Loan Application for CSC FCU

I, ______________________________(Print Name), hereby apply for a loan of $__________ for a period of __________ [ Weeks / Months ] (Please Circle One), To be repaid in _____________ (Weekly, Bi-Weekly, Semi-Monthly, Monthly) Installments of $________ [ Each including interest / Each plus interest ] (Please Circle One) and the balance of the payment credited to my share account.

I prefer the first payment to fall due on __________________

I desire this loan for the following purpose (explain fully)

________________________________________________________________________________________

Co-makers or security offered (If any)
________________________________________________

I hereby certify that all statements made, including all hereof, are true and complete and submitted for the purpose of obtaining credit. I have no other debts. The credit union is authorized to check my credit and employment history and to answer questions about its credit experience with me.

_____________________________________           Date_________
                Signature Of Applicant

Address__________________________________

City_____________________ State_____ Zip code_____________

APPROVED BY _________________________ DATE _____________

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