Avadian Credit Union

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Automobile Application

Submission of this completed form indicates you want Avadian Credit Union to process an auto loan for decision by our Underwriting Department. This form is not considered complete until all required disclosures are returned and all requested underwriting documents are forwarded to the Credit Union. You must submit this form to start the approval process and a signed application will be required to complete it.

By submitting this form you are authorizing the Credit Union to make inquiries about and access your credit information. The submission of this form is not an approval or commitment by the Credit Union.

We value the security of your personal information. Be assured that the information you are sharing with us is protected using data encryption.

Membership Eligibility

1. How do you qualify for membership?:  
2. What county do you live in?:  

Personal Information

1. Borrower name:  
 
FirstM.I.Last
     
SSN:  
DOB:  
Co-borrower name:
SSN:
DOB:
2. Current address
(city, state, zip):

 
Home / Cell phone number:
Email address:
 
Co-borrower's
home / cell phone number:
3. Do you rent or own your home:
  What is your monthly rent or mortgage payment (if applicable):
  Years at current address:
If years at current address is less than 2 years please list prior address:
4. (Borrower) Employer:   
 
Employer Address:   
 
Position:   
 
Start Date:   
 
Work phone number:   
 
If employed less than two years:
Previous employer:   
Position:   
Dates of employment:   
Employer phone number:   
5. (Co-borrower) Employer:   
Employer Address:   
Position:   
Start Date:   
Work phone number:   
If employed less than two years:
Previous Employer:   
Position:   
Dates of employment:   
Employer phone number:   
6. (Borrower)
Gross monthly income:
$
 
7. (Co-borrower)
Gross monthly income:
$
8. Loan amount requested: $
 
9. Term of loan:   
 
10. Approximate
sales price:
$
   
11. Type of loan requested:

 
12. Vehicle Specifications:  
Please provide us the
VIN number if available.
Make:
Model:
Year:
# of miles on the vehicle:
  Special Features (check all that apply):

13. Mother's Maiden Name
 
14. How did you hear about us?
15. What branch were you referred by:
Name of the person that referred you:

Reference

1. Reference Name
 
2. Address
 
3. Phone #
 
4. How Related
 

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