Loan Application › Champion Credit Union

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Please complete the form below to start your loan application.

* indicates a Required Field

Loan Request Info

Amount Requested *

Desired Monthly Payment

Purpose of Loan *

If Auto Loan, please provide vehicle information.

Year

Make

Model

VIN

Current Mileage

Additional Options (if applicable)

Applicant Personal Info

Are you a current Member of Champion Credit Union? *

Yes

Member Number

Preferred Office *

Applicant Name *

Last 4 of SSN *

Date of Birth *

Home Phone Number *

Cell Phone Number

Email Address *

ID Type *

ID Number *

Issued Date *

Expiration Date *

Physical Address *

City *

State *

Zip *

Mailing Address (if different from Physical Address)

City

State

Zip

Time at Current Residence (in years)*

Previous Address (if less than 2 years at current address)

City

State

Zip

Applicant Financial Info

Housing Type *

Housing Monthly Payment *

If Own, Estimated Value of Home

Current Employer *

Length of Employment (in years)*

Occupation *

Monthly Gross Income *

Additional Monthly Income

Child support, alimony, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repayment of this loan.

Additional Monthly Income 1 Type

Amount

Additional Monthly Income 2 Type

Amount

List additional assets below. (Optional)

Additional Asset 1

Estimated Value

Additional Asset 2

Estimated Value

Additional Asset 3

Estimated Value

Additional Asset 4

Estimated Value

Do you have any other monthly obligations not listed on your credit report? *

Yes

If yes, please list additional monthly obligations.

Obligation 1 Type

Amount

Obligation 2 Type

Amount

Additional Info

Are you a U.S. Citizen or permanent resident alien? *

Yes

Do you currently have any outstanding judgements, or have you ever filed for bankruptcy, had debt adjustment plan confirmed under Chapter 13, had property foreclosed upon or repossessed in the last seven years, or been a party in a lawsuit? *

Yes

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

Yes

Are you a co-maker, co-signer, or guarantor on any loan(s)? *

Yes

If yes, describe.

By checking this box, I agree that by providing this information, I am authorizing Champion Credit Union to obtain a consumer credit report to evaluate my request. *

By sending your application, you agree that you have reviewed our Privacy Policy linked here and our Electronic Banking Services Disclosure and Consent Form linked here. By clicking 'Send Application' you agree that the above information is accurate to the best of your knowledge and provided to process a loan application with Champion Credit Union. By providing an email address, you are consenting to receiving electronic communication and disclosures.

Success! We have received your application. A member of our team will reach out as soon as possible during normal business hours; Monday - Thursday 8 am - 5 pm, Friday 8 am - 6 pm.