applying with another person or you are married and living in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI)

 

LoanLiner Account/Loan:
Amount Requested

Length of Loan (in months)

Application Type (Individual or Joint)

Purpose of Loan


Payment Protection:  
Single Credit Disability

Single Credit Life

Joint Credit Life    


The credit union will disclose the cost of this voluntary insurance to you. A separate insurance  election which discloses the terms and conditions must be signed for coverage to become effect

Applicant
 

 

 

Other
 

 
Name   Name
 
Mother's Maiden Name Account Number   Mother's Maiden Name Account Number
 
Social Security Drivers License
Number/ State
  Social Security Drivers License
Number/ State
 
Ages of Dependants   Ages of Dependants
 
Birth Date Home Phone Business Phone   Birth Date Home Phone Business Phone
 
Present Address Length at Residence   Present Address Length at Residence
 
Previous Address Length at Residence   Previous Address Length at Residence
 
Complete for Joint Credit, Secured Credit, or if you live in a community property state:

Marital Status
  Complete for Joint Credit, Secured Credit, or if you live in a community property state:

Marital Status
 
Employment/Income
 

 

 

Employment/Income
 

 
Name / Address of Employer   Name / Address of Employer
 
Income $ Per   Income $ Per
 
Title Start Date Hours at Work   Title 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.
Other Income
 

 

 

Other Income
 

 
Income $ Per Source   Income $ Per Source
 
Income $ Per Source   Income $ Per Source
 
Income $ Per Source   Income $ Per Source
 
Income $ Per Source   Income $ Per Source
 
Military: Is duty station transfer expected within the next year?   Military: Is duty station transfer expected within the next year?
Where Ending/Separation Date   Where Ending/Separation Date
 
Previous employer name and address if less than 5 years   Previous employer name and address if less than 5 years
Name / Address of Previous Employer   Name / Address of Previous Employer
 
Starting Date Ending Date   Starting Date Ending Date
 
Reference
 

 

 

Reference
 

 
Name and Address of Nearest Relative not living with you   Name and Address of Nearest Relative not living with you
 
Relation Home Telephone   Relation Home Phone
 

What You Owe

Creditor Name other than this Credit Union
 (Attach additional sheets if necessary)
Interest Rate Present Balance

Monthly Payment

Owed By
Applicant
Owed by
Other
    Totals

List any Names under Which Your Credit References and History can be Checked


What You Own

List Location of Property
 or Financial institution
Market Value

Pledged As Collateral for Another Loan

Owned By
Applicant
Owned by
Other
$
$
$
$
$
$
$
$
$

Other Information about You

If you answer "YES" to any  question other than #1, Explain on an attached sheet

Applicant Other
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 listed above?

For Whom:
(Name of others obligated on the loan)

To Whom:
 ( Name Of Creditor)


State Law Notices

 

Ohio Residents Only The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers, and that credit reporting agencies maintain separate credit histories for each individual upon request. The Ohio Civil Rights Administers compliance with this law.
WISCONSIN Residents Only (1) No provision of any material property agreement, unilateral statement under section 766.59 or court decree under section 766.70 will adversely affect the rights of the credit union unless the credit union is furnished a copy of the agreement, statement, or decree, or has actual knowledge of its term, before the credit is granted or the account is opened. (2) PLEASE SIGN IF YOU ARE NOT APPLYING FOR THIS ACCOUNT OR LOAN WITH YOUR SPOUSE. the CREDIT BEING APPLIED FOR IF GRANTED, WILL BE INCURRED IN THE INTEREST OF THE MARRIAGE OF THE FAMILY OF THE UNDERSIGNED.

signature FOR
WISCONSIN Residents Only

DATE:

                                                         SIGNATURES

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, INCREASE, RENEWAL, EXTENSION, OR COLLECTION 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.

 

applicant's signature

DATE:

oTHER
 signature

DATE:

PLEASE  USE THE BOX BELOW TO PROVIDE US WITH ANY ADDITIONAL INFORMATION



Privacy Notice:

TWIN RIVERS FEDERAL CREDIT UNION  respects your privacy. We will never disclose  personal information about you as a consumer, customer, or former customer, to non-affiliated third parties. Your contact information will only be used by TWIN RIVERS FEDERAL CREDIT UNION.