All loans are subject to credit approval.
This is not a complete loan application and a representative from the Credit Union will be in contact with you for more details on this loan request.  Loan disclosures will be provided to you before you sign any loan documents.

NOTICE TO OHIO RESIDENTS: 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.

By submitting this loan request, you agree that the information is correct to the best of your knowledge.  You also agree to notify us of any changes to your name, address or employment.

Notice:  Alimony, Child Support, yearly maintenance income need not be revealed if you choose not to have it considered.

Payment Protection Coverage

Check coverage(s) desired. We will disclose the cost of this Payment Protection
Insurance - Credit Disability and Credit Life - to you.
A separate enrollment form which discloses the terms and conditions must be signed
for coverage to become effective.
* Indicates Response Required