Sharetec Application

Select Loan Type *

Loan Amount Requested: *

Months

Loan Purpose

Describe Collateral

Name *

Social Security Number *

Date of Birth *

Email Address *

Home Phone Number *

Home Address *

Years at Residence *

Rent/Own *

Previous Address

Authorize Credit Report

Yes No

Mother's Maiden Name

Reference

Relative not living with you

Name

Home Phone

Home Address

Name

Home Phone

Home Address

Relationship

Joint Applicant

Yes No

Previous Joint Applicant *

Name *

Social Security Number *

Date of Birth *

Email Address *

Home Phone Number *

Home Address *

Years at Residence *

Rent/Own *

Mother's Maiden Name

Reference

Relative not living with you

Name

Home Phone

Home Address

Previous Address

Authorize Credit Report

Yes No

Current Employer

Title or Position

Business Phone Number

Start Date

Monthly Salary

Hours Worked per Week

Other Monthly Income

Source of Other Income

How many years at this Job?

Current Employer

Title or Position

Business Phone Number

Start Date

Monthly Salary

Hours Worked per Week

Other Monthly Income

Source of Other Income

How many years at this Job?

Credit Union Accounts	Value

Enter Your Additional Assets

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Loan Information

Desired Loan Amount:

Loan Purpose:

Repayment Term:

Collateral:

Applicant

Name:

Address:

Social Security Number:

Date of Birth:

Home Phone:

Email Address:

Years at Residence:

Rent/Own:

Mother's Maiden Name:

Reference (Relative not living with you) - Name:

Home Address

Home Phone Number

Name:

Address:

Social Security Number:

Date of Birth:

Home Phone:

Email Address:

Mother's Maiden Name:

Years at Residence:

Rent/Own:

Reference (Relative not living with you) - Name:

Reference Home Address

Reference Home Phone Number

Employment

Employer:

Position:

Business Phone Number:

Start Date:

Monthly Salary:

Hours Worked per Week:

Other Monthly Income:

Other Monthly Income Source:

Employer:

Position:

Business Phone Number:

Start Date:

Monthly Salary:

Hours Worked per Week:

Other Monthly Income:

Other Monthly Income Source:

Additional Information

Is military duty station transfer expected during this next year?

Are there currently any outstanding judgments against you?

Any bankruptcy filing or debt adjustment confirmed under Ch. 13 against you?

Any foreclosures or lost title/deed on property in past 7 years?

Are you a party to any lawsuit?

Are you other than a US citizen/permanent resident alien?

Is your income likely to decline within the next 2 years?

Are you a co-maker/endorser on any note?

Are you a member at another credit union?

Joint Additional Information

Is military duty station transfer expected during this next year?

Are there currently any outstanding judgments against you?

Any bankruptcy filing or debt adjustment confirmed under Ch. 13 against you?

Any foreclosures or lost title/deed on property in past 7 years? *

Are you a party to any lawsuit?

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

Is your income likely to decline within the next 2 years?

Are you a co-maker/endorser on any note?

Are you a member at another credit union?

Attention: This page must contain only data for the owner of the social security number below. If you are not the owner of the social security number below and wish to be included on the loan application select "Joint Applicant" at the bottom of the page and add your information to the next page.

Reference

Relative not living with you

Reference

Relative not living with you

Joint Additional Information

Joint Additional Information