Chaffey Federal Credit Union

Step 1: Loan Information

Loan Amount:

Payment Method:

Loan Type:

Loan Term:

Application Type:

Individual Joint

Previous Step Next Step

Step 2: Applicant Information

*First Name:

*Last Name:

*Drivers License Number:

*Date of Birth:

*Email Address:

Marital Status:

Address:

City / State / Zip:

Own or Rent:

Years at Current Address:

Monthly Rent or Mortgage:

Own / Rent

Previous Step Next Step

Step 3: Applicant Information Continued

Work Phone:

Home Phone:

Note:

If you've been at your current address less than 3 years please enter the following information:

Previous Address:

Previous City/State/Zip:

Previous Step Next Step

Step 4: Employment Information

Please Fax most current pay stub to: 909-986-8349

Employer:

Years on the Job:

Address:

City / State / Zip:

Title or Position:

Gross Monthly Salary:

Previous Step Next Step

Step 5: Co-Applicant Information

*First Name:

*Last Name:

*Drivers License Number:

*Date of Birth:

*Email Address:

Marital Status:

Address:

City / State / Zip:

Own or Rent:

Years at Current Address:

Monthly Rent or Mortgage:

Own Rent

Previous Step Next Step

Step 6: Co-Applicant Information Continued

Work Phone:

Home Phone:

Note:

If you've been at your current address less than 3 years please enter the following information:

Previous Address:

Previous City/State/Zip:

Previous Step Next Step

Step 7: Co-Applicant Employement Information

Please Fax most current pay stub to: 909.986.8349

Employer:

Years on the Job:

Address:

City / State / Zip:

Title or Position:

Gross Monthly Salary:

Previous Step Next Step

Step 8: Other Income

Please Fax most current pay stub to: 909.986.8349

Please list any other income you receive. You do not have to reveal child support, alimony or separate maintenance income if it isn't to be considered for repayment of this loan. Please list both the source of the income and the monthly dollar amount.

Previous Step Next Step

Step 9: Debt Information

Creditor #1:

Balance Amount:

Monthly Payment:

Creditor #2:

Balance Amount:

Monthly Payment:

Creditor #3:

Balance Amount:

Monthly Payment:

Previous Step Next Step

Step 10: History

Previous Step Next Step

Step 11: Comments

Previous Step Next Step

Step 12: Agree and Complete

IMPORTANT: You must review this section before submitting your application.

"I," "Me," and "My" mean each and all of the applicants listed.
1. I certify the accuracy of the information in this application given and I will notify the Credit Union in writing immediately if there is any change in my financial condition. It is a violation of Section 1014, Title 18, U.S. Code, to make a false statement or overvalue security for the purpose of influencing the action of any federally insured credit union.
2. I authorize you to gather whatever credit and employment information you consider appropriate from time to time (I understand that this will assist, for example, in determining my eligibility for renewal of credit and additional extensions of credit).  I understand and agree that you may retain this application and any other credit information you may receive and that I waive my right to confidentiality of my records with the California Department of Motor Vehicles (DMV) under California Vehicle Code § 1808.21 and authorize you to obtain such information from the DMV.
3. I agree that by using or authorizing another to use this Account, I will be bound by the terms and conditions of the applicable CFCU Loan Agreement and Truth-In-Lending Disclosure Statement. I also agree to sign all loan documents required by CFCU.
4. I must promptly notify you of any change in my e-mail address, postal address, or telephone number in writing during business hours or by mail at: CFCU P.O. Box 660 Ontario, CA 91762
5. By clicking the Submit button I understand that I am submitting this application and authorize CFCU to access my credit report.

By checking the box on the right, you are agreeing to abide by the
terms and conditions stated above.