Married applicants may apply for a separate account. If you are applying for the Individual Credit, you must complete the Applicant section about yourself and the Co-Applicant about your spouse if:

1.

Your spouse will use the account, or

2.

You are relying on your spouse's income as a basis for repayment.

If you are relying on income from alimony, child support or separate maintenance, complete the Co-Applicant section to the extent possible about the person on whose payments you are relying.

If you are applying for Joint Credit with another person, complete the Applicant and Co-Applicant sections.


Type and Amount of Credit You Are Requesting
 Have you or the co-applicant had previous loans with IDFCU?  Yes No
 I/We are applying for Individual   or   Joint   credit

Applicant Email Address:  (example: [email protected])

Amount of Loan Requested: $

Number of Months for Repayment:   Special Note: For those on Payroll Deduction you will make 26 payments per year.

Type of Loan:    Current Loan Rates Loan Calculator

Security Being Offered: 



Payment Protection Insurance Coverage


Please select the coverage(s) you desire. We will disclose the cost of this Payment Protection Insurance - Credit Disability and Credit Life to you. A separate enrollment form which discloses the terms and conditions must be signed for coverage to become effective. To find out more information about the Payment Protection Insurance please click here. If you indicate below that you do desire Payment Protection Insurance, the proper forms will be mailed to you.
Yes No  Do you want your loan protected if you become disabled?
Yes No  Do you want your loan protected in the event of your death?


Tell Us About Yourself



Applicant Co-Applicant
Name: Name:
IDFCU Account No.: IDFCU Account No.:
Social Security No.: Social Security No.:
Please indicate your marital status 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
Married Separated Unmarried (Single - Divorced - Widowed)		 Please indicate your marital status 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
Married Separated Unmarried (Single - Divorced - Widowed)
Driver's License No.: State: Driver's License No.: State:
Birth Date: Birth Date:
Home Phone:
Business Phone: 		Home Phone:
Business Phone:
Present Address:
Years There: Own Rent		 Present Address:
Years There: Own Rent
DEBTS DEBTS
Mortgage/Rent owed to: Mortgage/Rent owed to:
Balance (Mortgage only): Balance (Mortgage only):
Monthly Payment:
Current APR % (Mortgage only): 		Monthly Payment:
Current APR % (Mortgage only):
Person Responsible for Payment: Person Responsible for Payment:
INCOME INCOME
Employer: Employer:
Income: $ Net Gross
Annual Monthly Bi-weekly Weekly		 Income: $ Net Gross
Annual Monthly Bi-weekly Weekly
Other Income: (Notice: Alimony,child support or separate maintenance income need not be revealed if you do not have it considered as a basis for repaying this obligation.)
Source:
$ Annual MonthlyHourly		 Other Income: (Notice: Alimony,child support or separate maintenance income need not be revealed if you do not have it considered as a basis for repaying this obligation.)
Source:
$ Annual MonthlyHourly


NOTICE TO WISCONSIN RESIDENTS: No provision of any marital property agreement, unilateral statement under S.766.59, or court decree under S.766.70 will adversely affect the rights of the credit union unless the credit union is furnished a copy of the agreement, statement or decree, or has actual knowledge of its terms, before the credit is granted or the account is opened.

If you are applying for this account or loan with someone other than your spouse, you agree by signing below that the credit applied for, if granted, will be incurred in the interest of the marriage or family.

____________________
Borrower Signature and Date

(If filing electronically please initial and date)

Initial:


Date: Select Month, Date, and Year

  Month   Day    Year


NOTICE TO OHIO RESIDENTS: The Ohio laws againist discrimination require all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with the law.

SIGNATURES: You promise that everything you have stated in this request is correct to the best of your knowledge. If there are any important changes, you will notify us in writing immediately. You also agree to notify us of any change in your name, address or employment within a reasonable time thereafter. You authorize the credit union to obtain credit reports in connection with this request. If you request, the credit union will tell you the name and address of any credit bureau from which it received a credit report on you. You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on requests made to Federal Credit Unions or State Chartered Credit Unions insured by the NCUA. You understand that the credit union will rely on the information in the request and your credit report to make its decision.
X________________________________
Applicant Signature and Date

(If filing electronically please initial and date)

Initial:


Date: Select Month, Date, and Year

  Month   Day    Year		X________________________________
Co-Applicant Signature and Date

(If filing electronically please initial and date)

Initial:


Date: Select Month, Date, and Year

  Month   Day    Year


By submitting this loan request, you agree that the information is correct to the best of your knowledge. You also agree to notify us of any changes to your name, address or employment.

You authorize the credit union to obtain credit reports in connection with this request.

When you click on the submit button, you are sending to an email address. Please be assured that the information is being sent to the Credit Union Office [email protected]. The only individuals that can see this message are Credit Union Office personal. If you are concerned in any way about submitting any of this information you can click the print button on your Internet browser tool bar. Print a copy of this web page form, after you have completed all necessary fields on-line, but not clicking on the submit button, and mail it to the Credit Union Office. If you return this application electronically, we may ask you to sign a hardcopy of this application at a later date.

 

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