The Faith Fund in Partnership with NOFFCU

Loan Application


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Please provide all the requested information. When you have completed the form, press the Submit button to send your application. You will be contacted by the credit union as soon as your application is processed.
Will there be a co-applicant on this loan application? Yes No
Type of loan requested:
Purpose:
Loan Amount / Line of Credit requested:
Term (mos):

Primary Applicant

Full Name
Member Number
Social Security No. - -
Date of Birth / /
Address
City
State
ZIP
How many years:
  Own
Rent
Live with relatives
Other
Home Phone ( ) -
Marital Status Married
Separated
Unmarried (single, divorced, widowed)
Email Address
Employer's Name
Employer's Phone Number ( ) -
Job Start Date Month Year
Gross Income
Weekly Monthly Annually
Job Title
Previous employer
if less than 2 years:
  From: To:
Notice: Alimony, child support or separate maintenance income need
not be revealed if you do not choose to have it considered
Additional Income:
Source:
Is applicant a U.S. Citizen
or permanent resident alien?
Yes No
In addition to Rent/Mortgage, list all other debts (for example auto loans, credit cards, second mortgage, alimony, child support, child care, medical, utilities, auto insurance, IRS liabilities, etc.). Please use a separate line for each credit card and auto loan.
Obligations Monthly Payment Payoff?

Joint Applicant (if applicable)

First Name
Last Name
Social Security No. - -
Date of Birth / /
Address
City
State ZIP
How many years:

Own
Rent
Live with relatives
Other
Home Phone ( ) -
Marital Status Married
Separated
Unmarried (single, divorced, widowed)
Email Address
Employer's Name
Employer's Phone Number ( ) -
Job Start Date Month Year
Gross Income
Weekly Monthly Annually
Job Title
Previous employer
if less than 2 years:
  From: To:
Additional Income:
Source:
Is applicant a U.S. Citizen
or permanent resident alien?
Yes No
Obligations Monthly Payment Payoff?

Income verification is required; therefore, other information may be necessary.

I certify that statements on this application are true and complete. I authorize any person, association, firm or corporation to furnish, on request of New Orleans Firemen's Federal Credit Union, any information concerning my affairs or me. Sec. 1014, Title 13, U.S. Code, makes it a Federal Crime to knowingly make a false statement on this application.


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