Consumer Loan Application

LM Federal Credit Union
101 Chesapeake Park Plaza
Baltimore, MD 21220
Phone: (410) 687-5240
(800) 410-0501
Fax: (410) 687-0522

NOTE: Income Verification may be required for
all loan requests. An LMFCU loan officer will
contact you within 24 hours of the following
business day once your application is received.

YOU MUST BE A MEMBER OF LMFCU TO APPLY FOR A LOAN

Account Number:
(List Social Security Number if account number is not known)

Individual or Joint Credit?

Type of Loan Requested?

If applying for a share/certificate loan, please contact the Credit Union prior to completing this application.

If Personal or Quick Cash,
Loan Purpose:
Debt Consolidation
Home Improvement
Other

If you chose loan purpose "other", please describe

Loan Amount Requested:

Length of loan term (in months):

or Requested Monthly Payment ($):

(To calculate a monthly payment click here)

Repayment by:

Credit insurance statement of intent - indicate coverage(s) desired. The Credit Union will disclose the cost of this voluntary insurance to you. A separate insurance election which discloses the terms and conditions must be signed for coverage to become effective.

Credit Disability Insurance?

Single Credit Life?

Joint Credit Life?

Complete the following information if your request is for an auto/truck/boat/rv/motorcycle:
Type:	(If preapproval, skip to 'Approximate Purchase Price')
Year:	Make and Model:

If Purchase or Preapproval:
Approximate Purchase Price:
Down Payment Intentions (including trade-in value) either in dollars (ex. $2,000) or percentage (ex. 10%):

If Refinance
Name and phone # of existing lender:
Account number with lender:

Vehicle Details
Body Type:	Mileage:
State where currently titled:
Engine Size :
Options (anything that may add value to the vehicle - ex. power window/locks, etc.)

If available, please provide the Serial Number or VIN #:

PRIMARY APPLICANT

Name (Last - First - Middle)
Social Security #	Birth Date (MM/DD/YY)
Driver's License Number/State
E-Mail
Home Phone	Work Phone
Present Address (Street, City, State, Zip)
Rent/Own/Other?	Years at this address
If Own, 1st Mortgage Balance	If Own, Current Value of Home
Monthly Housing Costs (rent or mortgage payment $)

Previous Address (Street, City, State, Zip)
Rent/Own/Other?	Years at this address

Complete for joint credit, secured credit or if you live in a community property state (AZ, CA, ID, LA, NV, NM, TX, WA, WI):
Marital Status:	Age of dependents not listed by other applicant:

EMPLOYMENT INFORMATION

Name of Employer
Address (Street, City, State, Zip)
Start Date	Job Title/Grade
Shift or Time At Work

Previous Employer (if in current position for less than 5 years)
Start Date	End Date

INCOME INFORMATION

Note: alimony, child support, or other separate maintenance income need not be revealed if you do not choose to have it considered.

Gross Employment income $ amount:	Frequency: (Weekly, Biweekly, Monthly, etc.)
Other income $ amount:	Other income frequency:
Source

If applying as individual only, please click here to continue.

OTHER APPLICANT
(list 'SAA' if same as primary applicant)

Guarantor?	Account Number (if different from Primary applicant)
Name (Last - First - Middle)
Social Security #	Birth Date (MM/DD/YY)
Driver's License Number/State
E-Mail
Home Phone	Work Phone
Present Address (Street, City, State, Zip)
Rent/Own/Other?	Years at this address
If Own, 1st Mortgage Balance	If Own, Current Value of Home
Monthly Housing Costs (rent or mortgage payment $)

Previous Address (Street, City, State, Zip)
Rent/Own/Other?	Years at this address

Complete for joint credit, secured credit or if you live in a community property state (AZ, CA, ID, LA, NV, NM, TX, WA, WI):
Marital Status:	Age of dependents not listed by other applicant:

EMPLOYMENT INFORMATION

Name of Employer
Address (Street, City, State, Zip)
Start Date	Job Title/Grade
Shift or Time At Work

Previous Employer (if in current position for less than 5 years)
Start Date	End Date

INCOME INFORMATION

Note: alimony, child support, or other separate maintenance income need not be revealed if you do not choose to have it considered.

Gross Employment income $ amount:	Frequency: (Weekly, Biweekly, Monthly, etc.)
Other income $ amount:	Other income frequency:
Source

ASSETS

*Primary Applicant*
Checking $ Balance	Checking Account: name of depository
Savings$ Balance	Saving Account: name of depository
Other Account $ Balance	Other Account: Name of Depository

If applying as individual only, please click here to continue.

*Other Applicant:*
Checking $ Balance	Checking Account: name of depository
Savings $ Balance	Saving Account: name of depository
Other Account $ Balance	Other Account: Name of Depository

OTHER ASSETS
(include rental or investment real estate, retirement funds, other savings, stocks bonds, vehicles, etc.)

*Type*	*Location/Holder*	*Value*	*Collateral on a loan?*

DEBTS
(Vehicle loans, boat loans, credit cards, personal loans, student loans, 401K loans, alimony, child support, etc.)

*Type*	*Creditor Name*	*Account Balance*	*Monthly Payment*

FINANCIAL INFORMATION
(these questions apply to both applicant and Other)

	Primary Applicant	Other Applicant
Do you have any outstanding judgments?
Have you ever filed for bankruptcy or had a debt adjustment confirmed under chapter 13?
Have you had property foreclosed upon or repossessed in the last 7 years?
Are you a party in a lawsuit?
Is your income likely to decline in the next two years?
Are you a co-maker, co-signer or guarantor on any loan not listed above?
For whom? Creditor Name:

Additional Notes, Questions or Explanations:

We will respond to your loan application within 24 hours or by the next business morning. How would you like us to contact you?

E-mail
Phone:

Best time to be reached

If there are any important changes, you will notify us in writing immediately. You also agree to notify us of any change in your name, address or employment within a reasonable time thereafter. You also promise that everything you have stated in this application is correct to the best of your knowledge and that the information is a complete listing of all your debts and obligations. You authorize the Credit Union to obtain credit reports in connection with this application for and for any update, renewal or extension of the credit received. 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. You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to Federal Credit Unions.

Applicant’s Signature	Date
X	X

Other Signature	Date
X	X

We will begin processing this request immediately after receiving it. You may print it out, sign it, and mail, fax or drop it off at the credit union. Or, if you would like to email it, a form requesting your signature will be forwarded to you soon. Thank you.

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