Loan Request Information

  • Application for:

    OK Application for: is required
  • OK Loan Amount(s): is required
  • OK Purpose of Loan: is required
  • OK Collateral: is required
  • OK Desired payment: is required

Business / Applicant Information

  • OK Legal Name of Applicant (Borrower): is required
  • Optional OK DBA (if applicable): is required
  • OK Phone Number is required
  • OK Business Address: is required
  • OK City: is required
  • OK State is required
  • OK Zip Code: is required
  • OK Tax ID Number: is required
  • OK Contact Name: is required
  • OK Email is required
  • OK Nature of Business: is required

Owners/ Governing Members of Entity

    Please be certain to list all owners of the company. Additional guarantors who do not have an ownership in the company may be listed provided their relationship to the company and/or owners is clarified. For more than 2 owners, please insert additional rows.

  • OK Owner's Name: is required
  • Birth Date:

    OK Birth Date: is required
  • Social Security Number:

    - -
    OK Social Security Number: is required
  • OK Title: is required
  • OK % of Ownership: is required
  • OK More Owners: is required
  • OK Owner's Name: is required
  • Birth Date:

    OK Birth Date: is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • OK Title: is required
  • OK % of Ownership: is required
  • OK More Owners: is required
  • OK Owner's Name: is required
  • Date of Birth:

    OK Date of Birth: is required
  • Social Security Number

    - -
    OK Social Security Number is required
  • OK Title: is required
  • OK % of Ownership: is required

    I (we) hereby affirm that the foregoing information contained in this member business loan application, and additional information provided in support of this application, is presented for the purpose of obtaining credit as of the date indicated and is true, complete and correct. I understand the Credit Union is relying on this application in making loan(s) to me. Credit Union or its designee is authorized to make any investigation of the credit of the applicant(s), business owner(s) and/or guarantor(s) either directly or through any agency employed by Credit Union for that purpose now and in the future. Credit Union may disclose to any other interested parties Credit Union’s experience with this account. I agree to inform the Credit Union immediately of any matter which will cause any material change to my financial condition. I understand that Credit Union will retain this member business loan application whether or not credit is granted.

    OK I have read and agreed to terms above. is required
  • OK is required