Loan Application 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: New Auto Share Secured Overdraft Protection Used Auto Personal Other 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. © 2000 Island Federal Credit Union