Loan Application : WES Credit Union

General Information

Primary Applicant’s State of Residence(Required)

State

Date

Loan Money Needed by Date(Required)

Loan Amount Requested(Required)

Loan Term (In Months)(Required)

Purpose of Loan(Required)

Individual or Joint Credit(Required)

Individual

Joint

Personal Information

Are you a member?

Yes

First Name(Required)

Middle Name

Last Name(Required)

SSN(Required)

Member Number

Date of Birth(Required)

Contact Information

Preferred Method of Contact

Text

Phone

Email(Required)

Cell Phone(Required)

Home Phone

Address Information

Primary Address

Address(Required)

City(Required)

State of Residence(Required)

Choose State

Zip(Required)

Own/Rent(Required)

Monthly Mortgage/Rent Payment(Required)

Years at Residence(Required)

Previous Address (If less than three years at current address.)

Address

City

State

Choose State

Zip

Own/Rent

Years at Residence

Primary Applicant Income

Employment Information

Current Employer

Employer Name(Required)

Monthly Income(Required)

Status(Required)

Full-Time

Part-Time

Retired

Start Date(Required)

Length of Time on Job(Required)

Upload Pay Stub(Required)

Max. file size: 50 MB.

Previous Employer

Employer Name

Monthly Income

Status

Full-Time

Part-Time

Retired

Length of Time on Job

Other Income

Notice: Income from alimony, child support, or separate maintenance payments need not be revealed if you do not choose to have it considered.

Monthly Income from Other Source

Primary Applicant Reference

Personal Reference

Reference

Name(Required)

Address(Required)

City(Required)

State(Required)

Choose State

Zip(Required)

Phone(Required)

Relation(Required)

Co-Applicant: General Information

First Name

Middle Name

Last Name

SSN

Member Number

Date of Birth

Marital Status

Mother’s Maiden Name

Driver’s License Number

Driver’s License State

Contact Information

Home Phone

Address Information

Primary Address

Address

City

State

Choose State

Zip

Own/Rent

Monthly Mortgage/Rent Payment

Years at Residence

Previous Address

Address

City

State

Choose State

Zip

Own/Rent

Years at Residence

Co-Applicant Income

Current Employer

Employer Name

Status

Full-Time

Part-Time

Retired

Monthly Income

Upload Pay Stub

Max. file size: 50 MB.

Previous Employer

Employer Name

Status

Full-Time

Part-Time

Retired

Monthly Income

Other Income

Notice: Income from alimony, child support, or separate maintenance payments need not be revealed if you do not choose to have it considered.

Monthly Income from Other Source

Co-Applicant Reference

Personal Reference

Reference

Name

Address

City

State

Choose State

Zip

Phone

Relation

Important Disclosures

Credit Report Authorization: By submitting this request, you authorize the Credit Union to obtain credit reports in connection with this request for credit and for any update, increase, renewal, extension, or collection of the credit received and for other accounts, products, or services we may offer you or for which you may qualify. You understand that the Credit Union will rely on information in this request and your credit report to make its decision. When applicable, spousal information may be requested as a part of this request. If you request, the Credit Union will tell you the name and address of any credit bureau from which it received a credit report on you.

Accuracy of Information: It is a crime to willfully and deliberately provide incomplete or incorrect information in this request.

By checking the box(es) below and submitting this request, all parties named above are agreeing to the terms, conditions and disclosures associated with this request.(Required)

*I agree to the terms, conditions and disclosures of this request as the Primary Applicant.

*Primary Applicant(Required)

Note: Provide your email address below to request confirmation that we have received your loan request. The email will include a link to any applicable disclosures and will send you a copy of your answers above.

Email Address(Required)

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