Guardian Credit Union, Montgomery, Alabama

Application Type:	Single Joint
Amount of Loan:		Purpose of loan:
Collateral:
Repayment:		If Other Explain:
Account Number:		Drivers License:	State Issued:
First Name:		Last Name:
SSN:		DOB:
Address:
City:		Home Phone:
State:	Zip:	Work Phone:
Employer:		Job Title:
Start Date:		Monthly Income:
Mortgage/Rent:

Co-Applicant Information (only for joint application) You do not need to include information about your spouse in the co-application section unless: (1) You live in a community property state or the property is located in a community property state (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 of repayment. Income from alimony, child support, or separate maintenance does not need to be revealed if you do not want them considered.

Account Number:		Drivers License:	State Issued:
First Name:		Last Name:
SSN:		DOB:
Address:
City		Home Phone:
State	Zip	Work Phone:
Employee		Job Title:
Start Date:		Montly Income:
Mortgage/Rent:

Please Read Before Submitting: You promise that everything you have stated in this application is correct to the best of your knowledge and that the above information is a complete listing of what you owe. If there are any important changes you will notify us in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, renewal or extension of the credit received. You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. 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. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federal credit unions or state chartered credit unions insured by NCUA.

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