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LOAN
REQUEST
Married applicants may apply for a separate account. If you
are applying for Individual Credit, you must complete the Applicant section
about yourself and the Co-Applicant section about your spouse if:
- Your spouse will use the account, or
- 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] payments you are relying.
If you are applying for Joint Credit with another
person, complete the Applicant and Co-Applicant sections.
I/we are not
a member of Wichita Federal Credit Union, but I/we are eligible for
membership. I/we acknowledge that membership requires an account agreement
and a $25 minimum deposit. Eligible members include all persons who live,
work, worship, or attend school in, and businesses and other legal
entities located within Sedgwick County, Kansas, members of their
immediate families, and organizations of such persons.
TYPE AND AMOUNT OF CREDIT YOU'RE REQUESTING
Is this your first loan from us? Yes
No
Amount of Credit Requested: $
Approximate Time to Repay:
Loan Type:
Type of Credit: Individual
Joint
PAYMENT PROTECTION COVERAGE Check if desired
Find out more about Payment Protection Insurance and why it's
a better consumer value when offered through your credit union.
Check coverage(s) desired. We will disclose the cost of these
payment protection plans to you during the approval process. A
separate enrollment form which discloses the terms and conditions must be signed
for coverage to become effective.
Disability
Insurance. Do you want your loan protected for you and your family if you become
disabled?
Life Insurance. Do you want your loan protected for you and your family in the event
of your death?
Mechanical
Repair Coverage. Our Mechanical Repair Coverage picks up where
manufacturers warranties end and is less expensive than many other extended
warranty options. It's available for newer, as well as older year model
vehicles. Some of the benefits of the Mechanical Repair Coverage include:
-
Low
deductible for covered repairs
-
Towing
reimbursement up to $50 per occurrence
-
Car
rental reimbursement up to $30 per day for up to 5 days
-
Can
be transferred if you sell the vehicle
-
Good
at any licensed repair facility in the
U. S.
or
Canada
-
Emergency
travel expenses up to $500 if more than 100 miles from home
Prices vary for Mechanical Repair Coverage, depending upon the make, model
and age of your vehicle. Call for a quote and more details about this important
coverage.
Guaranteed
Asset Protection. During the first few years you own your
vehicle, your loan value can be higher than the vehicle's actual value. To
protect you and your investment, the Credit Union offers Guaranteed Asset
Protection (GAP).
This inexpensive coverage offers protection against financial liability for
individuals who finance new and used autos. If your auto is totaled or stolen,
GAP covers the difference between your loan balance and the value of the car, so
you won't end up owing money on a vehicle you no longer own. GAP coverage for
autos, trucks, SUVs and motorcycles is a one-time cost of $295.
PRINT THIS FORM AND FAX IT TO
316-941-9289, MAIL TO 3730 W 13TH
STREET, WICHITA, KS 67203, OR BRING IT WITH YOU TO EITHER CREDIT UNION OFFICE.
APPLICANT INFORMATION (Please Print)
Last Name First Name
Middle Initial
Day-Time Contact Information
Social Security No.
Birth Date
Home Address Apt. No.
E-Mail Address
Cell-Phone
Own
Rent
# Yrs At Address #
Months At Address
Home Telephone
Number of Dependents
City
State
Zip Code
Current Employer
Position
Address
City/State/Zip
Work Telephone Position/ Job Title
Date of Employment #
Years and/or Months At Current Employer
Supervisor
Gross
Salary
Former Employer (if current less than 5 years)
Position
Address Length of Employment
Reference #1 Nearest Relative Relationship
Address
Phone Number
Reference #2 Nearest Relative Relationship
Address
Phone Number
Other Monthly Income (Alimony, Child Support or Separate Maintenance Incomes
Do Not Have To Be Stated Unless You Want Them Considered.)
Amount $ Source
Checking Acct No. Savings Acct
No.
Outstanding Debts (Attach separate sheet if necessary. Please
list all debts outstanding.)
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. By
signing below, the undersigned requests the described services and agrees to the
terms and conditions governing the services, including any fees and charges. The
undersigned authorizes the Credit Union to verify credit and employment history
by any necessary means, including preparation of a credit report by a credit
reporting agency.
By Checking
Here, you agree with the above statements.
Applicant's Signature
__________________________________________________ Date:_________________
LOAN APPLICATION FOR CO-APPLICANT
Last Name First Name
Middle Initial
Day-Time Contact Information
Social Security No.
Birth Date
Home Address Apt. No.
E-Mail Address
Cell-Phone
Own
Rent
# Yrs At Address #
Months At Address
Home Telephone
Number of Dependents
City
State
Zip Code
Current Employer
Position
Address
City/State/Zip
Work Telephone Position/ Job Title
Date of Employment #
Years and/or Months At Current Employer
Supervisor Gross
Salary
Former Employer (if current less than 5 years)
Position
Address Length of Employment
Reference #1 Nearest Relative Relationship
Address
Phone Number
Reference #2 Nearest Relative Relationship
Address
Phone Number
Other Monthly Income (Alimony, Child Support or Separate Maintenance Incomes
Do Not Have To Be Stated Unless You Want Them Considered.)
Amount $
Source
Checking Acct No.
Savings Acct No.
Outstanding Debts (Attach separate sheet if necessary. Please
list all debts outstanding.)
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. By
signing below, the undersigned requests the described services and agrees to the
terms and conditions governing the services, including any fees and charges. The
undersigned authorizes the Credit Union to verify credit and employment history
by any necessary means, including preparation of a credit report by a credit
reporting agency.
Co-Applicant's Signature
_______________________________________________ Date: __________
To submit, please print page and fax to 316-941-9289 or mail to
3730 W 13th Street, Wichita, KS 67203
You may also e-mail this by selecting 'EDIT' to
"SELECT ALL' then select 'EDIT' and 'COPY' and pasting it in an
e-mail to loandept@wmfcu.com
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