Deepwater Industries Federal Credit Union
PO BOX 42
Deepwater, NJ 08023 -0042

LOAN APPLICATION

Married Applicants: May apply for a seperate account.

Individual Credit: You must complete the Applicant section about yourself and the Other section about your spouse if:

you live in or the property pledged as collateral is located in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI),
your spouse will use the account, or
you are relying on your spouses's income as a basis for repayment. If you are relying on income from alimony, child support, or seperate maintenance, complete the Other section to the extent possible about the person on whose payments you are relying.

Joint Credit: Each Applicant must individually complete the appropriate section below. If Co-Borrower is spouse of the Applicant, mark the Co-Applicant box.

Guarantor: Complete the Other section if you are a guarantor on an account/loan.

LOANLINER

Individual

Joint

Loan

Account

(Including ATM/Debit Card Access to the Account if Available)

Amount Requested

Purpose

Collateral

Repayment:

Payroll Deduction

Cash

Military Allotment

Automatic Repayment

PAYMENT PROTECTION

Are you interested in having your loan protected?

Yes

If you answer "yes", then the credit union will disclose the cost to protect your loan. The protection is voluntary and does not affect your loan approval. In order for your loan to be covered, you will need to sign a seperate application that explains the terms and conditions.

APPLICANT

Name

Password

Account Number

Social Security Number

Driver's License Number / State

Ages of Dependents

Email Address

Birth Date +

Home Phone

Business Phone/Ext.

Present Address (Street - City - State - Zip)

Length at Residence

OWN

RENT

Previous Address (Street - City - State - Zip)

Length at Residence

OWN

RENT

Complete for Joint Credit, Secured Credit, or if you live in a Community Property State:

Married

Seperated

Unmarried (Single - Divorced - Widowed)

EMPLOYEE/INCOME

Name and Address of Employer

Title/Grade

Supervisor's Name

Hours at Work

Start Date +

If Self Employed, Type of Business

Notice: Alamony, Child Support, Or Seperate Maintenance Income need not be revealed if you do not choose to have it considered.

Employment Income

per _____________

NET

GROSS

Other Income

per _____________

Source

Military: Is duty station transfer expected during the year

Yes

Where

Ending/Separation Date +

Previous Employer Name and Address if employed less than five years

Starting Date +

Ending Date +

REFERENCE

Name and Address of Nearest Relative Not Living With You

Relationship

Home Phone

OTHER

Co Applicant

Spouse

Other

Name

Password

Account Number

Social Security Number

Driver's License Number / State

Ages of Dependents

Email Address

Birth Date +

Home Phone

Business Phone/Ext.

Present Address (Street - City - State - Zip)

Length at Residence

OWN

RENT

Previous Address (Street - City - State - Zip)

Length at Residence

OWN

RENT

Complete for Joint Credit, Secured Credit, or if you live in a Community Property State:

Married

Seperated

Unmarried (Single - Divorced - Widowed)

EMPLOYEE/INCOME

Name and Address of Employer

Title/Grade

Supervisor's Name

Start Date +

Hours at Work

If Self Employed, Type of Business

Notice: Alamony, Child Support, Or Seperate Maintenance Income need not be revealed if you do not choose to have it considered.

Employment Income

per _____________

NET

GROSS

Other Income

per _____________

Source

Military: Is duty station transfer expected during the year

Yes

Where

Ending/Separation Date +

Previous Employer Name and Address if employed less than five years

Starting Date +

Ending Date +

Upload your ID and Paystubs *

REFERENCE

Name and Address of Nearest Relative Not Living With You

Relationship

Home Phone

Deepwater Industries Federal Credit Union PO BOX 42 Deepwater, NJ 08023 -0042

LOAN APPLICATION

PAYMENT PROTECTION

APPLICANT

EMPLOYEE/INCOME

REFERENCE

OTHER

EMPLOYEE/INCOME

REFERENCE

Deepwater Industries Federal Credit Union
PO BOX 42
Deepwater, NJ 08023 -0042