Please complete the following information:
Name ____________________________
Social Security # ___________________
Address __________________________
City ______________________________
State ______________ Zip ___________
Home Phone ( ) _________________
Work Phone ( ) _________________
Annual Gross Income: $_____________
Mortgage/Rent Payment: $___________
Amount You Would Like To Borrow:
$________________________________
For How Long? ______________ months
Please read before signing. This application is submitted to obtain credit and I certify that all
information herein is true and complete. I also authorize the credit union to conduct further investigation
and obtain additional information concerning my credit reputation from all available sources from time
to time. I agree that photocopies and/or faxed copies of the documents I have signed are as enforceable
as the original.
________________________________________
Applicant's Signature Date
Fax this completed application to:
(770) 565-3821 in Georgia or
(863) 686-2557 in Florida
or mail it to: Georgia Florida United Methodist Federal Credit Union,
P.O. Box 6448, Marietta, Georgia 30065-0448 |
