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Account/Loan Type *
Are you intending to apply for individual or joint credit?
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Amount Requested
$
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Repayment *
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Applicant Information
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Enter if known or leave blank otherwise
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If you do not have a work phone number, please list any other phone number in this field.
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What extension is needed to reach you at the above work phone number? (optional)
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Applicant's Property Type *
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Applicant's Monthly Payment *
$
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Leave blank if no previous address
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Applicant's Previous Property Type
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Applicant's Marital Status
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Employment/Income
Notice: Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered.
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Applicant's Employment Status *
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Applicant's Employment Income Amount *
$
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How often are you paid?
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Applicant's Employment Income Type
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Applicant's Other Income Amount
$
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How often are you paid?
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Applicant's Proof of Income
Verification of Income is required for all loan applicants. If you have a recent pay stub or other documentary proof of your income, you can upload one or more pictures now. If you are submitting this form on a mobile phone, you may be able to take a picture of your pay stub or other proof and upload it immediately. Otherwise, you can transfer a picture to your computer, then upload it.
You may also email the proof of income to info@mdpfcu.org or fax it to (301) 519-9843. If you have questions about what constitutes a valid proof of income, please call us at (301) 519-9780 for more details.
If you do not presently have documentary proof of your income, you may continue to submit this loan application without uploading proof, but you will be required to submit proof to the credit union prior to a decision/approval.
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Applicant's Previous Employer
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Military
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Is the applicant in the military? *
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Is the applicant expected to have a duty station transfer during next year?
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Reference
Please list your nearest relative not living with you as your reference.
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Other Information
If you answer "yes" to any questions other than #1, please provide a written explaination.
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1. Is the applicant a U.S. Citizen or Permanent Resident Alien? *
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2. Does the applicant currently have any outstanding judgments or has the applicant ever filed for bankruptcy, had a debt adjustment plan confirmed under chapter 13, had a property foreclosed upon or repossessed in the last 7 years, or been a party in a lawsuit? *
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3. Is the applicant's income likely to decline in the next two years? *
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4. Is the applicant a co-maker, co-signer or guarantor on any loans? *
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A special link to resume the form will be sent to your email address.
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