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CONTACT USACU
Phone: 503-275-0300
Toll-Free: 800-452-0915
Fax: 503-275-0319
E-mail: info@usacu.org

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Loan Application

Loan applications are processed for current members. If you are not a member of USACU, click here to verify your membership eligibility and join today.

Please provide all the requested information. When you have completed the form, press the Submit button to e-mail your application. Or, if you prefer you may print a copy, then fax it to us when complete. (503) 275-0319. You'll hear back from us within two business days.
Will there be a co-applicant on this loan application?
Yes    No
Account Number: Amount requested:
Type of loan requested: Collateral Offered:
 
Primary Applicant
Last Name First Name
Social Security Number Date of Birth
Address
City State
Zip code
Since
(Month/Year)		 Rent     Own
 
Home Phone Work Phone
Email Address  
 
Marital Status (required if living in a community property state: AZ, CA, ID, LA, MN, NV, TX, WA, WI)
Married Separated Unmarried
Employer's Name
Employer's Phone Number
Date Employed
(Month/Year)		 Gross Income
Hourly Monthly Yearly

In addition to Rent/Mortgage, list all other debts (for example auto loans, credit cards, second mortgage, alimony, child support, child care, medical utilities, auto insurance, IRS liabilities, etc.). Please use a separate line for each credit card and auto loan. Income verification is required; therefore, other information may be necessary.
Debts Monthly Payment
Comments
 
Joint Applicant (if applicable)
Last Name First Name
Social Security Number Date of Birth
Address
City State
Zip code
Since
(Month/Year)		 Rent     Own
 
Home Phone Work Phone
Email Address  
 
Marital Status (required if living in a community property state: AZ, CA, ID, LA, MN, NV, TX, WA, WI)
Married Separated Unmarried
Employer's Name
Employer's Phone Number
Date Employed
(Month/Year)		 Gross Income
Hourly Monthly Yearly

In addition to Rent/Mortgage, list all other debts (for example auto loans, credit cards, second mortgage, alimony, child support, child care, medical utilities, auto insurance, IRS liabilities, etc.). Please use a separate line for each credit card and auto loan. Income verification is required; therefore, other information may be necessary.
Debts Monthly Payment
Comments

Everything that I have stated in this application is correct to the best of my knowledge. The credit union is authorized to check my credit and employment history, obtain a credit report, and to answer questions about their credit experience with me. I grant the Credit Union a security interest in all our shares and deposits with the Credit Union. I understand that the Credit Union may apply all or portion of the funds in my account to any amounts due under the Visa/MasterCard agreement.

ALL CREDIT CARD APPLICATIONS: By clicking "Submit Form" I certify that I have viewed and agree to the Credit Card Disclosure provided to me online.

Please note: This information is being sent via a secure connection.