Cherokee Strip 
C R E D I T    U N I O N

Consumer Loan Application
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Cherokee Strip Credit Union is open to anyone that lives, works, worships, or attends school in Kay County, Oklahoma. If thatís you, we welcome this consumer loan application.  The items with a Red * below are required items.


Married applicants may apply for a separate account. If you are applying for Individual Credit,  you must complete the Applicant section about yourself and the Co-Applicant section about your spouse if:
  1. Your spouse will use the account, 
  2. 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.  If you are applying for Joint Credit with another person, complete the Applicant and Co-Applicant sections.


 Type and Amount of Credit you are Requesting:


 Is this your first loan from us?  Yes        No  
 * Amount Requested: $  

 * Loan Type:

   Specify if "Other" :        

   Approximate Time to Repay:

    

 * Type of Credit:

  Individual Joint  

 Credit Union Member Information:


 Applicant:         First                   Init.              Last

Co-Applicant:  *Just use CHECK Box if same as Applicant 

 * Name:   

 Name:    
 * Address:  Address:
 * City:  City:
 * State:  State:
 * Zip:  Zip:
 * Years at this address: Own Rent  Years at this address: Own Rent
 * Social Security #:

 Social Security #:

 
   E-Mail Address:  E-Mail Address:
 * Driver's License # :  Driver's License # :  
 * Birth Date:  Birth Date:  
 * Home Phone:  Home Phone:
   Business Phone:  Business Phone:  
   Cell Phone:  Cell Phone:

   Credit Union Account # :

(5 digits)

 Credit Union Account #:

(5 digits)
 * Type of Account: CheckingSavings  Type of Account:  

CheckingSavings

 * Marital Status: Married Separated Single
(Please indicate your marital status if you are applying for Joint Credit, secured credit or if you live in a community property state)

 Marital Status: Married Separated Single
(Please indicate your marital status if you are applying for Joint Credit, secured credit or if you live in a community property state)


 Income and Debt Information:


 Debts:

 Debts:
 * Mortgage / Rent owed to:  Mortgage / Rent owed to:
 * Monthly Payment:  Monthly Payment:
   Current Mortgage Interest Rate: %  Current Mortgage Interest Rate: %

 Income:

 Income:

 * Employer:  Employer:
 * Employer Address:   Employer Address:
 * Hire Date:  Hire Date:

 * Net Income:    $Monthly   Yearly
            OR
    Hourly wage:  $ Hours per week:

 Net Income:    $Monthly Yearly
         OR
  Hourly wage:  $ Hours per week:


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.)

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:     Source:    
Amount: $ YearlyMonthlyHourly Amount: $ Yearly MonthlyHourly

 Nearest Relative Information (Not Living with You):


 * Name:

 Name:

 * Address:  Address:
 * City:  City:
 * State:  State:
 * Zip:  Zip:
 * Phone:  Phone:  
 * Relationship to Applicant:

 Relationship to Co-Applicant:


By submitting this loan application, you promise that everything you have stated in this application is correct and complete to the best of your knowledge.  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, increase, renewal, extension or collection 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 crime to willfully and deliberately provide incomplete or incorrect information in this application.