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Loan Application

* Required Fields
This application initiates the loan process. Final signature(s) will be required to advance funds, including signatures for joint applicants. We will contact you the next business day.

PLEASE TELL US ABOUT YOURSELF (PRIMARY BORROWER)

Social Security Number:
 -   - 
Birth Date:
 /   / 

PLEASE TELL US ABOUT YOUR JOB (PRIMARY BORROWER)

Note: alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation

PLEASE TELL US ABOUT YOURSELF (CO-BORROWER)

Social Security Number:
 -   - 
Birth Date:
 /   / 

PLEASE TELL US ABOUT YOUR JOB (CO-BORROWER)

Note: alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation

PLEASE LIST NEAREST RELATIVE NOT LIVING WITH YOU

IF APPLYING FOR A PERSONAL UNSECURED LOAN SUCH AS VACATION OR OTHER PLEASE SELECT A FORM OF COLLATERAL

Monthly Payments

Mortgage

Rent

Auto

Auto 2

Charge Card

Other

Other

Other

Are you a Co-Borrower on any other loans?

AGREEMENT

DISCLAIMER: I/WE HEREBY CERTIFY THAT ALL STATEMENTS MADE ARE TRUE AND COMPLETE, ARE SUBMITTED FOR THE PURPOSE OF OBTAINING CREDIT, AND THAT THE CREDIT UNION MAY RELY ON THEM FOR SUCH DETERMINATION. WE UNDERSTAND THAT FEDERAL LAW REQUIRES THE VERIFICATION OF IDENTIFICATION FOR ALL NEW ACCOUNTS SHOULD I NOT HAVE AN EXISTING ACCOUNT. I/WE AUTHORIZE YOU TO OBTAIN SUCH INFORMATION AS YOU MAY REQUIRE CONCERNING THE STATEMENTS MADE IN THIS APPLICATION AND PROPER IDENTIFICATION, AND AGREE THAT THE APPLICATION SHALL REMAIN YOUR PROPERTY, AND YOU ARE AUTHORIZED TO ANSWER QUESTIONS ABOUT YOUR CREDIT EXPERIENCE WITH ME/US.

I accept:
Security Code:
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Belle River Community Credit Union
10636 Gratiot Avenue
P.O. Box 159
Richmond, Michigan 48062
(586) 727-6855
Fax: (586) 727-7460
brccu@comcast.net