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Applications » Visa Application

  Loan Application | Visa Application

 

 

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VISA APPLICATION

* Required Field
  Will there be a co-applicant on this atm/debit application?

  Type of card requested
* Account Type
  Card Limit Requested

Account Holder/Primary Applicant

* Owner Name
* Account #
* Social Security Number - -
* Date of Birth / / (mm/dd/yyyy)
* Address
* City
* State
* Zip Code
* Home Phone() -
  Work Phone() - ext
* Employer Name
* Employer Phone Number() - ext
* Gross Income (annual)
* Job Start (month/year)
* Job Title

Joint Account Holder/Joint Applicant

If this is a joint account, please fill out the section below.

  Joint Name:
  Account #
  Social Security Number - -
  Date of Birth / / (mm/dd/yyyy)
  Address
  City
  State
  Zip Code
  Home Phone() -
  Work Phone() - ext
  Employer Name
  Employer Phone Number() - ext
  Gross Income (annual)
  Job Start (month/year)
  Job Title

Debts / Monthly Payment

 TypeMonthly Payment
1.
2.
3.
4.
5.
6.
7.
8.
9.

In addition to Rent/Mortgage, list all other debts (for example, auto loans, credit cards, second mortgage, home association dues, alimony, child support, child care, medical utilities, auto insurance, IRS liabilities, etc.). Please use a separate line for each credit card and auto loan.

Please note: Income verification is required; other information may be required.

Alimony, child support, or separate maintenance income need not be listed unless you choose to have such income considered regarding extension and repayment of the credit requested.

I certify that statements on this application are true and complete. I authorize any person, association, firm, or corporation to furnish, on request of this Credit Union, information concerning me or my affairs.

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Electrical Workers Local CU
1366 Porter
Detroit, Michigan 48226
313.963.6060
Fax: 313.962.6973
jeannenye@sbcglobal.net