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Joint Credit Card Application

Before filling out this application please note the following:

1. The ENTER key does not switch between fields, please use the TAB key or the mouse to scroll down.
2. If you need to go back to previous fields, please use SHIFT-TAB.
3. Fields marked with an asterisk (*) are required fields.
4. Married persons may apply for credit in their own names.
5. If not currently a member, please complete the loan application and submit it; then a member number will be assigned after processing.
6. We will have an answer for you within an hour.
7. Read Credit Card Information Disclosure.

Fill out this application if (1) another person will use this account, (2) you want a joint account, (3) you are married and live in a community property state (AZ, CA, ID, LA, NV, NM, TX, WA, WI), or (4) you are relying on the income of a spouse to repay this loan. If none of these apply to you, please fill out an individual application instead of this one.

Click for HHCU's Privacy Policy.

Credit Limit Requested
   
Primary Applicant
Marital Status
Member Account Number
First Name*
 Initial
 Last Name*
Suffix (Jr., Sr., III, etc.)
Date of Birth* (mm/dd/yyyy)
 Social Security # / Tax ID*
 		Are you a US citizen?
Home Phone*
 Work Phone
ext 		 
Best time to call
 E-Mail Address*
 
Residence Address (Do not use P O Box)
City
State
Zip
Years at this address
      
Mailing Address (if different)
 Mailing City
Mailing State
 Mailing Zip
Primary Applicant's
Current Employment Information
Status
 Position / Occupation
  
Employer
 Years on Job
 Years in Occupation
Address
City
 State
 Zip
Employer's Main Phone
ext 		     
Primary Applicant's Income
Net $
Other** $
** Spousal support, child support, or separate maintenance income need not be revealed if you do not choose to have it considered for repayment of this loan.
Co-Applicant
Marital Status
Member Account Number
First Name*
 Initial
 Last Name*
Suffix (Jr., Sr., III, etc.)
Date of Birth* (mm/dd/yyyy)
 Social Security # / Tax ID*
 		Are you a US citizen?
Home Phone*
 Work Phone
ext 		 
Best time to call
 E-Mail Address
  
Residence Address (Do not use P O Box)
City
State
Zip
Years at this address
      
Mailing Address (if different)
 Mailing City
Mailing State
 Mailing Zip
Co-Applicant's
Current Employment Information
Status
 Position / Occupation
  
Employer
 Years on Job
 Years in Occupation
Address
City
 State
 Zip
Employer's Main Phone
ext 		     
Co-Applicant's Income
Net $
Other** $
** Spousal support, child support, or separate maintenance income need not be revealed if you do not choose to have it considered for repayment of this loan.
Assets
Autos Owned
Year
Make/Model
Balance
Payment
Primary or
Co-Applicant
Car-1
$
$
Car-2
$
$
Car-3/RV/Boat
$
$
Home

- Rental Payment $ Live w/ Parents

1st Mortgage Balance $ Payment Amount $
2nd Mortgage Balance $ Payment Amount $
Other Debts
Creditor Balance Payment
Please answer the following questions. If you answer 'yes' to any question, please place comments in the box below along with the question number.
(1) Have either of you ever had a repossession?

(2) Have either of you ever filed bankruptcy?
(3) Are either of you a co-signor on any other loan?
(4) Are there any judgments or liens against either of you?
(5) Are there any support or maintenance awards?
Please use the space provided below for any questions/comments you may have. Also include comments for any 'yes' from above.
By clicking the 'submit' button below, I certify that:

1. I/We understand I/We must be a member in good standing to obtain a loan from my/our credit union.
2. That statements on this application are true and complete.
3. I/We authorize any person, association, firm, or corporation to furnish, on request of this credit union, information concerning me/us or my/our financial affairs.


Deposits Federally Insured by NCUA  Equal Housing Lender Visitors to our web site are advised that e-mail communications may not be wholly secure from interception. Please do not include confidential information such as social security or account numbers in your e-mail communications. For a secure way to send information, click here. Click to read Hoosier Hills Credit Union's Privacy Policy.