Dover Federal Credit Union

Dover Federal Credit Union - Credit Application Form

Married applicants may apply for a separate account. If you are applying for Individual Credit, you must complete the Applicant section about yourself and the Co-Applicant section about your spouse if:

  • You live in or the property pledged as collateral is located in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI),
  • Your spouse will use the account, or
  • You are relying on your spouse's income as a basis for repayment.

If you are relying on income from alimony, child support or separate maintenance, complete the Co-Applicant section to the extent possible about the person on whose payments you are relying.

If you are applying for Joint Credit with another person, complete the Applicant and Co-Applicant sections.

GENERAL LOAN INFORMATION

Amount/Credit Limit Requested: $
Approximate Time to Repay: How Many?   Periods:
Loan Type:
Security Offered:
(for secured credit only)
Applicant Co-Applicant
Full Name: Full Name:
DFCU Member #: DFCU Member #:
Social Security #: Social Security #:

Please indicate your marital status if you are applying for Joint Credit, secured credit or if you live in a community property state:
Married Separated Unmarried (Single - Divorced - Widowed)

Please indicate your marital status if you are applying for Joint Credit, secured credit or if you live in a community property state:
Married Separated Unmarried (Single - Divorced - Widowed)

Driver's License #: State: Driver's License #: State:
Birth Date: Birth Date:
Home Phone:
Business Phone:
Home Phone:
Business Phone:
Present Address:
Years There: Own Rent

Email Address:

Present Address:
Years There: Own Rent

Email Address:

INCOME INCOME

Present Employer:

Address:

Start Date:

Present Employer:

Address:

Start Date:

Income: $ Net Gross
Annual Monthly Bi-weekly Weekly
Income: $ Net Gross
Annual Monthly Bi-weekly Weekly

Other Income: (Notice: Alimony,child support or separate maintenance income need not be revealed if you do not have it considered as a basis for repaying this obligation.)
Source:
$ Annual MonthlyHourly

Other Income: (Notice: Alimony,child support or separate maintenance income need not be revealed if you do not have it considered as a basis for repaying this obligation.)
Source:
$ Annual MonthlyHourly

NOTICE TO OHIO RESIDENTS: The Ohio laws against discrimination require all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

Please answer the following and provide an explanation for any YES answer:

Are there any outstanding judgments against you?

No

Yes

Is your income likely to decline in the next 2 years?

No

Yes

Have you filed for bankruptcy in the last 10 years?

No

Yes

Are you co-maker or co-signor or guarantor on any other loan not listed?

No

Yes

Have you had property foreclosed upon or repossessed in the last 7 years?

No

Yes

For Whom? Institution: Yes Explanations:

Are you party in a lawsuit?

No

Yes

Are you other than a U.S. Citizen or permanent resident alien?

No

Yes

VISA Applicants Only:

I authorize an additional VISA card in the name(s) of:

and

By submitting this loan request, you agree that the information is correct to the best of your knowledge. You also agree to notify Dover Federal Credit Union of any changes to your name, address or employment.

You authorize Dover Federal Credit Union to obtain credit reports and verify employment in connection with this request.