Loan Application - Members First Community Credit Union

Please fill out the following form as accurately as possible, ensuring that all fields denoted as required () are filled.  Security Notice: This page should have been supplied to you over an encrypted connection.  Check the URL in your browser’s address bar and make sure it begins with the “https” rather than “http.”  If you have not been directed to our secure form, you can get there from here.

Contact Information

Type of Loan Applied for

If you are applying for joint credit, secured credit, or if you live in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI, Puerto Rico), please complete the following:

Loan Details

$

Applicant

Joint Applicant

Employment Information

Employment and Income: In order to expedite the processing of your loan application, please fax your pay stub copies Attn: Lending Department to (217)223-4391. If self-employed or retired, financial statement or income tax returns will be needed.

Applicant

Joint Applicant

Note: Alimony, child support, or separate maintenance income need not to be revealed if you do not choose to have it considered as a basis for this credit request.

Previous Employer (if current job held less than 2 years)

Applicant

Joint Applicant

Current Monthly Payments

Applicant

$
$
$
$
$
$
$
$

Joint Applicant

$
$
$
$
$
$
$
$

By submitting this form, you agree that everything stated in this application is correct to the best of your knowledge.  The Credit Union is authorized to investigate your creditworthiness, employment history, and to obtain a credit report and to answer questions about their credit experiences with you.  You understand that any false or misleading statement in your application may cause any loan or extension of credit to be in default.  You authorize us to accept your facsimile signatures on this application and agree that your facsimile signature will have the same legal force and effect as your original signature.  You assume any risk that may be associated with permitting us to accept your facsimile signature. 

By pressing the “Submit Application” button above, you agree to the above statement.  You understand that we may require your signature on additional documents prior to disbursing any credit proceeds.