Loan Application - Abilene Federal Credit Union

810 North 6th Street Abilene, Texas 79601 (325) 677-2918 (800) 494-8037 FAX (325) 673-7268 abilenefcu@abilenefcu.coop Monday through Thursday 8:30 a.m. - 5:00 p.m. *Friday 8:30 a.m. - 5:30 p.m.* Saturday 9:00 a.m. - 12:00 noon Drive-thru ONLY	STAR Online Access	Loan Application
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Applicants, Please Take Note

In order to apply for a loan and take advantage of our services, you must currently be a member of Abilene Federal Credit Union. If you are not currently a member, please contact us for membership details today!

On-Line Loan Application

Please provide all of the requested information. When you have completed the form, press the Submit Application button to send your application. Please note that this is not a secure site. If you are concerned about security, you may print this application and fax it to (325) 673-7268, or mail to:

                                Abilene Federal Credit Union
                                810 North 6th Street
                                Abilene, TX, 79601

Required Items *


Requested Amount: *		$
Purpose of Loan *
Statement of Intent
Type "Y" for any coverage(s) desired. Abilene Federal 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 effective.
	Single Credit Disability Insurance	Elect Coverage?
	Single Credit Life Insurance	Elect Coverage?
	Joint Credit Life Insurance	Elect Coverage?

Primary Applicant
Member Number:
Name (Full): *
Date of Birth: *
Street Address: *
City: *
State: *		Zip: *
Home Phone: *
Work Phone:
Email Address:

Employment Information
Employer's Name: *
Supervisor: *
Job Start Date: *
Job Title: *
Gross Monthly Income: *		$
Other Income: Alimony, child support, or separate maintenance income need not be listed unless you choose to have such income considered.		$
References
Name: (Relative NOT living with you) *
Address: *
Relationship: *
Home Phone:
Name: (Personal Friend - NOT a relative) *
Address: *
Home Phone: *

Co-Applicant (If Applicable)
Your Member Number:
Name (Full):
Date of Birth:
Street Address:
City:
State:		Zip:
Home Phone:
Work Phone:
Email Address:

Co-Applicant Employment Information
Employer's Name:
Supervisor:
Job Start Date:
Job Title:
Gross Monthly Income:		$
Other Income: Alimony, child support, or separate maintenance income need not be listed unless you choose to have such income considered.		$
Co-Applicant References
Name: (Relative NOT living with you)
Address:
Relationship:
Home Phone:
Name: (Personal Friend - NOT a relative)
Address:
Home Phone:

Rent or mortgage payment only:
Type		Amount
		$

I certify that statements on this application are true and complete. I authorize any person, association, firm, or corporation to furnish, on request of this Credit Union, information concerning me or my affairs. (Sec. 1014, Title 13, U.S. Code makes it a Federal Crime to knowingly make a false statement on this application of a Federal Credit Union.)

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