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Personal Loan Application
Somerset Federal Credit Union
740 County Street
Somerset, MA 02726
APPLICATION FOR LOAN
(unsecured/secured closed end)

Somerset Federal Credit Union  
Information Regarding: Applicant Additional Party Date
Name:
Account#:
I/We hereby apply for a loan as follows(**to be completed by applicant):
Amount of money requested: $  
Purpose of loan**  
  Individual Credit: (Do NOT complete marital status for INDIVIDUAL credit
in non-community property state.)
    Applicant's signature only
    Endorser, guarantor or surety(Co-signer)
(Name: )
(Have this person complete a separate loan application.)
  Joint Credit- Joint Applicant or CO-maker (person who will be equally liable for repayment)
    (Name )
(Have this person complete a separate loan application.)
    Relationship to applicant, if any
  Secured Credit- Collateral
    Shares in Account Nos. $
    New/Used Auto-Make Year
Cost/Value $
    Other:
    Owners' Names
MARITAL STATUS: Complete marital status if this loan is for:
  a.Joint or secured credit, or
  b.You reside in or rely on property located in a Community Property State.(AZ,CA,ID,LA,NM,NV,TX,WA,WI)
    Unmarried Married Separated
Full Name Birth Date
Social Security No.
Drivers Lic. No. Street Address
City State Zip Code Years there
Home Phone Business Phone E-mail Address
Present Employer
Position or Title Supervisor
Employer's Address
City State Zip Code Years there
Dependents (exclude self) Ages
Name of nearest relative not living with you
Relationship Address
_____________________________________________________________
*Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this loan.
_____________________________________________________________
Salary ( Gross Net) $ Per
*Other income Per Source
Is any income listed likely to be reduced before this loan is paid off? No Yes
If yes, explain
Share Draft or Checking Account No.
Where
Share or Savings Account No.
Where
If present residence less than 2 years, complete next 2 lines
Previous Street Address Years there
City State Zip Code
If employed by above less than 3 years, complete next 2 lines
Previous Employer Years there
Previous Employer's Address
OUTSTANDING DEBTS (List Everything)
Creditor (address and account#) Date Loan Orig. Debt Present Balance Monthly Payment Past Due
Rent
yes
no
Mortgage
yes
no
Auto Loan
yes
no

Credit Union

yes
no
Credit Card
yes
no
Credit Card
yes
no
Alimony, etc.
yes
no
Other
 yes
no
Other
yes
no
Other
yes
no
Are there any other persons obligated on any of the above loans? No Yes
(Which ones and who?
Are you a CO-maker, Co-signer or guarantor on any loan? Yes No
For whom? To whom?
Have you been declared bankrupt in the last 7 years? No Yes
Everything that I have stated in this application is correct to the best of my knowledge. You are authorized to check my credit and employment history and to answer questions about your credit experience with me.