Lakewood

Community

Federal Credit Union

 

 

 

LOAN APPLICATION

Type of Loan:    Loan Amount Requested: 
   

BORROWER INFORMATION

First Name:
Last Name:
Mailing Address:
City:    State:    Zip:
   

CURRENT RESIDENCE INFORMATION

Current Residence Info:       Monthly Payments: 
   
CURRENT DEBT INFORMATION
Home Loan Mortgage Payee:     Balance:
Auto Loan Payee:     Balance:
Other Loan Payee:     Balance:
Other Loan Payee:     Balance:
   
EMPLOYMENT/INCOME INFORMATION
Employer Name:
Years with Current Employer:    Monthly Income (Net):
Other Income:    Monthly Income Other: 
Other Income:    Monthly Income Other: 
   
CONTACT INFORMATION
Daytime telephone number:   Extension:
Alternate telephone number:
E-mail address:
   

CO-BORROWER INFORMATION

First Name:
Last Name:
Mailing Address:
City:    State:    Zip: