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Loan Application
Online Loan Application
* Denotes required field
Loan Type
*
Automobile
Signature
Boat/RV
Motorcycle
1st Mortgage
2nd Mortgage
Home Equity Line of Credit
First Name
*
Last Name
*
Member Account Number
*
Member Birthday
*
Member Contact Telephone #
*
Email Address
*
Street Address
*
City
*
State
*
State
Alabama
Alaska
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California
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Deleware
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New Value
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
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Zip
*
Purpose for Loan
*
Loan Amount
*
Months to Finance
*
Installment Method
*
Cash
Debit from Checking
Other
Payroll Deduction
Installment Method: If "other", please explain.
Interested in Credit Life and/or Disability insurance?
*
No
Yes
Type:
Credit Disability
Single Credit Life
Single Credit Life Disability
Joint Credit Life
Joint Credit Life Disability
None
Member Employer
*
Member Annual Gross Income
*
Number of Years with Current Employer
*
Current Position
*
Member Additional Annual Income (Not spouse)
Member Source of Additional Income Listed Above
Joint Applicant (Co-Borrower) Name
Joint Applicant Number
Joint Applicant Date of Birth
Joint Applicant Annual Gross Income
Joint Applicant Employer
Joint Applicant Number of Years with Current Employer
Position held by Joint Applicant
Joint Applicant Additional Annual Income
Joint Applicant Source of Additional Income Listed Above
Housing
*
Own Home - Monthly Payment
Own Home - Paid Off
Rent - Monthly Payment
Other
Housing: If "other", please explain:
Monthly Housing Payment
*
If this loan request is for a refinance, what is the name of the bank where it is currently financed?
If this loan request is for a refinance, what is the phone # and address of the bank where it is currently financed?
If this loan request is for a refinance, what is the account number for the current loan?
IF THIS REQUEST IS FOR A VEHICLE, COMPLETE THE FOLLOWING
Auto Insurance Company
Is the Auto
New
Still Shopping
Used
If known, please list the Year, Make, Model, VIN#, and/or mileage for the Auto
Do you have a Trade-In?
No
Yes
Is the Trade - In:
Financed
Paid Off
If Trade-In is financed, what is the Name of the Bank where it is Financed?
What name will vehicle be titled in?
By submitting this application, I agree to the Terms of Use and that the information provided is correct. I authorize CASFCU to obtain my credit history and verify any information necessary to process my application.
*
Yes
Additional Comments or Information
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