Email:

Amount of Loan $
Purpose of Loan ie., auto, signature, real estate, etc.
Method of Repayment:
Cash/Check Payroll Deduction Auto transfer from checking/savings

Requested Term of the Loan (in months): 12 24 36 48 60 Other
 

Information:

Social Security Number:
Full Name (required) :

Residential Street Address: Own Rent


City: State: Zip:
How long have you lived at this address? Years Months
Monthly rent or Mortgage payment? $
Home Phone Number: Work Phone Number :
Date of Birth:
Marital Status (If you live in a community property State such as Texas):
Married Unmarried Separated
Previous Address (if you have lived at your current address less than 2 years):

Employment Information:

Name of Employer:
Employer's Address:
Gross Monthly Salary: $
Length of Employment (Years and Months): Years Months
Position or Job Title:
Please list any other income. You need not list income from Alimony, Child Support, or Separate Maintenance unless you wish it considered for purposes of granting this credit. Include the source and monthly dollar amount:

You authorize the AmericasFavoriteMortgage.com to obtain credit reports in connection with this application for credit and for any update, renewal or extension of credit received. 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. You understand that it is a Federal crime to willfully and deliberately provide incomplete or incorrect information of loan applications. You also understand that you may be required to complete a Loan Agreement in conjunction with the approval of this loan.