Willis-Knighton Federal Credit Union - Secure Loan Application
P.O. Box 17585, Shreveport, LA 71138
Phone: (318) 621-0605  •  Fax: (318) 635-4719


Type Of Loan Applying For

New or Used Vehicle Loan
New or Used Boat Loan
Recreational Vehicle (Camper, ATV, Motorcyle, etc.)

Signature Loans
Share Secured
Other:
Purpose of loan :
Requested Amount : $ .00
Upon approval, which location do you prefer to sign additional documents at:    Shreveport     Bossier



Payment Protection Coverage
Check coverage(s) desired. The Credit Union will disclose the cost of this voluntary insurance to you. A separate enrollment form which discloses the terms and conditions must be signed for coverage to become effective.
Single Credit Life Insurance                    Joint Credit Life Insurance                    None
Single Credit Disability Insurance



Applicant Information
Applicant's Name:
Account #:
Social Security #:
US Citizen: Yes No
Birthdate (MM/DD/YY):
Please indicate your marital status if you are applying for joint credit, secured credit or if you live in a community property state:
Marital Status:
Email Address :
Number of Dependants :
Ages of Dependants :
Home Phone #:
Mobile Phone #:
Street Address:
City: State:
Zip:
Current Address since: (MM/YY)
Rent     Own     Payment:
Joint Applicant's Name:
Account #:
Social Security #:
US Citizen: Yes No
Birthdate (MM/DD/YY):
Please indicate your marital status if you are applying for joint credit, secured credit or if you live in a community property state:
Marital Status:
Email Address :
Number of Dependants :
Ages of Dependants :
Home Phone #:
Mobile Phone #:
Street Address:
City: State:
Zip:
Current Address since: (MM/YY)
Rent     Own     Payment:


Employment Information
Applicant Employer's Name:
Employer Phone #:
Employer Address :
Position:
Date Hired (MM/DD/YY):
Monthly Gross Income ($):
Other Income ($): per Month
Other Income Source :
Complete if current employment is less than 2 years:
Previous Employers Name:
Yrs Employed:
Joint App. Employer's Name:
Employer Phone #:
Employer Address :
Position:
Date Hired (MM/DD/YY):
Monthly Gross Income ($):
Other Income ($): per Month
Other Income Source :
Complete if current employment is less than 2 years:
Previous Employers Name:
Yrs Employed:
NOTE: Alimony, child support, or separate maintenance income need not be revealed if You do not choose to have it considered as a basis for this credit request.



Personal Financial Profile
These questions must be answered.
Have you ever filed for bankruptcy or had debt adjustment under Chapter 13?
   Are you a party in a lawsuit?
   Have you ever had property foreclosed or repossesion in the last 7 years?
   Is your income likely to decline in the next two years?
Are you co-maker/endorser on any loan not listed above?
   If yes then for whom?
   If yes then to whom?
Are you a U.S. citizen or permanent resident alien?

Applicant Reference (Nearest relative not living with you)
First Name: Middle Name: Last Name: Suffix:
   Home Phone Number:
   555-555-5555
   What is their home address?
Street: City: State: Zip:
   What is the relationship?
Co-applicant Reference (Nearest relative not living with you)
First Name: Middle Name: Last Name: Suffix:
   Home Phone Number:
   555-555-5555
   What is their home address?
Street: City: State: Zip:
   What is the relationship?


Submit Application
You agree that everything stated in this application is correct to the best of your knowledge. The Credit Union is authorized to investigate your creditworthiness, employment history, and to obtain a credit report and to answer questions about their credit experience with you. You understand that any false or misleading statement in your application may cause any loan or extension of credit to be in default. You authorize us to accept your facsimile signatures on this application and agree that your facsimile signature will have the same legal force and effect as your original signature. You assume any risk that may be associated with permitting us to accept your facsimile signature.

By pressing the "Submit Application" button below, you agree to the above statement. You understand that we may require your signature on additional documents prior to disbursing any credit proceeds.