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M-Fri  8am-6:15pm
Sat    9am-noon
Sun: Closed

 
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Loan Information: Please fax dealer sheet or equivalent on item that you will be purchasing to the AdvantagePlus Loan Fax # 812-238-9289
Desired Loan Type:
If for a new or used auto, will you be trading anything in? Yes No
If yes, (you have a trade-in), please specify:
Desired Loan Amount: $ Desired Term:

Application Type:
Individual (fill out primary applicant information below)
You hereby acknowledge your intent to apply for joint credit (fill out primary and joint applicant information below)

Primary Applicant Information: Must be filled out by Applicant.
Last Name
First
Middle
Social Sec #
Home Address
  Apt/Unit #
Home Phone #
City
State
Zip Code
Credit Union Acct #
Lived at Address Since
Do you currently own or rent?
Own Rent
Monthly Payment $
Date of Birth
Number of Dependents
Age of Dependents
Home E-mail Address
Joint Applicant Information: Fill out this and Primary Applicant sections if applying for Joint Credit.
Last Name
First
Middle
Social Sec #
Home Address
  Apt/Unit #
Home Phone #
City
State
Zip Code
Date of Birth
Current Employer
Pay Period (weekly, monthly, etc)

Gross Income per Pay Period
$
Hiring Date
 
Employer/Income Information: The Primary Applicant is to fill out this section.
Current Employer
Employment Date
Employer's Address
Employer's Phone #
Employer's City
Employer's State
Employer's Zip
Your Job Title
Pay Period (weekly, monthly, etc)
Gross Income per Pay Period
$
Other* Income
$
Pay Period (other income)
Gross Income per Pay Period (other income)
$
*You need not list income from alimony, child support, or separate maintenance payments unless you want it considered in evaluating this application. 
Current Debts: In the following spaces provided below, please list all of your current debts with the highest debt shown at the top of the list and the lowest debt shown at the bottom of the list. For the Balance Amounts, please input your best estimate if you are not certain of the exact amount.
Lender's Name Lender's Address Balance Monthly Payment
$ $
$ $
$ $
$ $
$ $
$ $
Primary/Joint Applicant Questionnaire: Check the following yes/no boxes next to the corresponding questions. If a yes answer is given, please explain further on the Additional Information box below.
 
Primary Applicant
Joint Applicant
Have you filed for bankruptcy in the last 10 years? Yes No Yes No
Are you a co-maker or co-signer on any loan? Yes No Yes No
For whom:
Amount: $
   
Have you any suits pending, judgements filed, alimony or support awards against you? Yes No Yes No
Have you any obligation not listed? Yes No Yes No
Do you have any past due bills? Yes No Yes No
Is any income you listed likely to reduce in the next (2) years? Yes No Yes No
Indicate immigration status:    
Primary Applicant: U.S. Citizen Permanent U.S. Resident Other:
Joint Applicant: U.S. Citizen Permanent U.S. Resident Other:
Loan Insurance: Are you interested in insurance on the loan? Select all that apply.
No Insurance
Life Insurance (joint)
Disability (primary applicant only)
Life Insurance (primary applicant only)
Additional Information:
Loan Application Authorization:
Prior to submitting this loan, please be advised that by sending this application you are authorizing the processor for APIFCU to review this information and transmit it to APIFCU. You further authorize APIFCU to gather whatever information it considers necessary and appropriate, including a credit report, to determine your eligibility for this loan, as well as providing any information concerning the credit application to other requesting parties. If you request, you will be informed if a credit report was obtained and given the contact information of the consumer reporting agencies and/or credit bureaus that provided the report. APIFCU does not discriminate against any applicant. By submitting this loan application you hereby request that APIFCU review the information provided on it for the purpose of extending credit to you. You will receive complete loan details and disclosures based on the type of loan selected along with your loan agreement.