Laurel Federal Credit Union - Online Loan Application

Loan Application

No matter what the purpose, we are sure to have a loan to meet your needs. Use this convenient online application to apply! with any questions.


Applicant
Purpose of loan
Amount requested $
First name	Middle initial
Last name
E-mail address
Social Security #
Date of birth	//
No. of dependents
Current address
City
State	Zip
Years at current address
Home phone
Current employer
Employer's address
City
State	Zip
Position
Date hired	//
Business phone
Gross monthly salary $
Other income* $
Rent / Mortgage payment $
Total of all other monthly payments $

Co-Applicant (optional)
Relation: Spouse Co-signer Joint owner
First name	Middle initial
Last name
Social Security #
Date of birth	//
No. of dependents
Current address
City
State	Zip
Years at current address
Home phone
Current employer
Employer's address
City
State	Zip
Position
Date hired	//
Business phone
Gross monthly salary $
Other income* $
Rent / Mortgage payment $
Total of all other monthly payments $
If you are currently an LFCU member, please provide your account number

Please contact me by:
Email Phone Mail

*Notice: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered.

The information in this application is true and may be relied on in evaluating this loan request. You are authorized to check my credit and employment status plus answer any questions regarding my credit experience with you. I understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federally insured Credit Unions.