Loan Application – Lakes Federal Credit Union

Fill out the following form to apply for a Lakes Federal Credit Union Loan.

*Please note this Credit Union complies with the Equal Opportunity Act.

AUTO, TRUCKS, VANS, MOTORCYCLES, RV’S AND MOTOR HOMES

MODEL YEAR	RATE (as low as)	MAXIMUM LENGTH of TERM
2022 – 2019	2.99%	72 MONTHS
2018 – 2016	3.74%	60 MONTHS
2015 – 2013	4.99%	54 MONTHS
2012 – 2010	5.99%	48 MONTHS
2009 (Parachute)	8.99%	36 MONTHS
CLASSIC CARS	8.99%	60 MONTHS
SIGNATURE	12%	36 MONTHS
BILL CONSOLIDATION	8.99%	36 MONTHS
SHARE SECURED	+3.5% MAX. TERM	60 MONTHS

TITLED BOATS
$10,000 – PLUS 84 MONTHS
2022 – 2019 5.99% $7,000 – $9,999 72 MONTHS
2018 – 6.99% $5,000 – $6,999 60 MONTHS
$3,500 – $4,999 48 MONTHS

Application for Credit

Amount Requested*

ex: 10,000.00

Purpose for Loan*

Payable in Years

Interest

Including Interest

Plus Interest

Insurance

Credit Disability

Credit Life

Applicant Information

Name

First Last

Account Number

Email Address

Birth Date

Address

Street Address Address Line 2 City State ZIP Code

How long at current address?

Months / Years

Home

Own

Buying

Rent

Name in Title of Home

Value of Home

Balance of Home

Monthly Payment on Home

Phone

Social Security Number

Number of Dependants

Driver's License Number

Name of Nearest Relative NOT living with you

First Last

Relative's Phone Number

Employment Information

Current Employer

How Long Employed

Months / Years

Position or Title

Department or Payroll Number

Take Home Gross Pay

Self Employed?

Yes

(if No, skip next 3 business fields)

Type of Business

Business Telephone

Business Address

Street Address Address Line 2 City State ZIP Code

Other Income Source

Do not list Alimony, Child Support, maintenance payments or co-applicant's income.

Other Income Date Began

Other Income Monthly Amount

Co-Applicant Information

Co-Applicant Name

First Last

Co-Applicant Birth Date

Co-Applicant Address

Street Address Address Line 2 City State ZIP Code

How long co-applicant at current address?

Months / Years

Co-Applicant Phone Number

Co-Applicant Social Security Number

Co-Applicant Number of Dependants

Co-Applicant Driver's License Number

Co-Applicant Alimony

Co-Applicant Child Support

Co-Applicant Maintenance Payments

Home long have alimony, child support, maintenance payments been made?

Months / Years

Are all payments up-to-date?

Yes

Co-Applicant Home

Own

Buying

Rent

Co-Applicant Name in Title

Co-Applicant Value of Home

Co-Applicant Home Balance

Co-Applicant Home Monthly Payment

Co-Applicant PREVIOUS Address

Previous Address

Street Address Address Line 2 City State ZIP Code

Co-Applicant How Long at Address

Months / Years

Co-Applicant Current Employer

Co-Applicant How Long Employeed

Months / Years

Co-Applicant Position or Title

Co-Applicant Gross Pay

Co-Applicant Self Employed

Yes

(if No, skip next 3 business fields)

Co-Applicant Type of Business

Co-Applicant Business Phone

Co-Applicant Business Address

Street Address Address Line 2 City State ZIP Code

Co-Applicant Other Income Source

Do not list Alimony, Child Support, maintenance payments or co-applicant's income.

Other Income Date Began

Other Income Monthly Amount

Are you a Co-Signer on any other loans?

Yes

Do you pay alimony, child support or maintenance payments?

Yes

If Yes to previous question, How Much?

Any Legal Proceedings against you?

Yes

Digital Signature Area

*I/We swear or affirm, UNDER THE PENALTIES OF PERJURY , that all the information contained on this application is true and accurate. I/We further swear or affirm that the statement of dents contained in this application is true, accurate, and complete listing of all my/our debts and obligations. This application is presented to induce the credit union to extend credit to me/us on my/our behalf. *Please use full legal names

Applicant Name

First Last

Co-Applicant Name

First Last

After submitting this form, please call within 24 hours of application – 877-295-0248

*Please note this Credit Union complies with the Equal Opportunity Act.
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