BET FEDERAL CREDIT UNION
APPLICATION FOR LOAN
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Fill out completely and return to Post Office Box
Name of Applicant______________________________________________________________________ Account#________________
Home Address (Plus zip)__________________________________________________________________________________________
Home Phone (Plus area code)_______________________________# of Dependents (excluding self)___________________________
Social Security #____________________________________________Date of Birth_________________________________________
Amount of Loan or actual Cash above Balance of Present Loan $ _______________________________________________________
Purpose of Loan _________________________________________________________________________________________________
Employer ______________________________________________________________ Phone __________________________________
Date Employed ______________________________________________ Position ____________________________________________
Annual Salary $ _____________________________ Other Annual Income $ ______________________________________________
Year and Make of Automobiles_____________________________________________________________________________________
Real Estate Owned-Location _______________________________________________________Market Value$___________________
OUTSTANDING DEBTS Present Monthly
Creditors-Address & Account # Balance Payment
BET Federal Credit Union _______________________________________________________ $_______________ $ ________________
Rent __________________________________________________________________________________________ $ ________________
Mortgage:
Including Taxes____________________________________________________________ $ _______________ $ ________________
Excluding Taxes ____________________________________________________________ $ ______________ $ ________________
Auto Loan _____________________________________________________________________ $ ______________ $ ________________
Other Credit Unions ____________________________________________________________ $ ______________ $ ________________
Bank __________________________________________________________________________ $ ______________ $ ______________
Bank __________________________________________________________________________ $ ______________ $ ________________
Credit Card ___________________________________________________________________ $ ______________ $ ________________
Credit Card ___________________________________________________________________ $ ______________ $ ________________
Other _______________________________________________________________________ $ ______________ $ ________________
Other _________________________________________________________________________ $ ______________ $ ________________
Other _________________________________________________________________________ $ ______________ $ ________________
BANK ACCOUNTS - Name of Bank, Branch & Account #
Personal Checking _________________________________________________________________________________________________
Savings ___________________________________________________________________________________________________________
Personal Reference (not a relative) ___________________________________________________________________________________
Date ____________________________ Signature ________________________________________________________________________
P.O. Box 474
Bronxville, New York 10708