Application For Home Equity Loan

Please complete the information below. (You may also print out the application, complete it and mail, fax or bring it to any branch.)

Type of Loan You Are Requesting
To be completed by primary borrower.
Have you ever borrowed from IFCU before?
Yes No
If Yes, make any changes since your last application in the appropriate boxes below.

Check one:
Home Equity Loan (or Quick Home Secured)
Quick Home Secured Balloon
Home Equity Line of Credit

Branch location you would like to close the loan at:
Hauppauge Sayville Hicksville Brooklyn

What is the purpose of this loan?

How much are you requesting?
$

How long do you want to repay the loan?
years

How would you like to make payments?
Direct Deposit Automatic Transfer Check/Cash

Last Name	First Name	MI
IFCU Account Number	Social Security Number
Date of Birth
Driver's License Number	State
Home Phone	Work Phone
Email Address
Street Address
City	State	Zip Code
Years at this address Own Rent
Prior address if less than 2 years at current address

Debts

Mortgage Rent	Paid to
Balance (mortgage only) $	Present value of your home $
Monthly payment with property taxes $	Current interest rate (mortgage only) %
Alimony/Child support payment $ per month
Judgements, bankruptcies, garnishments, legal proceedings against you? No Yes

Income

Your employer
Employer's address
City	State	Zip Code
Date you started work there
Previous employer if less than 2 years
Your income $ Net Gross
Are you paid this amount Weekly Every other week Monthly Annually
Other income (Alimony, child support or separate maintenance need not be included if you do not want it considered as a bases for repaying this obligation.)
Source	Amount $
Do you get this amount Weekly Every other week Monthly Annually

Co-applicant
Complete this section if you are applying for joint credit.

Last Name	First Name	MI
IFCU Account Number	Social Security Number
Date of Birth
Driver's License Number	State
Home Phone	Work Phone
Street Address
City	State	Zip Code
Years at this address Own Rent
Prior address if less than 2 years at current address

Debts

Mortgage Rent	Paid to
Balance (mortgage only) $	Present value of your home $
Monthly payment with property taxes $	Current interest rate (mortgage only) %
Alimony/Child support payment $ per month
Judgements, bankruptcies, garnishments, legal proceedings against you? No Yes

Income

Your employer
Employer's address
City	State	Zip Code
Date you started work there
Previous employer if less than 2 years
Your income $ Net Gross
Are you paid this amount Weekly Every other week Monthly Annually
Other income (Alimony, child support or separate maintenance need not be included if you do not want it considered as a bases for repaying this obligation.)
Source	Amount $
Do you get this amount Weekly Every other week Monthly Annually

This application is submitted to obtain credit, and I/we certify that all information herein is true and complete. I/We also authorize the credit union to obtain further information that the credit union may deem necessary concerning my/our credit standing. I/We understand the credit union may require additional information or documentation in processing this application.

To Submit This Application
If you are applying for a Home Equity Line of Credit, please read our disclosure by clicking the disclosures link. By clicking Submit, you acknowledge that you have read the information and disclosure.