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HELOC Application

NOTE: Manufactured homes are not eligible.

* - Indicates required field

Getting Started

$

Credit Type

Type of Property Pledged
$
$
What type of credit are you requesting?


Primary Applicant

Personal Information

$
$
Type of Housing

Previous Address

Address 1
Address 2
Address 3

HDMA Statement

Information for Government Monitoring Purposes
The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, nor on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations, the lender is required to note ethnicity, race, and sex on the basis of visual observation or surname. If you do not wish to furnish the information, please initial below.

Gender

Employment/Income

Notice: Alimony, child support or separate maintenance income need not be revealed if you do not choose to have it considered.

$
$
If employed in current position less than three years, complete the following

References

Depository
Relative
Friend
(not a relative)

Questions

Have you any outstanding Judgement?
In the last 10 years, have you been declared bankrupt or filed a petition for Chapter 13?
Have you had property foreclosed upon or given title or deed in lieu thereof, in the last 7 years?
Are you party in a lawsuit?
Are you a U.S. Citizen?
Are you a Permanent Resident Alien?
Is your income likely to reduce in the next two years?
Are you a co-maker or co-signer on any loan?
(Name of others obligated on loan)
(Name of creditor)

Joint Applicant

Personal Information

Type of Applicant
$
Type of Housing

Previous Address

Address 1
Address 2
Address 3

HDMA Statement

Information for Government Monitoring Purposes
The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, nor on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations, the lender is required to note ethnicity, race, and sex on the basis of visual observation or surname. If you do not wish to furnish the information, please initial below.

Gender*

Employment/Income

Notice: Alimony, child support or separate maintenance income need not be revealed if you do not choose to have it considered.

$
$
If employed in current position less than three years, complete the following

References

Depository
Relative
Friend
(not a relative)

Questions

Have you any outstanding Judgement?
In the last 10 years, have you been declared bankrupt or filed a petition for Chapter 13?
Have you had property foreclosed upon or given title or deed in lieu thereof, in the last 7 years?
Are you party in a lawsuit?
Are you a U.S. Citizen?
Are you a Permanent Resident Alien?
Is your income likely to reduce in the next two years?
Are you a co-maker or co-signer on any loan?
(Name of others obligated on loan)
(Name of creditor)

Finishing Up

User Agreement

Everything that I have stated in this application is correct to the best of my knowledge. The Credit Union is authorized to check my credit, employment history, obtain a credit report and to answer questions about their credit experience with me. I understand that it may be a federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of the United States Criminal Code.

Account Disclosures

View the Account Disclosures.

E-Sign Act Disclosure

View the E-Sign Disclosure.

Prove you're not a robot*