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Phone

This field is for validation purposes and should be left unchanged.

Unique ID

Loan Information

For which type of loan are you applying?*

Individual Credit: You must complete the Applicant Section about yourself and the Other section about your spouse if:

you live in or the property pledged as collateral is located in a community property state (AK, 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 Other section to the extent possible about the person on whose payments you are relying.

Joint Credit: Each Applicant must individually complete the appropriate section below. If Co-Borrower is spouse of the Applicant, mark the Co-Applicant box.

Guarantor: Complete the Other section if you area. guarantor on an account/loan.

Individual

Joint

Amount Requested*

Purpose of Loan/Collateral*

Check the box if you have a "Bill of Sale" or "Buyer's Order" already

Yes, I have a Bill of Sale

Upload photo of Bill of Sale

(If you do not have a Bill of Sale, uncheck the box above.)

Accepted file types: jpg, png, pdf, Max. file size: 10 MB.

Insurance Company Name

Insurance Policy Number

Insurance Company Phone Number

Insurance Agent Name (if known)

Repayment Method*

Payroll Deduction

Cash

Military Allotment

Automatic Payment

Are you interested in having your loan protected?*

If you answer "yes", Pathway Credit Union will disclose the cost to protect your loan. The protection is voluntary and does not affect your loan approval. In order for your loan to be covered, you will need to sign a separate application that explains the terms and conditions.

Yes

If you are applying for an automobile loan, are you interested in mechanical breakdown coverage?

For more information about this insurance, visit https://pathway.carsolutions.com.

Yes

Not applicable

Applicant's Personal Information

Name*

First Last

Account Number*

Social Security Number*

Driver's License State*

Driver's License Number*

Ages of Dependents

List ages of dependents not listed by Other Applicant (exclude self).

Email*

Enter Email Confirm Email

Birth Date*

Home Phone

Cell Phone

Work Phone/Extension

Present Address*

Street Address Address Line 2 City State ZIP Code

Do you own or rent this property?*

Own

Rent

Monthly amount of mortgage or rent

Length at Residence*

Specify the length in years (use 1 for anything 12 months or less)

Complete for joint credit, secured credit, or if you live in a community property state:

Married

Separated

Unmarried (single, divorced, widowed)

Are you a U.S. citizen or permanent resident alien?*

Yes

Do you currently have any outstanding judgments or have you ever filed for bankruptcy, had a debt adjustment plan confirmed under chapter 13, had property foreclosed upon or repossessed in the last seven years, or been a party in a lawsuit?*

Yes

If yes, please explain.

Applicant's Employment & Income

Employer's Name*

Employer's Address*

Street Address Address Line 2 City State ZIP Code

Position*

Start Date*

Hours at Work*

Supervisor's Name

First Last

If self-employed, type of business:

Employment Income

Please indicate the amount per timeframe. (Examples: $2,500 per month; $500 per week)

Income Clarification

Net

Gross

Do you have other sources of income?*

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

Yes

Other Income

Please indicate the amount per timeframe. (Examples: $2,500 per month; $500 per week)

Other Income Source

Proof of Income

Please upload a PDF or photo of your employment income. This could be an employer's wage report, check stub, most recent W2, and any other income which will need to be considered. While this upload is not required, before your loan application can be approved we will require this information. (Maximum of 5 files allowed.)

Drop files here or

Accepted file types: jpg, png, pdf, jpeg, heic, Max. file size: 10 MB, Max. files: 5.

Is your income likely to decline in the next two years?*

Yes

If yes, please explain.

If you are in the military, is your duty station transfer expected during the next year?*

Yes

Not Applicable

If so, where?

Ending/Seperation Date

Applicant Reference

Name of Nearest Relative Not Living With You*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Relationship*

Phone Number*

Other Applicant Personal Information

Other Applicant Type*

Spouse

Co-Applicant

Other (such as Guarantor)

Name

First Last

Account Number

Social Security Number

Driver's License State

Driver's License Number

Ages of Dependents

List ages of dependents not listed by Applicant (exclude self)

Enter Email Confirm Email

Birth Date

Home Phone

Cell Phone

Work Phone/Extension

Separate Address?

Is your address different than the primary loan Applicant?

Yes

Current Address

Street Address Address Line 2 City State ZIP Code

Do you own or rent this property?

Own

Rent

Length at Residence*

Specify the length in months or years.

Complete for joint credit, secured credit, or if you live in a community property state:

Married

Separated

Unmarried

Are you a U.S. citizen or permanent resident alien?

Yes

If yes, please explain.

Other Applicant Employment & Income

Employer's Name

Employer's Address

Street Address Address Line 2 City State ZIP Code

Position

Start Date

Hours at Work

Supervisor's Name

First Last

If self-employed, type of business:

Employment Income

Please indicate the amount per timeframe. (Examples: $2,500 per month; $500 per week)

Income Clarification

Net

Gross

Do you have other sources of income?*

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

Yes

Do you have other sources of income?

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

Yes

Other Income

Please indicate the amount per timeframe. (Examples: $2,500 per month; $500 per week)

Other Income Source

Proof of Income

Drop files here or

Accepted file types: jpg, png, pdf, jpeg, heic, Max. file size: 10 MB, Max. files: 5.

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

Yes

If yes, please explain.

If you are in the military, is your duty station transfer expected during the next year?

Yes

Not Applicable

If so, where?

Ending/Seperation Date

Other Applicant Reference

Name of Nearest Relative Not Living with Other Applicant

First Last

Address

Street Address Address Line 2 City State ZIP Code

Relationship

Phone

Debts and Liabilities of All Parties

What You Owe

Be sure to include items such as: Rent, First Mortgage, 2nd Mortgage, 1st Auto Loan, 2nd Auto Loan, Child-care, Child Support, Credit Cards, Other.

Click the + symbol at the end of the first line to add more than one loan or liability.

Loan/Liability

Creditor Name

Interest Rate

Present Balance

Monthly Payment

Owned By Applicant or Joint Applicant

Present Balance Total

Monthly Payment Total

List any names under which your credit references and credit history can be checked.

Is the applicant or joint applicant a co-maker, co-signer or guarantor on any loan not listed above?*

Yes

If yes, for whom (name of others obligated on loan) and to whom (name of creditor?

Assets of All Parties

What You Own

Be sure to include items such as: Home, Autos, Checking, Savings, Crypto, Precious Metals, and Other Assets.

Asset

Location of Property or Financial Institution

Market Value ($)

Pledged as Collateral for Another Loan (Y/N)

Owned by Applicant or Other Applicant

State Law Notices

The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy 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.

(1) No provision of any marital property agreement, unilateral statement under Section 766.59, or court decree under Section 766.60 will adversely affect the rights of the Credit Union unless the Credit Union is furnished a copy of the agreement, statement or decree, or has actual knowledge of its terms, before the credit is granted of the account is opened. (2) Please sign if you are not applying for this account or loan with your spouse. The credit being applied for, if granted, will be incurred in the interest of the marriage or family of the undersigned.

Signature for Wisconsin Residents Only

Date

Consent & Signatures

Applicant's Signature*

Date*

Joint Applicant's Signature

Date

Start a loan application today.

Get the Financing You Need

Complete the Loan Application to get started! (You may save and continue if time is an issue.)

Loan Information

Applicant's Personal Information

Applicant's Employment & Income

Applicant Reference

Other Applicant Personal Information

Other Applicant Employment & Income

Other Applicant Reference

Debts and Liabilities of All Parties

Assets of All Parties

State Law Notices

Consent & Signatures

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