(716) 634-3881      6470 Main Street, Suite 5 Amherst, NY 14221
Loan Information

Amherst Loan Application

Do you want Credit Disability Insurance in connection with this loan?

Do you want Credit Life Insurance in connection with this loan?

Primary Applicant

Primary Applicant - Personal information

Complete for joint credit, secured credit, or if you live in a community property state

Employment information


Credit information


Residence

Is the property described your principal dwelling?

Any proceeds for a Refinanced Mortgage, Home Equity, or Home Improvement?

Is the property described listed as the applicant's address in the "Personal Information" section?

Is anyone other than your spouse a part owner of your home?

Have you ever had a car or other personal property repossessed by a dealer or finance company, filed for bankruptcy, or been a party to a wage assignment or collection suit, or have you ever been declined on a loan application with this credit union?

Reference


Additional Questions

Are you a US citizen or permanent resident alien?

Do you have any outstanding judgments?

Is your income likely to decline in the next two years?

Are you a co-maker, co-signer, or guarantor on any loan not listed?

Are you a student or do you have a work visa?

Have you filed for bankruptcy or had a debt adjustment plan confirmed under chapter 13?

Have you had property foreclosed upon or given a deed in lieu of foreclosure in the last 7 years?

Are you a party in a lawsuit?

Home equity information


Joint Applicant

Joint Applicant - Personal information

Complete for joint credit, secured credit, or if you live in a community property state

Employment information


Credit information


Residence

Is the property described your principal dwelling?

Any proceeds for a Refinanced Mortgage, Home Equity, or Home Improvement?

Is the property described listed as the applicant's address in the "Personal Information" section?

Is anyone other than your spouse a part owner of your home?

Have you ever had a car or other personal property repossessed by a dealer or finance company, filed for bankruptcy, or been a party to a wage assignment or collection suit, or have you ever been declined on a loan application with this credit union?

Reference


Additional Questions

Are you a US citizen or permanent resident alien?

Do you have any outstanding judgments?

Is your income likely to decline in the next two years?

Are you a co-maker, co-signer, or guarantor on any loan not listed?

Are you a student or do you have a work visa?

Have you filed for bankruptcy or had a debt adjustment plan confirmed under chapter 13?

Have you had property foreclosed upon or given a deed in lieu of foreclosure in the last 7 years?

Are you a party in a lawsuit?

Terms and Conditions

Assets and Debts

List your assets.

Pledged as collateral for another loan?

Owner of asset

Pledged as collateral for another loan?

Owner of asset

Pledged as collateral for another loan?

Owner of asset

Pledged as collateral for another loan?

Owner of asset

List your debts.

Debt 1 Owner:

Debt 2 Owner:

Debt 3 Owner:

Debt 4 Owner:

Debt 3 Owner:

Debt 6 Owner:

Terms and Conditions

Do you agree with the above terms and conditions?

Co-Applicant

Do you agree with the above terms and conditions?

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