THIS APPLICATION IS ONLY FOR MEMBERS OF THE METRO NORTH FEDERAL CREDIT UNION IN JACKSONVILLE, FLORIDA

Please provide all of the requested information.
When you have completed the form, press the button to send your application to Metro North Federal Credit Union
for processing. Your information will be processed and you will hear back from a credit union representative.
We also suggest you call the following day and let us know you sent us a loan application on-line.


Will there be a Co-applicant on this loan? Yes or No

Note: Married applicants may request individual credit. Individual Credit: You must complete the Applicant section about yourself and the Other section about your spouse if: 1. you live in or the property pledged as collateral is located in a community property state ( AZ, CA, ID, LA, NM, NV, TX, WA, WI ), 2. your spouse will use this account, or 3. you are relying on your spouse's income as a basis for repayment. If you are relying on income from alimony, child support, or separate maintenance, complete the Other section to extent possible about the person on whose payments you are relying. Joint Credit: If you are applying with another person, complete the Applicant and Other sections.

Do you want Individual credit? Yes or No

Do you want Joint credit? Yes or No

Are you a member of Metro North Federal Credit Union? Yes or No

If you are a member, please enter the first four digits of your account #

If no, what is your membership eligibility?

Amount requested: $

Purpose of the Loan:


Primary Applicant:

Name:

Address:

City:

State:

Zip Code:

Home Phone #: (000-000-0000)

Date of Birth: (00/00/00)

How long at present address? Years: Months

Do you Rent, Own, Other?

E-mail Address:

Employer Name:

Employer Phone #:

Years Employed:

Months Employed:

Occupation:

Gross Monthly Income:

Source of other income:

*List alimony, child support or separate maintenance only if you want it considered.


Debts:
List all Monthly debts and payment amounts below:


CO-APPLICANT (if applicable)

Joint Credit Applicant: Yes or No

Non-Applicant Spouse:Yes or No

Name:

Address:

City:

State:

Zip Code:

Home Phone#: (000-000-0000)

Date of Birth: (00/00/00)


How long at present address?

Years:

Months

Do you Rent, Own , other ?

Employer Name:

Employer Phone #:

Years Employed

Months

Occupation:

Gross Monthly Income:

Source of other income:

* List alimony, child support or separate maintenance only if you want it considered.

Debts:
List all Monthly debts and payment amounts below:

  1. You promise that everything you have stated in this application is correct to the best of your knowledge. If there are any important changes, you will notify us in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and any update, renewal or extension of the credit received. You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. 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. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federal credit unions or sate charted credit unions insured by NCUA.
  2. You have received and read the LOANLINER® Credit and Security Agreement, including the Addendum ("Agreement"), and a Credit Insurance Certificate. By signing below you agree to be bound by the terms of the Agreement.
  3. If you are applying for a credit card, you understand that use of your credit card will constitute acknowledgment of receipt and agreement to the terms of the credit card agreement and disclosures.
  4. You grant us a security interest in all individual and joint share and/or deposit accounts you have with us now and in the future to secure what you owe under the Agreement and if you have applied for a credit card, under the credit card agreement. When you are in default, you authorize us to apply the balance in these accounts to any amounts due. Share and deposits in an Individual Retirement Account, and any other account that would lose special tax treatment under state or federal law if given as security, are not subject to the security interest you have given in your shares and deposits.

Please type "I agree" in the appropriate box to the terms above:

 Applicant

CO-APPLICANT

How would you like us to communicate with you regarding this application?     E-Mail or Telephone:

The form may take a minute to send. Call Credit Union the following business day after submitting loan application for more information and status of your loan. (904-757-5562)