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  Loan/VISA Application
Online application is for consumer lending ONLY. To open a Business Membership or Business Loan, please call (865) 482-1043 or E-Mail.

Member
Request Type Loan       VISA
* Account #
Amount Desired
Purpose of Loan
* Name
Address
Months at Address
* Social Security #
License State
License Number
Home Phone
Best time to call
Monthly Rent/Mortgage Payment
Own
Rent
Employer
Employer Address
Position
Start Date
Gross Monthly Salary
Work Phone
Previous Employer
Employer Address
Position
Length of Employment
Work Phone
Other Income
Other Income Source
Have you filed a petition for bankruptcy in the last 14 years? Yes      No
Have you ever had any auto, furniture, or property repossessed? Yes      No
Are you co-maker or co-signer on any loan? Yes      No
If Yes then for whom:
Have you ever had credit in any other name? Yes      No
If Yes, what name:
Have you any suits pending, judgements filed, alimony or support awards against you? Yes      No
Is any income you have listed likely to reduce in the next two years? Yes      No
Are you a US citizen? Yes      No


Complete the Joint Applicant information if you desire information to be considered as a basis for repaying the loan, otherwise, skip this portion.
Name
Social Security #
Date of Birth
Home Phone
Employer
Position
Start Date
Gross Monthly Salary
Work Phone
Other Income
Other Income Source

Contact Information
Preferred contact method Phone      Email
Daytime phone number
E-Mail

* Required Field

The Credit Union may contact you for more information, if needed.

or

Your savings federally insured to at least $250,000
and backed by the full faith and credit of the United States Government National Credit Union Administration, a U.S. Government Agency
Member Cellular Discounts with Sprint

NMLS #441816
Equal Housing Lender
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