Buffalo Conrail FCU Loan Application

Will this be a Single or Joint Application?

Single Application

Joint Application

Phone (Best contact phone #)*

No dashes, spaces, or parentheses

VIN #

Make

Model

Year

Mileage

Loan Term (in months)*

Repayment Method

Payroll Deduction

Direct Debit

Primary Applicant - Personal information

Social Security No.*

No dashes, spaces, or parentheses

Driver's License No.*

No dashes, spaces, or parentheses

Driver's License State *

Date of Birth *

Address *

Address 2

City *

State *

Zip Code *

Years There *

No. of Dependents *

Complete for joint credit, secured credit, or if you live in a community property state *

I am Single

I am Married

I am Separated

Employment information

Current Employer *

Position *

Annual Income *

Employee Start Date *

Reference

Name of nearest relative not living with you *

Relatives Address *

Address 2

City *

State *

Zip Code *

Relationship *

Phone *

No dashes, spaces, or parentheses

Additional Questions

Are you a US citizen or permanent resident alien? *

Yes, I am a US Citizen or permanent resident alien

No, I am not a US Citizen or permanent resident alien

Do you have any outstanding judgments? *

Yes, I have outstanding judgments

No, I do not have outstanding judgments

Is your income likely to decline in the next two years? *

Yes, my income is likely to decline

No, my income is not likely to decline

Are you a co-maker, co-signer, or guarantor on any loan not listed? *

Yes, I am a co-maker

No, I am not a co-maker

Have you filed for bankruptcy or had a debt adjustment plan confirmed under chapter 13? *

Yes, I have filed for bankruptcy or debt adjustment

No, I have not filed for bankruptcy or debt adjustment

Joint Applicant - Personal information

First Name*

Last Name*

Email*

Phone (Best contact phone #)*

No dashes, spaces, or parentheses

Social Security No.*

No dashes, spaces, or parentheses

Driver's License No.*

No dashes, spaces, or parentheses

Driver's License State *

Date of Birth *

Address *

Address 2

City *

State *

Zip Code *

Years There *

No. of Dependents *

Complete for joint credit, secured credit, or if you live in a community property state *

I am Single

I am Married

I am Separated

Employment information

Current Employer *

Position *

Annual Income *

Employee Start Date *

Reference

Name of nearest relative not living with you *

Relatives Address *

Address 2

City *

State *

Zip Code *

Relationship *

Phone *

No dashes, spaces, or parentheses

Additional Questions

Are you a US citizen or permanent resident alien? *

Yes, I am a US Citizen or permanent resident alien

No, I am not a US Citizen or permanent resident alien

Do you have any outstanding judgments? *

Yes, I have outstanding judgments

No, I do not have outstanding judgments

Is your income likely to decline in the next two years? *

Yes, my income is likely to decline

No, my income is not likely to decline

Are you a co-maker, co-signer, or guarantor on any loan not listed? *

Yes, I am a co-maker

No, I am not a co-maker

Have you filed for bankruptcy or had a debt adjustment plan confirmed under chapter 13? *

Yes, I have filed for bankruptcy or debt adjustment

No, I have not filed for bankruptcy or debt adjustment

Assets and Debts

Disclosure and Agreement to Terms

I hereby certify that all information contained in the application is furnished for the purpose of obtaining the loan requested herein and is true to the best of my knowledge and belief. I further certify that no consideration has passed or will pass from me, as borrower, to an endorser for his endorsement or to co-maker for his/her signature. You are authorized to check my credit and employment history and to answer questions about your credit experience with me. I have assisted the Credit Union in the preparation of this application; I have provided the Credit Union with all of the information contained therein; I hereby certify that this loan application is truthful and complete to the best of my knowledge and that I have read the entire completed application before signing same.

Do you agree with the above terms and conditions? *

Yes, I agree to the terms

No, I do not agree to the terms

Signature (type your full name) *

Date *

Upload the most recent copy of your paystub *

Co-Applicant

Do you agree with the above terms and conditions? *

Yes, I agree to the terms

No, I do not agree to the terms

Signature (type your full name) *

Date *

Co-Applicant: Upload the most recent copy of your paystub *

Buffalo Conrail Federal Credit Union 2024