* (REQUIRED FIELDS) (If you do not have an entry, please enter n/a for required fields) * Individual Joint Applicant (Both applicants MUST sign this application) * MOTIVATION (Why Now?) * Purpose * Loan Amount Requested * Loan Term (Number of Years) Year, Make, Model Retail Value Loan Balance CREDIT UNION MEMBER LTV % * CU Account Number * Member Since For example, use MM/DD/YYYY Direct Deposit with CU: (Check one) Direct Deposit Payroll Deduction * Checking $ (Balances with credit union) * Savings $ (Balances with Credit Union) * Number of Loans with CU * Highest Loan Amount with CU         APPLICANT   * Applicant Name * SSN * DOB (MM/DD/YYYY) * Driver License Number * Exp Date (MM/DD/YYYY)     CURRENT ADDRESS * Street Address * City * State * Zip   * Month-Year Moved In * Rent Own * LandLord or Mortgage Company * Payment PHONE NUMBERS * Home Phone * Cell Phone EMAIL ADDRESS * E-mail Address PREVIOUS ADDRESS (if less than 5 years at current address) Previous Address Previous City Previous State Previous Zip Previous Moved In Rent Own   EMPLOYMENT * Name of Employer * Employer Address * Employer City * Employer State * Employer Zip * Date of Employment (Month/Year) * Position Title * Salary Hourly Weekly Annual * Salary, Choose Hourly, Weekly or Annual * Work Phone Work E-mail Address     PREVIOUS EMPLOYMENT (if less than 5 years at current employer) * Previous Employer Previous Emp Address Previous Emp City Previous Emp State Previous Emp Zip * Previous Date of Emp (Month/Year) Previous Position Title Previous Salary Hourly Weekly Annual Salary, Choose Hourly, Weekly or Annual Previous Work Phone       ASSETS Assets Checking Assets Savings Name of Financial Institution Assets Checking 2 Assets Savings 2 Name of Financial Institution 2 Assets Auto1 * Auto Year Make Model * Auto Mileage AUTO INSURANCE INFORMATION Insurance Company Name Agent Name Agent Address Insurance Phone REAL ESTATE * Real Estate Value * Purchase Price * Balance Owed * Cash Paid Down LTV % Real Estate vs. Adjusted Gross Income     MISCELLANEOUS Child Support (received or paid)       JOINT APPLICANT   Joint Applicant Name Joint SSN Joint DOB (MM/DD/YYYY) Joint DL Number Joint Exp Date (MM/DD/YYYY)     JOINT CURRENT ADDRESS Joint Street Address Joint City Joint State Joint Zip   Joint Month-Year Moved In Rent Own Joint LandLord or Mortgage Company Joint Payment PHONE NUMBERS Joint Home Phone Joint Cell Phone EMAIL ADDRESS Joint Personal Email JOINT PREVIOUS ADDRESS (if less than 5 years at current address) Joint Previous Address Joint Previous City Joint Previous State Joint Previous Zip Joint Previous Moved In Rent Own   EMPLOYMENT Joint Name of Employer Joint Employer Address Joint Employer City Joint Employer State Joint Employer Zip Joint Date of Employment (Month/Year) Joint Position Title Joint Salary Hourly Weekly Annual Salary, Choose Hourly, Weekly or Annual Joint Work Phone Joint Work E-mail Address     JOINT PREVIOUS EMPLOYMENT (if less than 5 years at current employer) Joint Previous Employer Joint Previous Emp Address Joint Previous Emp City Joint Previous Emp State Joint Previous Emp Zip Joint Previous Date of Emp (Month/Year) Joint Previous Position Title Joint Previous Salary Hourly Weekly Annual Salary, Choose Hourly, Weekly or Annual Previous Work Phone       JOINT ASSETS Assets Checking Assets Savings Name of Financial Institution Assets Checking 2 Assets Savings 2 Name of Financial Institution 2 Assets Auto1 Assets Year Make Model Assets Mileage AUTO INSURANCE INFORMATION Insurance Company Name Agent Name Agent Address Insurance Phone REAL ESTATE Real Estate Value Purchase Price Balance Owed Cash Paid Down Joint LTV % Estate vs. Adjusted Gross Income     JOINT MISCELLANEOUS Child Support (received or paid)     REFERENCES Two Closest Living Relatives - (If you do not have an entry, please enter n/a for required fields) * Reference1 Name * Reference1 Address * Reference1 Phone Reference2 Name Reference2 Address Reference2 Phone Two Closest Personal References - (If you do not have an entry, please enter n/a for required fields) * Personal Reference1 Name * Personal Reference1 Address * Personal Reference1 Phone Personal Reference2 Name Personal Reference2 Address Personal Reference2 Phone LANDLORD'S INFORMATION * Landlord's Name * Landlord's Address * Landlord's Phone SUPERVISOR'S INFORMATION * Supervisor's Name * Supervisor's Address - * Supervisor's Phone & Ext       SIGN AND SUBMIT * Applicant Signature * Applicant Signature Date Joint Applicant Signature Joint Applicant Signature Date I/We verify the above information is correct to the best of my/our knowledge. By submitting this application I/we authorize the credit union to check my/our credit as deemed appropriate to process my/our request to borrow. I/We understand the amount available to borrow, actual interest rate and term of loan may vary based on my/our individual creditworthiness. Hospitality FEDERAL CREDIT UNION 5100 Poplar Avenue, Suite 80 n Memphis, TN 38137 (901) 684-7200 - 866-684-HFCU - Fax (901) 684-7216 www.hospitalityfcu.org