Getting Started Amount Requested Purpose of Loan $ Auto Loan Visa Credit Card Overdraft Line of Credit Recreational Vehicle Personal Loan Secured by Savings Second Mortgage Home Equity Line of Credit Freedom Loan Personal Information Primary Applicant Member # First Name Last Name M.I. SSN Birthdate (mm/dd/yyyy) Home Phone Cell Phone () -Second partThird part () -Second partThird part Email Address Present Address City State ZIP Code Years at this address Rent/Mortgage Payment $ OwnRentWith RelativesOther Joint Applicant Type of Applicant Co-ApplicantSpouseGuarantor First Name Last Name M.I. SSN Birthdate (mm/dd/yyyy) Home Phone Cell Phone () -Second partThird part () -Second partThird part Email Address Present Address City State ZIP Code Years at this address Rent/Mortgage Payment $ OwnRentWith RelativesOther Previous Address Primary Applicant Previous Address Years? Joint Applicant Previous Address Years? Employment/Income Primary Applicant Employer Work Phone () -Second partThird part Employer's Address City State ZIP Code Position/Job Title Start Date (mm/dd/yyyy) Gross Income If Hourly, Hours Per Week $ HourlyMonthlyAnnually Other Income per Month Source $ Notice: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered. If employed in current position less than three years, complete the following Previous Employer Previous Employer's Address Start Date (mm/dd/yyyy) End Date (mm/dd/yyyy) Joint Applicant Employer Work Phone () -Second partThird part Employer's Address City State ZIP Code Position/Job Title Start Date (mm/dd/yyyy) Gross Income If Hourly, Hours Per Week $ HourlyMonthlyAnnually Other Income per Month Source $ Notice: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered. If employed in current position less than three years, complete the following Previous Employer Previous Employer's Address Start Date (mm/dd/yyyy) End Date (mm/dd/yyyy) Type of Credit Requested IMPORTANT: Check the appropriate boxes and complete the applicable sections: Type of Credit Requested SecuredUnsecured If Secured by a vehicle: Year Make Model VIN Mileage Options If Secured by a dwelling Type of Residence Estimated Property Value Primary residenceNot a primary residence $ Address City State ZIP Code Individual Credit: Relying solely on my income or assetsJoint Credit: We intend to apply for joint credit Demographic Information Addendum This section asks about your ethnicity, sex, and race. Demographic Information of Borrower The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "Ethnicity" and one or more designations for "Race." The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below. Primary Applicant Ethnicity: Check one or more Hispanic or Latino Hispanic or Latino Origin MexicanPuerto RicanCubanOther Hispanic or Latino If other, enter origin (for example, Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.) Not Hispanic or Latino I do not wish to provide this information Sex FemaleMaleI do not wish to provide this information Race: Check one or more American Indian or Alaska Native Name of enrolled or principal tribe Asian Asian Race Asian IndianChineseFilipinoJapaneseKoreanVietnameseOther Asian If other, enter race (for example, Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.) Black or African American Native Hawaiian or Other Pacific Islander Native Hawaiian or Other Pacific Islander Race Native HawaiianGuamanian or ChamorroSamoanOther Pacific Islander If other, enter race (for example, Fijian, Tongan, and son on.) White I do not wish to provide this information Joint Applicant Ethnicity: Check one or more Hispanic or Latino Hispanic or Latino Origin MexicanPuerto RicanCubanOther Hispanic or Latino If other, enter origin (for example, Argentinean, Colombian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.) Not Hispanic or Latino I do not wish to provide this information Sex FemaleMaleI do not wish to provide this information Race: Check one or more American Indian or Alaska Native Name of enrolled or principal tribe Asian Asian Race Asian IndianChineseFilipinoJapaneseKoreanVietnameseOther Asian If other, enter race (for example, Hmong, Laotian, Thai, Pakistani, Cambodian, and so on.) Black or African American Native Hawaiian or Other Pacific Islander Native Hawaiian or Other Pacific Islander Race Native HawaiianGuamanian or ChamorroSamoanOther Pacific Islander If other, enter race (for example, Fijian, Tongan, and son on.) White I do not wish to provide this information Almost Done Contact Method Comments Loan Promo Code User Agreement You promise that everything you have stated in this application is correct to the best of your knowledge and that the above information is a complete listing of what you owe. 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 for any update, increase, renewal, extension or collection 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 crime to willfully and deliberately provide incomplete or incorrect information in this application. If you are applying for a credit card, you understand that the use of your card will constitute acknowledgement of receipt and agreement to the terms of the credit card agreement and disclosures. 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 your credit card account. When you are in default, you authorize us to apply the balance in these accounts to any amounts due. Shares 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. I have read and accept the terms Account Disclosures Click here to view the Account Disclosures. I have read, understand and agree to the terms of application. Electronic Communications Disclosure & Consent Read the Disclosure ConsentI Do Not Consent If you do not provide your consent, your online loan application will not be saved and you will be required to contact the Credit Union at 303.424.5037 for alternative loan application options. Which location do you prefer to finalize your loan? Main Office, 6320 Olde Wadsworth Blvd., Arvada, CO 80003Immaculate Heart of Mary Branch, 11385 Grant Dr, Suite A Northglenn, Co 80233 Primary Signature Joint Signature Date (mm/dd/yyyy) Prove you're not a robot. Please enter the answer in the textbox. two - four =