To apply for a loan fill out the application below. Call Center: 256-245-4776 Email our Loan Department Stop by one of our conveniently located branches Don't forget to ask about including Insurance in your monthly loan payment! Getting Started Amount Requested Purpose of 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 vevealed 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 vevealed 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) References Primary Applicant Name and Address of Depository Name of relative not living with you Relationship Home Phone () -Second partThird part Relative's Address Name of a personal friend - not a relative Relationship Home Phone () -Second partThird part Friend's Address Joint Applicant Name and Address of Depository Name of a relative not living with you Relationship Home Phone () -Second partThird part Relative's Address Name of a personal friend - not a relative Relationship Home Phone () -Second partThird part Friend's Address These Questions Apply to both Applicant and Co-Applicant Question Applicant Co-Applicant Have you any outstanding Judgement? YesNo YesNo In the last 10 years, have you been declared bankrupt or filed a petition for Chapter 13? YesNo YesNo Have you had property foreclosed upon or given title or deed in lieu thereof, in the last 7 years? YesNo YesNo Are you party in a lawsuit? YesNo YesNo Are you other than a U.S. citizen or permanent resident alien? YesNo YesNo Is your income likely to reduce in the next two years? YesNo YesNo Are you a co-maker or co-signer on any loan? YesNo YesNo For whom? (Name of others obligated on loan) To whom? (Name of creditor) Type of Credit Requested IMPORTANT: Check the appropriate boxes and complete the applicable sections: Type of Credit Requested SecuredUnsecured If Secured: Year Make Model VIN Mileage Options Individual Credit: Relying solely on my income or assets Joint Credit: We intend to apply for joint credit 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 256-245-4776 for alternative loan application options. Which location do you prefer to finalize your loan? Main Office, 60 Gene Stewart Blvd., Sylacauga, AL 35151 Broadway Office, 901 N. Broadway Ave., Sylacauga, AL 35150 Childersburg Office, 14 Faye S Perry Drive, Childersburg, AL 35044 Moody Office, 2825 Moody Parkway, Moody, AL 35004 Alexander City Office, 3353 South US-280, Alexander City, AL 35010 Primary Signature Joint Signature Date (mm/dd/yyyy) Prove you're not a robot.*