Secure Loan Application

Loan Information

Loan Type

Loan Purpose

Requested Amount ($)

Terms

I have read and agree with the Credit Card Terms and Conditions

Applicant Information

First Name

Last Name

Non-Member

Member #

Social Security #

Date of Birth

Marital Status

Email Address

Phone Number

Driver's License

Applicant's Present Address

Street Address

City

State

Zip Code

Years at this address

Housing Status

Monthly Housing Expense

Applicant's Employment Information

Applicant's Present Employer

Present Employer

Occupation

Street Address

City

State

Zip Code

Employer Phone #

Employment Start Date

Gross Monthly Income for the Employer Above

Whole Dollars. If you would like us to include other sources of income, please discuss this with our Loan Officers. Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered as a basis for repaying this obligation.

Applicant's Other Income

Part-Time Income / 2nd Income per Month

Applicant Personal References

Please provide two references.

First and Last Name

Relationship To You

Phone Number

First and Last Name

Relationship To You

Phone Number

Is there a joint applicant?

No Yes

Joint Applicant Information

First Name

Last Name

Non-Member

Member #

Social Security #

Date of Birth

Marital Status

Email Address

Phone Number

Driver's License

Joint Applicant's Present Address

Street Address

City

State

Zip Code

Years at this address

Housing Status

Monthly Housing Expense

Joint Applicant's Employment Information

Joint Applicant's Present Employer

Present Employer

Occupation

Street Address

City

State

Zip Code

Employer Phone #

Employment Start Date

Gross Monthly Income for the Employer Above

Whole Dollars. If you would like us to include other sources of income, please discuss this with our Loan Officers. Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered as a basis for repaying this obligation.

Joint Applicant's Other Income

Part-Time Income / 2nd Income per Month

Joint Applicant Personal References

Please provide two references.

First and Last Name

Relationship To You

Phone Number

First and Last Name

Relationship To You

Phone Number

Comments

Enter Comments Here

Note: At least two current wage stubs showing your monthly income, or other income documentation will be required for loan processing. Please fax this to (440) 347-3897 or email us at: leocu@leocu.org after submitting your loan application.

NOTICE:
I hereby certify everything that I have stated in this application is correct to the best of my knowledge. I understand that you will retain this application whether or not it is approved. You are authorized to check my credit and employment history and to answer questions about your credit experience with me.

I hereby authorize the Credit Union to whom this application is made, or any Credit Bureau or other investigative agency employed by such Credit Union, to investigate the references herein listed or statements or other data obtained from me or from any other source whatsoever pertaining to my credit and financial responsibility.

"The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio civil rights commission administrators compliance with this law."

You understand that we will require your signature on additional documents prior to disbursing any credit proceeds.

By pressing the "Submit Application" button below, you agree to the above statement.

I have read this section and agree to the terms.