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Loan Application

Sikorsky Financial Credit Union
1000 Oronoque Lane
Stratford, CT 06614
203-377-2252 Option 2
888-753-5553 Option 2
Fax 203-378-4332

Important Information About Procedures for Opening a New Account

If a new applicant/co-applicant is not an existing member, we are required to follow new account procedures. To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify and record information that identifies each person who opens an account.

Please provide all requested information. When you have completed the form, press the Submit button to send your application to Sikorsky Financial Credit Union. You may also use this form to print and fax in your application. We will contact you as soon as your information has been processed. You will be sent a printed application to sign. Please read it carefully to make sure all information is accurate and that you understand the policies before submitting.

Married applicants may apply for individual credit. Complete spousal information only if you are a resident of community property state (CA, AZ, ID, NV, WI, LA, WA, NM, TX) or if you are relying on income or applying for joint credit with a spouse.

Income from alimony/child support payments need not be revealed unless you wish Sikorsky Financial Credit Union to consider them as a basis for repayment of debt.

Note: All transactions are secure.

Required fields are marked with an asterisk (*).

Membership

Yes   No

If you are not a member, please complete the Membership Application. You must be a member to obtain a loan from Sikorsky Financial Credit Union.

If you are not a member, please tell us how you heard about us



Who is your primary financial institution?

Loan Details




  Mortgage Refinance*
Please list mortgage debts & balances to be paid off.
 
  Brief Description for purpose of the loan*
If consolidating debts, please indicate which debts to be paid off.
 
New Purchase or refinancing an existing loan?
  
 
Age of vehicle:
  
 


¼% discount available if you select TRANSFER FROM SIKORSKY FINANCIAL CREDIT UNION ACCOUNT
repayment option below.
Funds must be available for automatic transfer when payment is due.
Discount not available on Line One or Visa Credit, Heloc's and First Mortgages


Account to transfer from (enter suffix number)*

If your loan is approved, when and where would you like to pick up the check? *

*
Click on field above to select a date

Applicant Information

 








*



111-22-3333

  mm/dd/yyyy

(555) 111-2222 // (555) 111-2222x12345 if you have an extension


(555) 111-2222


(555) 111-2222






*

Applicant Income and Employment Information

Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying the obligation.

Yes No






*







 
Previous Employment Information (if current is less than 2 years)





*



1/1/2003

 
Click to add a Co-Applicant (if applicable)
 

Co-Applicant Information



*

*
*
*
*
*

*
111-22-3333
*
  mm/dd/yyyy
*
(555) 111-2222


(555) 111-2222

(555) 111-2222






*

Co-Applicant Income and Employment Information

Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying the obligation.






*




1/1/2003



Previous Employment Information (if current is less than 2 years)






*



1/1/2003

Additional Information

Name and Address of Nearest Relative Not Living with You







*


     Applicant    Co-Applicant

Payment Protection Coverage

Check coverage(s) desired for Payment Protection Insurance - Credit Disability and Credit Life - to you. A separate enrollment form which discloses the terms and conditions must be signed for coverage to become effective.

You Elect The Following Insurance Coverage(s)  

Must be employed at least 25 hours per week
 
 
 

Disclosures

April 16, 2014
09:22 AM PST