Loan Application

Welcome to Capital Credit Union’s Consumer Loan Application Form– the easy way to apply for a loan! Please answer each question (required fields are indicated with an *) to ensure that you are provided with the best loan option. This application is secure.

Where did you hear about us?^*

Borrower 1:

Name (First, Middle, Last)^*

Address (Please provide street address, no PO Boxes)^*

City^*

State^*

Zip^*

Length at Current Address^*

Previous Address
(if at current address less than 2 years)

City

State

Zip

Length at Previous Address

Monthly Rent or Mortgage Payment^*

Social Security Number^*

Date of Birth^*

Employer^*

Position^*

Length of Employment^*

Gross Monthly Income^*

Reference Name^*

Reference Phone Number^*

Details of Collateral

Loan Amount Requested^*

Primary Phone^*

Work Phone^*

Email^*

Preferred Contact Method

Phone

Preferred Contact Time

Morning

Afternoon

Evening

Borrower 2:

Name (First, Middle, Last)

Address

Address is the same as Borrower 1

City

State

Zip

Length at Current Address

Previous Address

(if at current address less than 2 years)

Previous address is the same as Borrower 1

City

State

Zip

Length at Previous Address

Monthly Rent or Mortgage Payment

Social Security Number

Date of Birth

Employer

Position

Length of Employment

Gross Monthly Income

Reference Name

Reference Phone Number

Primary Phone

Primary phone is the same as Borrower 1

Work Phone

Promotional Code:

Getting Started

Borrower 1:

Borrower 2: