Valley Bell Credit Union
733 W. Chicago Street
Elgin, IL 60123- 6258
Phone: (847) 741-3403
Fax: (847) 741-3477
     
APPLICATION FOR LOAN APPROVAL
Valley Bell Credit Union has provided an online loan application for your convenience in requesting credit for consumer loans. Application information can be entered and submitted online from your computer or printed then completed and faxed or brought into the credit union. Once the application has been received, a loan representative will contact you.
APPLICANT
CO-APPLICANT

Account Number :

Loan Amount Requested:

**Please include data about Co-Applicant if application is for joint credit with a Co-Applicant or if applicant will rely on
Co-Applicant's income.

** Required fields for the Co-Applicant are the same as those for the Applicant.
Term:
Purpose of Loan:
(Attach list of debts to be paid with loan proceeds if purpose of loan is consolidation)
.. .
First Name : MI:
Last Name: 		First Name: MI:
Last Name:
Address: Address:
City/State/ Zip: , City/State/ Zip: ,
Social Security #: Social Security #:
D/L # : D/L # :
Date of Birth: Date of Birth:
Daytime Phone: Daytime Phone:
Evening Phone: Evening Phone:
Cell Phone: Cell Phone:
Pager # : Pager # :
Applicant Employment Information
Co-Applicant Employment Information
Employer (if retired, state "retired"): Employer (if retired, state "retired"):
Address: Address:
City/State/ Zip: , City/State/ Zip: ,
Start date: Start date:
Supervisor: Supervisor:
Gross Income : $ per Gross Income : $ per
Weekly Bi-weekly Monthly Annually Weekly Bi-weekly Monthly Annually
Other Income: per Other Income: per
Weekly Bi-weekly Monthly Annually Weekly Bi-weekly Monthly Annually
Source: Source:
Applicant Asset/Financial Information
Co-Applicant Asset/Financial Information
Rent/Mortgage Information: Rent/Mortgage Information:
Monthly Payment: $
If you do not pay rent or a mortgage enter "0" for
payment amount. 		Monthly Payment: $
If you do not pay rent or a mortgage enter "0" for
payment amount.
Other Debt Information: Other Debt Information:
Vehicle Loan Monthly Payment(s): $ Vehicle Loan Monthly Payment(s): $
Credit Card Monthly Payment(s): $ Credit Card Monthly Payment(s): $
Other Monthly Payment(s): $ Other Monthly Payment(s): $
APPROVAL SUBJECT TO NORMAL CREDIT REVIEW

By submitting this application, I certify that statements on this application are
true and correct and I authorize Valley Bell Credit Union to obtain a credit report in
conjunction with this application for credit and for any update,
renewal or extension of the credit received.
X________________________________________ X________________________________________
Applicant Signature Co-Applicant Signature
Final Loan Transactions Require the Following:
~ Copy of most recent paycheck(s) ~ Completed application ~ Signature(s) on loan documents ~
~ Copy of dealer contract/bill of sale and Insurance Verification for Vehicle Loans ~
Complete the section below ONLY if you are a first time borrower with
Valley Bell Credit Union
REFERENCES REFERENCES
Relative Name: Relative Name:
Address: Address:
City/State/ Zip: , City/State/ Zip: ,
Phone: Phone:
Relationship: Relationship:
Friend Name: Friend Name:
Address: Address:
City/State/ Zip: , City/State/ Zip: ,
Phone: Phone:
QUESTIONS .QUESTIONS
Do you have any outstanding judgments?
Yes No		 Do you have any outstanding judgments?
Yes No
Have you ever filed for bankruptcy? Yes No Have you ever filed for bankruptcy? Yes No
Have you had property foreclosed upon or repossessed in the last 7 years? Yes No Have you had property foreclosed upon or repossessed in the last 7 years? Yes No
Are you a party in a lawsuit? Yes No Are you a party in a lawsuit? Yes No
Are you other than a US Citizen or permanent resident
alien? Yes No		 Are you other than a US Citizen or permanent resident
alien? Yes No
Is your income likely to decline in the next 2 years?
Yes No		 Is your income likely to decline in the next 2 years?
Yes No
Are you a member of another credit union?
Yes No		 Are you a member of another credit union?
Yes No
Are you a co-maker or guarantor on any loan?
Yes No		 Are you a co-maker or guarantor on any loan?
Yes No
If so, for whom? If so, for whom?
To whom? To whom?