Empire Federal Credit Union
Consumer Loan Application

Please Note: a red asterisk (*) denotes a required field.
This form will not be submitted unless all required fields are correctly filled in.

Please provide all the requested information. When you have completed the form, press the "Submit Application" button to send your application to Empire FCU for processing. You'll hear back from us in the next business day. You must be a member to qualify for a loan. If you are not currently a member, please complete a membership application to submit with this loan application.

 

Loan Information
*Application Type:
*Loan Type:
*Loan Purpose:
*Loan Amount:
*Number of Payments:
*Year of Vehicle
(required for vehicle loans only):
*Type of Loan Payment Protection Insurance Desired:  

Applicant Information
*Applicant Name: 
*Member Number:
Social Security Number:
*Street Address:
*City:
*State:
*Zip Code:
*Home Phone Number:
*Email:
*Housing Expense:
*Rent/Mortgage Monthly Payment (including taxes & insurance)   
*Length of Residence (years):

Employment Information
*Current Employer:
*Position:
Work  Phone:
*Start Date (mm/yy): *Income: Gross Net
I am paid: 
Previous Employer: 
Position: 
Years There:

Additional Income

Please Note: sources such as child support, alimony, or separate maintenance income need not be revealed if you do not choose to have it considered.
Income Source A: Amount:
Income Source B: Amount:
Income Source C: Amount:

Co-Applicant Information

(Required fields only necessary if a joint application)
Co-Applicant Name:
Member Number: 
Social Security Number:
Street Address:
City:
State:
Zip Code:
Home Phone Number:
Housing Expense:
Rent/Mortgage Monthly Payment (including taxes & insurance) 
Length of Residence (years):

Co-Applicant Employment Information
Current Employer:
Work Phone: 
Start Date (mm/yy): Income: Gross Net
I am paid:
Previous Employer: 
Position:
Years There:

 Co-Applicant Additional Income

Please Note: sources such as child support, alimony, or separate maintenance income need not be revealed if you do not choose to have it considered.
Income Source: Amount:
Income Source: Amount:
Income Source: Amount:

Receipt of Loan Proceeds
*Please acknowledge how you wish to receive the loan proceeds if approved:  

 

The credit union will make every effort to respond to this loan request the next business day.

You authorize the credit union to check your employment and credit history and to obtain credit reports in connection with this application for credit and for any update, renewal or extension of the credit received.

Click the "Submit Application" button below to submit your online loan application. (By submitting your application, you acknowledge understanding of the above and wish to continue the processing of this application.)

Note: Income may have to be verified.

Thank you for applying for a loan with Empire Federal Credit Union!