Secure Loan Application Form

502 West Patrick Street
Phone: (301) 622-7266 | Fax: (301) 662-4525


Type Of Loan Applying For
Individual Credit: You must complete the Applicant section about yourself and the Other section about your spouse if:
1. 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),
2. your spouse will use the account, or
3. you are relying on your spouse's income as a basis for repayment. If you are relying on income from alimony, child support, or separate 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.
This credit union may offer Life / Disability, GAP or Warranty Insurance, but none is required to obtain credit. If you notify the credit union that you are interested, the credit union will disclose the cost of the voluntary coverage to you. You must sign a separate election disclosing the terms and conditions for any coverage to become effective.

Are you an employee of Frederick County Public Schools or Frederick Community College? Yes no

Are you a family member of an employee of Frederick County Public Schools or Frederick Community College? Yes no

If you answered yes to either of the two questions above you may complete and submit the online application. If you answered no to both of the two questions above then you are not in our field of membership.

Email Address

Check below to indicate the type of credit for which you are applying.

Account / Loan: Individual Joint Individual / Credit - Married Applicant (include spouse information)

Type of Credit Applied For: New/Used Auto Signature Home Improvement Share Secured

Amount Requested: $ .00             Purpose / Collateral:

Repayment: Payroll Deduction Cash Mail / In Person Automatic Payment



Applicant Information
Applicant's Name:
Account #:
Driver License #:
Social Security #:
Birthdate:
Home Phone #:
Mobile Phone #:
Street Address:
City: State:
Zip #:
Joint Applicant's Name:
Account #:
Driver License #:
Social Security #:
Birthdate:
Home Phone #:
Mobile Phone #:
Street Address:
City: State:
Zip #:


Employment Information
Applicant Employer's Name:
Position:
Monthly Gross Income ($):
Other Income ($): per Month
Joint App. Employer's Name:
Position:
Monthly Gross Income ($):
Other Income ($): per Month

Extra Comments

Submit Application

Notices


I/we certify that this information on all pages had been supplied truthfully, accurately and voluntarily, and therefore authorize this credit union to investigate our creditworthiness, credit history and financial responsibility through any credit bureau or by any other reasonable means for consideration for the loan applied for herein, or for any other service offered by this credit union or its affiliate. The credit union may release information about its credit experience with me/us as permitted by law. If this application is for the purpose of encumbering real property, I/we agree to pay all allowable expenses incurred in processing this application whether or not the loan is approved. This application does not constitute a contract for the extension of credit. I/we understand that it may be a Federal Crime punishable by fine or imprisonment or both knowingly make any false statements concerning any of the above facts, as applicable under the provisions of Title 18, United States Code, Section 1014.

     

Copyright 2015 Ferko Maryland Federal Credit Union