RVCCU 2020 Holiday Helper Loan App

Holiday Helper Loan Application Form
Last 4 Digits of Member Account Number*
Date*

MonthDayYear
Date
Amount Required (Please choose one option only:*

$500$1,000$1,500$2,000
Applicant Information (All fields are required.)
Name*

First NameLast Name
Date of Birth:*

MonthDayYear
Date
Last 4 Digits Of Your Social Security Number:*
Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Do you:*

OwnRent
Years at this Address:*
Home Phone Number:*
Please enter a valid phone number.
Email:*
example@example.com
Cell Phone Number:*
Please enter a valid phone number.
Employer:*
Employer Phone Number:*
Please enter a valid phone number.
Employer Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position or Title:*
Supervisor's Name:*

First NameLast Name
Date Hired:*

MonthDayYear
Date
Hours:*
Nearest Relative:*

First NameLast Name
Relative's Phone Number:*
Please enter a valid phone number.
Relative's Address:*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Co-Applicant Information (All fields required if there is a second applicant)
Name:

First NameLast Name
Date of Birth:

MonthDayYear
Date
Last 4 digits of Social Security Number:
Address:

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Home Phone Number:
Please enter a valid phone number.
Cell Phone Number:
Please enter a valid phone number.
Email Address:
example@example.com
Employer:
Employer Phone Number:
Please enter a valid phone number.
Employer's Address:

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Position or Title:
Supervisor:

First NameLast Name
Date Hired:

MonthDayYear
Date
Hours:
Financial Information (All fields are required)
Is your income likely to decline in the next 9 months?*

YesNo
Have you or your co-applicant filed for bankruptcy within the past 7 years?*

YesNo
If yes, what was the date of discharge?

MonthDayYear
Date
Do you have any reason to believe that you will be filing bankruptcy in the next 90 days?*

YesNo
Payment Information (All fields are required.)
Employer you would like your payment deducted from:*
Date of your first payday in January:*

MonthDayYear
Date
Payday Frequency:*

WeeklyBiweeklySemimonthly (15th & 30th)Monthly
Member Identification Program (MIP) Authorization (New members only)

The USA Patriot Act of 2001, Section 326, requires Roanoke Valley Community Credit Union to verify the information that you give us to open your account. By signing below, you are giving us authorization to verify the required information under the USA Patriot Act. I understand that a consumer credit report from Equifax Credit Information Services will be obtained before accepting my application for membership for verification purposes

Equifax Credit Information Services
P.O. Box 740241
Atlanta, GA 30374-0241
(800) 685-5099

Truth in Lending Disclosure

For members with at least three previous Holiday Helper Loans with no history of delinquency, no appointment may be necessary. Instead, a credit union representative will review your application and email you the loan agreement for your electronic signature. By receiving these via email, we can expedite processing. Once the signed loan agreement is returned to us, your funds will be deposited into your share/ savings account within 24–48 hours after loan approval.

By signing this application, you acknowledge that you have read and understood the following information about your Holiday Helper Loan and agree to the terms of our Loan Agreement, which will be provided to you.
We customize your automatic payments based on your pay schedule, which means that your actual payment amount, Annual Percentage Rate (APR), total finance charge, and maturity date will vary based on your individual pay schedule and loan date. Your first payment will be due on your first payday in January and will be automatically deducted from your paycheck. If you have a day of the week and/or time that is better for you to meet us to sign your paperwork, please tell us below. We will do our best to work with your schedule.
Day(s) of the Week:*
Time(s) of Day:*
- You must include your most recent pay stub with this application.
- An incomplete application will stop the processing of this loan.
- If you have an existing Holiday Helper Loan, it must be paid in full before you can apply for a new Holiday Helper Loan.
- This application will be processed on a first come, first serve basis. A credit union representative will contact you regarding your application’s status and to set up your disbursement appointment if necessary.
- Please do not call the credit union to check the status of your application. This slows down our loan approval process.
Please upload your most recent paystub here:*

Cancelof
Signature:*

Clear
Today's Date:*

MonthDayYear
Date
Co-Applicant Signature:

Clear
Date:

MonthDayYear
Date
This loan is for qualified applicants only. Loans will report to the major credit reporting agencies and will be cross-collateralized with your other RVCCU loans. Members may not qualify if any accounts with the credit union are not in good standing or if current loans and/or Member Privilege have been delinquent. Member must have never caused a loss to the credit union. Other qualifications may apply. All applicants will be charged a non-refundable $100 fee that will be deducted from the loan amount. Please complete and return the application along with a current pay stub. Applications will be accepted beginning September 1, 2024 for pre-approval. Funds will be dispersed starting on November 1, 2024 by appointment only.
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Holiday Helper Loan Application Form