• Loan Application

    Please complete this detailed loan application form. Follow the section order and field requirements provided, including required fields, phone number fields, date fields, signature fields, repeatable debt entries. Please call with any questions: (541) 276 - 6317.

  • Application Type

  • Application Type*
  • Loan Type*
  • Application Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Applicant Information

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • License Issue Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • License Expiration Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Alimony/Child Support/Maintenance as Income?*
  • Are Payments Made Through Court?
  • Are Payments Current?

  • Loan Request Information

  • Date of First Payment
     - -
    2 digit month, 2 digit day, 4 digit year

  • Joint Applicant Information

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • License Issue Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • License Expiration Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Alimony/Child Support/Maintenance as Income?*
  • Are Payments Made Through Court?
  • Are Payments Current?

  • Marital Status

  • Debt Information

  • Debt Entry*

  • Additional Questions

    Applicant
  • Are there any suits, judgments, or alimony/maintenance payments against you?*
  • Are you a co-maker, endorser, or guarantor on any loan or contract?*
  • Are you a party to any legal action?*
  • Are you presently delinquent or in default on any loan or other financial obligation?*
  • Have you ever filed bankruptcy?*

  • Additional Questions

    Joint Applicant
  • Are there any suits, judgments, or alimony/maintenance payments against you?*
  • Are you a co-maker, endorser, or guarantor on any loan or contract?*
  • Are you a party to any legal action?*
  • Are you presently delinquent or in default on any loan or other financial obligation?*
  • Have you ever filed bankruptcy?*

  • Signatures

    I HEREBY AFFIRM AND REPRESENT THAT MY TOTAL INDEBTEDNESS AND LIABLITIES ARE LISTED ABOVE. THE STATEMENTS HEREIN ARE MADE FOR THE PURPOSE OF OBTAINING CREDIT AND ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF. I CONSENT THAT ANY PERSON CAN GIVE INFORMATION TO THIS CREDIT UNION CONCERNING MY CREDIT HISTORY. I GRANT PERMISSION FOR THIS CREDIT UNION TO TELL OTHERS ABOUT ITS CREDIT EXPERIENCE WITH ME.
  • Signature Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • To expedite this process, please email proof of income. If you are retired, please send 2 months worth of bank statements. If you are employed, please send your most recent paystub. If you are self employed, we need the last 2 years of personal Federal tax returns (if it is after April 15th, we require the most recent year to be submitted).

    lexie@umatillacfcu.com kathleen@umatillacfcu.com daniel@umatillacfcu.com
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