GBBR FCU

Credit Update Request  

Before filling out this Application please note the following:

 

Members with one or more years continued employment should include

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Copy of previous year tax returns or Copy of recent pay stubs that include YTD         earnings

 

Members with less than one year continued employment should include:

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A Copy of their last year schedule C and W-2

 

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Loan Information 

  Type of Loan:                      

  Amount Requested:                $ 
  Length of Loan (months):           
  If Applicable, Down Payment:     $ 

  If Signature Loan, Loan Purpose:   

 If Loan Purpose "Other", describe:

 

Primary Applicant 



  Marital Status:             Married  Unmarried  Separated

    Member Account Number:     

  Last Name:                 


 First Name:                


  Middle Initial:            


  Social Security #:          Format: 123-45-6789


  Date of Birth:              Format: mm/dd/yy

  
  
  Home Address: (NO PO Box, enter actual street address)

    House #:                   


  Street Name:               


  Street Type:               


  Unit/Apt #:                



  City:                      


  State:                     


  Zip Code:                  


  Years at Current Address:  

  Home Phone:                 Format: (123) 456-7890

 

Employment
(Primary Applicant) 

  Employer:       

  Title/Position: 

  Work Phone:      Format: (123) 456-7890


  Ext:            
  Years on Job:      Years in Occupation:

 

Income
(Primary Applicant) 

  Gross:  $   Hourly  Bi-weekly  Monthly  Annually

  Other*: $   Hourly  Bi-weekly  Monthly  Annually

*Spousal support, child support, or separate maintenance income need not be revealed if you do not choose to have it considered for repayment of this loan.

NOTE: Married persons may apply for credit in their own names. Please provide information if (1) another person will use this account, (2) you want a joint account, (3) you are married and live in a community property state (AZ, CA, ID, LA, NV, NM, TX, WA, WI), or (4) you are relying on the income of a spouse to repay this loan. If (3) and /or (4) apply to you, please provide information about your spouse in the co-applicant section.

 

Co-Applicant 



  
  Member Account Number:     

  Wage Earner:               


  Last Name:                 


  First Name:                


  Middle Initial:            



  Social Security #:          Format: 123-45-6789


  Date of Birth:              Format: mm/dd/yy


  Address Same as Primary:   

  
  Home Address: (NO PO BOX, applicant must enter actual street address)

    House #:                   


  Street Name:               

  Street Type:               

  Unit/Apt #:                


  City:                      


  State:                     

  Zip Code:                  

  Years at Current Address:  

  Home Phone:                 Format: (123) 456-7890

 

Employment
(Co-Applicant) 

  Employer:       




  Title/Position: 




  Work Phone:      Format: (123) 456-7890




  Ext:            




  Years on Job:      Years in Occupation:

 

Income
(Co-Applicant) 

  Gross:  $   Hourly  Bi-weekly  Monthly  Annually




  Other*: $   Hourly  Bi-weekly  Monthly  Annually

*Spousal support, child support, or separate maintenance income need not be revealed if you do not choose to have it considered for repayment of this loan.

NOTE: Married persons may apply for credit in their own names. Please provide information if (1) another person will use this account, (2) you want a joint account, (3) you are married and live in a community property state (AZ, CA, ID, LA, NV, NM, TX, WA, WI), or (4) you are relying on the income of a spouse to repay this loan. If (3) and /or (4) apply to you, please provide information about your spouse in the co-applicant section.

 

Assets

Autos Owned

Year

Make/Model

Balance

Payment

Car-1

Car-2

Car-3/RV/Boat

 

Home 

 Own   Rent: Rental Pmt $   Live w/ Parents




 




1st Mtg Balance $     Pmt Amt $ 




2nd Mtg Balance $     Pmt Amt $

 

Other Debts

(Include other installment payments such as alimony, child care/support, etc)
(Do not include Credit Card & revolving debts)

Creditor

Balance

Payment

 

HAVE YOU EVER HAD A REPOSSESSION?


If YES, please place comments below. Note: Comments CANNOT exceed 72 characters.

 

HAVE YOU EVER FILED BANKRUPTCY?


If YES, please place comments below. Note: Comments CANNOT exceed 72 characters.

 

ARE YOU A CO-SIGNOR ON ANY OTHER LOAN?


If YES, please place comments below. Note: Comments CANNOT exceed 72 characters.

 

ARE THERE ANY JUDGEMENTS OR LIENS AGAINST YOU?


If YES, please place comments below. Note: Comments CANNOT exceed 72 characters.

 

ARE THERE ANY SUPPORT OR MAINTENANCE AWARDS?


If YES, please place comments below. Note: Comments CANNOT exceed 72 characters.

 

ARE YOU A US CITIZEN?

 

1.        I understand I must be a member in good standing to obtain a loan from my credit union.

2.        I certify that statements on this application are true and complete.

3.        I authorize any person, association, firm, or corporation to furnish, on request of this credit union, information concerning me or my financial affairs.

Best place to contact me: at (time) Format: 10:30 am/pm
Please use the "misc. comments" box below to list other phone numbers or locations for contact.

Misc. Comments:



If you have any questions regarding your application,
please contact us at 410-337-7200 If you have any questions regarding your application,
please contact us at 410-337-7200

 

 

For More Information Contact:

GBBR FCU
1306 Bellona Avenue, Lutherville, MD 21093
Tel: 410-337-7200
FAX: 410-337-2138
Internet: hliberto@gbbrfcu.org