| North Alabama Educators Credit Union
Express Loan Application
Applicants can either click on the Word File below for an application, or print this page. Completed applications can be faxed, mailed, or delivered to any branch office. The fax numbers are listed below.
Main Office Fax: 256-533-3575
Sparkman Branch Fax: 256-851-2341
Athens Branch Fax: 256-232-3693
Decatur Branch: 256-260-0511
Madison Branch: 256-722-2689
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| Printable Version - Can be faxed, mailed, or delivered.
Please complete (2) two applications if more than one person is applying. Place a X beside either "APPLICANT" or "CO-APPLICANT". (Primary member would be "APPLICANT").
APPLYING AS APPLICANT: ____ AS CO-APPLICANT: ____
LOAN PURPOSE/COLLATERAL: ______________________________
AMOUNT REQUESTED: ____________________________
NAME: ________________________________________
MOTHER'S MAIDEN NAME: ____________________________
ACCOUNT NUMBER: ____________________________
SOCIAL SECURITY NUMBER: ________________________
DRIVER'S LICENSE #/STATE: _________________________
BIRTH DATE: _________________________
HOME PHONE: _________________________
BUSINESS PHONE: _________________________
E-MAIL ADDRESS: ________________________________________
PRESENT ADDRESS: ______________________________________
LENGTH AT RESIDENCE: ____________________________
MORTGAGE/RENT OWED TO: ____________________________
MORTGAGE/RENT MONTHLY PAYMENT: _____________________
COMPLETE FOR JOINT CREDIT OR SECURED CREDIT - WHAT IS MARITAL STATUS: ______________________________
EMPLOYER: ______________________________
EMPLOYER ADDRESS: _________________________________
START DATE: ______________________________
GROSS INCOME PER MONTH: ______________________________
Notice: Alimony, Child Support, or Separate Maintenance Income does not have to be revealed if you choose not to have that income considered as a basis for repayment.
OTHER INCOME AND SOURCE: ____________________________
OTHER INCOME AND SOURCE: ____________________________
OTHER INCOME AND SOURCE: ____________________________
*By signing below you promise that everything you have stated in this application is correct to the best of your knowledge. If there are any important changes you will notify us in writing immediately. You authorize North Alabama Educators Credit Union to obtain credit reports in connection with this application for credit and for any update, increase, renewal, extension, or collection of the credit received. You understand that the credit union will rely on the information in this application and your credit report to make its decision. If you request, the credit union will tell you the name and address of any credit bureau from which it received a credit report on you. It is a FEDERAL CRIME to willfully and deliberately provide incomplete information on loan applications made to state chartered credit unions insured by the NCUA.
SIGNATURE: _______________________________________________
DATE: _______________________________________________
Completed application(s) may be faxed, mailed, or hand delivered to credit union office location of your choice. (See "ABOUT US" page for fax phone numbers and address locations of offices.)
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