Individual Credit: You must complete the applicant section about yourself and the other section about your spouse if:

you live in or the property pledged as collateral is located in a community property state (AK, AZ, CA, ID, LA, NM, TX, WA,WI)
your spouse will use the account, or
you are relying on your spouses's income as a basis for repayment. If you are relying on income from alimony, child support or separate maintenance, complete the other section to the extent possible about the person on whose payment you are relying.

Join Credit: Each applicant must individually complete the appropriate section below. If co-borrower is spouse of the applicant mark the co-applicant box.

Guarantor: Complete the other section if you are guarantor on an account and or loan.

Loan Type

Individual

Joint

Amount Requesting

Reason/Purpose Collateral

How would you like to make your payments

Payroll Deduction

Cash/Check Payments

Military Allotment

Automatic Payment

Would you like to hear about our Payment Protection for Disability and Life Insurance

Single Disability

Single Life

Check coverage(s) desired

Single Disability

Single Life

Joint Disability

Joint Life

The credit union will disclose the cost for the voluntary insurance to you. A separate insurance election which discloses the terms and conditions must be signed for coverage to be effective.