Home Equity Loan Application

Please provide all of the requested information. When you have completed the application, press the Submit button to send it to Mid American Credit Union.

Application Type

Please enter the initials of both applicants to indicate agreement of a joint credit application:

Loan Information

Personal Information

Employment

Joint Applicant Information

Joint Applicant Employment

Income Information

Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this loan.

Primary Applicant Income
Joint Applicant Income

Mortgage Payment Information

Home Owner's Insurance Information

Questions

Are there any outstanding judgements against you?

*Primary Applicant
*Joint Applicant

Have you declared bankruptcy?

*Primary Applicant
*Joint Applicant

Have you had property foreclosed upon or given title or deed in lieu thereof in the last seven years?

*Primary Applicant
*Joint Applicant

Are you a party in a law suit?

*Primary Applicant
*Joint Applicant

Are you obligated to pay child support, alimony or separate maintenance?

*Primary Applicant
*Joint Applicant

Are you a co-signer on any loan?

*Primary Applicant
*Joint Applicant

Are you a U.S. citizen?

*Primary Applicant
*Joint Applicant

If no, are you a resident alien?

*Primary Applicant
*Joint Applicant

Information for government monitoring purposes

The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender’s compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may discriminate neither on the basis of this information, nor on whether you choose to furnish it. If you furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation or surname. If you do not wish to furnish this information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the particular type of loan applied for.)

Primary Applicant
Ethnicity
Race
Sex
Joint Applicant
Ethnicity
Race
Sex

Agreement

By submitting this application, I (we) certify that everything I (we) have stated in this application is correct. You may keep this application whether or not it is approved. I (we) also authorize you to check my (our) credit and employment history and to answer questions others may ask you about my (our) credit record with you. I (we) understand that I (we) must update credit information at your request if my (our) financial condition changes. I (we) understand that the loan will be secured by a mortgage on the property described herein and represent that the property will not be used for any illegal or restricted purpose.

I (we) agree that additional information may be needed to process my (our) loan application and that submission of this online application does not constitute a full and complete application.

I (we) fully understand that it is a federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of Title 18, United States Code, Section 1014.

The USA Patriot Act has paved the way for financial institutions to help prevent fraud, identity theft, and the spread of terrorism. It requires financial institutions to obtain more informations from an individual or legal entity to help establish identity.

* Required field

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