Kenmore Teachers FCU

Expedite the loan evaluation process!

Applicant Name

First NameMiddle InitialLast NameSuffix

Applicant Cell Phone

Please enter a valid phone number.Format: (000) 000-0000.

Applicant Email

Applicant Date Of Birth

Applicant SSN

Applicant Driver's License Number

Applicant License State Issued?

Applicant Home Phone

Please enter a valid phone number.Format: (000) 000-0000.

Applicant Marital Status

# of Dependents

Applicant Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Number of Years at Current Address?

Prior Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Select the type of Application?

Note, if this is a Joint Application, the Joint Applicant must submit a separate application.

Select your role as the applicant?

Select type of Home Equity (HE) Loan.

Share or Share/Draft Account Number

If this loan request relates to an existing account, enter the Share or Share Draft account number.

Enter Name of the Co-Borrower or Co-Signer.

First NameMiddle InitialLast NameSuffix

Enter Email of the Co-Borrower or Co-Signer.

example@example.com

Property Type

If Other, please explain.

Is this property address the same as your current address (above)?

Property Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Who owns this property?

Estimated Value of the Property

Do you have a current loan on this property?

Tell us about the current loan information on the property

Financial InstitutionCurrent BalanceMonthly PaymentInterest Rate (%)

Do you have other loans or liens on this property?

Tell us what other loans or liens are on the property

Financial InstitutionCurrent BalanceMonthly PaymentInterest Rate (%)

Loan Amount You Are Requesting

Loan Term Your Are Requesting

Purpose for Loan

Collateral Offered

Payment Method

If Other, please explain.

Payment Frequency

If Other, please explain.

Reference 1 Full Name

Address

Phone

Please enter a valid phone number.Format: (000) 000-0000.

Relationship

Reference 2 Full Name

Address

Phone

Please enter a valid phone number.Format: (000) 000-0000.

Relationship

Employment Status

If Employment Other, please explain.

Monthly Gross Income

Company Name

Employer Phone

Please enter a valid phone number.Format: (000) 000-0000.

Position

Hire Date

Date

Employment Type

Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Separation End Date

Date

If Military, Is your separation date within a year

Previous Employer

Hire Date

Other Income 1

Source of IncomeFrequencyMonthly Income

Other Income 2

Source of IncomeFrequencyMonthly Income

Other Income 3

Source of IncomeFrequencyMonthly Income

Other Income 4

Source of IncomeFrequencyMonthly Income

Other Income 5

Source of IncomeFrequencyMonthly Income

Other Debt 1