Loan Application – Mountain Star FCU

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Applicant Information

Type of Loan

First Name

Last Name

Date of Birth

Loan Amount

Vehicle Year, Make, Model

Present Home Address

Address

Address Line 2

City

State

Zip

Own or Rent Own Rent Live w/ Family

Years there

Monthly Mortgage/Rent Amount

Home Phone Number

Employment Information

Employer Name

Employer Address

Employer City

State

Zip

Work Phone Number

Monthly Income

Start Date

Other Income

Additional Income Type

Additional Amount

Frequency

References

Reference 1

Reference 1 Name

Reference 1 Address

Reference 1 City

Reference 1 State

Reference 1 Zip

Reference 1 Phone Number

Reference 2

Reference 2 Name

Reference 2 Address

Reference 2 City

Reference 2 State

Reference 2 Zip

Reference 2 Phone Number

Financial Questions

Any legal proceedings against you? Yes No

Are you a co-signer on any other loans? Yes No

Have you been through bankruptcy? Yes No

By entering your social security number below and submitting this form, you affirm that all of the information submitted is correct and complete to the best of your knowledge.

Social Security

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