Loan Application

Loan applicants may print a copy of the application and submit it in person, by mail or by Faxing it to the credit union at: 214-273-7111 or you may elect to submit it online. Please include a copy of your most recent paycheck stub to accompany your application.
All applicants must complete the Applicant section
If you are applying for Individual credit, you must complete the Other section about your spouse if:
  1. You live in or the property pledged as collateral is located in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI);
  2. Your spouse will use the account; or
  3. You are relying on your spouse's income as a basis for repayment. If you are relying on income from alimony, child support or separate maintenance, complete the Co-Applicant section to the extent possible about the person on whose payments you are relying.
You may apply for individual credit with a Guarantor. In this case, please fill in the Other section with the Guarantor's information.
If you are applying for Joint credit, each Applicant must individually complete the appropriate section below. If Co-Borrower is spouse of the Applicant, mark the Co-Applicant box.
 

 

WHEN ENTERING DOLLAR FIGURES PLEASE USE WHOLE NUMBERS ONLY. DO NOT USE A $ OR COMMAS

TYPE AND AMOUNT OF CREDIT YOU'RE REQUESTING (Required fields are indicated by an asterisk *)
* Is this your first loan from us: Yes No 
* Applying for: Individual Credit Joint Credit
* Amount/Credit Limit Requested:
* Approximate Time to Repay: How Many: Periods:
* Loan Type:
If other, please specify:

Security Offered:

(for secured credit only)
   

Payment Protection Coverage (Check if desired)
Check coverage(s) desired. The credit union will disclose the cost of this Payment Protection Coverage to you. A separate enrollment form which discloses the terms and conditions must be signed for coverage to become effective.
* Do you want your loan protected for you and your family if you become disabled? Yes
No
* Do you want your loan protected for you and your family in the event of your death? Yes
No

Tell Us About Yourself - Applicant

* Applicant's First Name:
Applicant's Middle Initial:
* Applicant's Last Name:
Credit Union Account #:
* Social Security #
* Please indicate your marital status if you are applying for secured credit or if you live in a community property state: Married
Separated
Unmarried (Single - Divorced - Widowed)
* Driver's License #: 
* Driver's License State:
* Birth Date:
* Home Phone:
* Business Phone: If not employed enter none
E-Mail Address:
* Present Address:
Suite or Apartment Number:
* City:
* State:
* Zip:
* Years There: Enter a number or the word none
* Months There: Enter a number from 1 to 11 or the word none
* Do you rent or own? Own
Rent

Applicant's Debts - If you have paid off your mortgage, enter none in the 'owed to' field and skip the other fields in this section.
* Mortgage/Rent owed to:
Balance (Mortgage only):
* Monthly Payment:
Current APR % (Mortgage only):
* Person Responsible for Payment:

Applicant's Income
* Employer: If not employed enter none
* Employer's Address:
Employer's Suite Number:
* Starting Date of Employment:
* Title or Grade:
* Income:
* Income listed above is:

Net Gross

Annual
Monthly

Bi-Weekly
Weekly
Other Income:
(Notice: Alimony, child support or separate maintenance income need not be revealed if you do not have it considered as a basis for repaying this obligation.)		 $
Source of Other Income:
Other Income is: Annual
Monthly
Hourly

Tell Us About Yourself - Other

Applying as: Co-Applicant
Spouse
Guarantor
Other's First Name:
Other's Middle Initial:
Other's Last Name:
Credit Union Account #:
Social Security #
Please indicate your marital status if you are applying for secured credit or if you live in a community property state: Married
Separated
Unmarried (Single - Divorced - Widowed)
Driver's License #: 
Driver's License State:
Birth Date:
Home Phone:
Business Phone: if not employed enter none
E-Mail Address:
Present Address:
Suite or Apartment Number:
City:
State:
Zip:
Years There: Enter a number or the word none
Months There: Enter a number from 1 to 11 or the word none
Do you rent or own? Own
Rent

Other's Debts - If there is no mortgage, enter none in the 'owed to' field and skip the other fields in this section.
Mortgage/Rent owed to:
Balance (Mortgage only):
Monthly Payment:
Current APR % (Mortgage only):
Person Responsible for Payment:

Other's Income
Employer: If not employed enter none
Employer's Address:
Employer's Suite Number:
Starting Date of Employment:
Title or Grade:
Income:
Income listed above is:

Net Gross

Annual
Monthly

Bi-Weekly
Weekly
Other Income:
(Notice: Alimony, child support or separate maintenance income need not be revealed if you do not have it considered as a basis for repaying this obligation.)		 $
Source of Other Income:
Other Income is: Annual
Monthly
Hourly
 

References (We require at least two references to complete this application.)
Reference #1
* First Name:
* Last Name:
* Address:
Suite or Apartment :
* Home Phone:
Work Phone:
Reference #2
* First Name:
* Last Name:
* Address:
Suite or Apartment :
* Home Phone:
Work Phone:

Signatures
OHIO RESIDENTS ONLY: The Ohio laws against discrimination require all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

WISCONSIN RESIDENTS ONLY: (1) No provision of any marital property agreement, unilateral statement under Section 766.59, or court decree under Section 766.70 will adversely affect the rights of the Credit Union unless the Credit Union is furnished a copy of the agreement, statement or decree, or has actual knowledge of its terms, before the credit is granted or the account is opened. (2) Please sign if you are not applying for this account or loan with your spouse. The credit being applied for, if granted, will be incurred in the interest of the marriage or family of the undersigned.

Wisconsin Residents Signature and Date:

EVERY APPLICANT: You promise that everything you have stated in this request is correct to the best of your knowledge. If there are any important changes, you will notify us in writing immediately. You also agree to notify us of any change in your name, address or employment within a reasonable time thereafter. You authorize Las Colinas Federal Credit Union to obtain credit reports in connection with this request. 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. You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on requests made to Federal Credit Unions or State Chartered Credit Unions insured by the NCUA. You understand that the credit union will rely on the information in the request and your credit report to make its decision.
* Applicant Signature:
Co-Applicant Signature:
Date Signed and Submitted:
By typing your name and submitting this loan request, you agree that the information is correct to the best of your knowledge. This application will no be processed without your name typed in the appropriate box above.