Online Banking

BSE LOAN APPLICATION

YOU MUST BE A MEMBER OF THE BSE CREDIT UNION TO APPLY FOR ANY LOAN.

You are eligible to join the credit union if you live, work, attend church or school in Berea, Middleburg Heights, Olmsted Falls, Olmsted Township or Brook Park, Ohio. Membership also extends to your immediate family memebers.

Please complete the information on this application to apply for any type of loan. All information is required in order to process your application.

After you have completed the form, press the 'Submit" button to send your application.

Once your application is received at the credit union, a Loan Officer will contact you for additional information. INCOME VERIFICATION WILL BE REQUIRED. Please mail, fax or deliver a copy of your currrent pay stub to BSE Credit Union. 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 obligation.

Required Field

*Individual/Joint Credit

Joint Credit

By checking this box, I acknowledge that I'm the joint applicant on this loan application.

*Marital Status: Complete marital status if this loan is for joint or secured credit.

*Purpose for the Loan

*Amount Requested

*First Name

*Initial

*Last Name

*Social Security Number

*Birthdate MM/DD/YYYY

*Home Phone w/Area Code

*Cell Phone w/Area Code

*Driver's License #

*Current Address

*City

*State

*Zip Code

*Years at Address

*Own/Rent

*Monthly Rent/Mortgage

Previous Address

Previous Home Address

City

State

Zip Code

Years at Previous Address

*Ages of Dependents

*Email Address

Personal Reference

*Name

*Relationship

*Phone Number w/Area Code

*Address

*City

*State

*Zip Code

*Do you have a Savings Account?

If yes, where?

Savings Account Number

*Do you have a Checking Account?

If yes, where?

Checking Account Number

*Are you a U.S. Citizen or Permanent Alien?

*Do you currently have any outstanding judgments or have you ever filed for bankruptcy, had a debt adjustment plan confirmed under Chapter 13, had property foreclosed upon or repossessed in the last 7 years, or been a party in a lawsuit?

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

*Are you a co-maker, cosigner or guarantor on any loan?

If yes, list the name of others obligated on the loan and the name of the creditor.

*Are you responsible for alimony or child support?

*Employer Name

*Address

*City

*State

*Zip Code

*Position

*Hire Date MM/DD/YYYY

*Supervisor's Name

*Work Phone w/Area Code

*Monthly Gross Wages

Other Income

Source

Previous Employer

Length of Employment

Position

First Name

Initial

Last Name

Social Security Number

Birthdate MM/DD/YYYY

Home Phone w/Area Code

Cell Phone w/Area Code

Driver's License #

Current Address

City

State

Zip Code

Years at Address

Own/Rent

Monthly Rent/Mortgage

Previous Address

City

State

Zip Code

Years at Previous Address

Ages of Dependents

Email Address

Personal Reference

Name

Relationship

Phone Number w/Area Code

Address

City

State

Zip Code

Do you have a Savings Account?

If yes, where?

Savings Account Number

Do you have a Checking Account?

If yes, where?

Checking Account Number

Are you a U.S. Citizen or Permanent Alien?

Do you currently have any outstanding judgments or have you ever filed bankruptcy, had a debt adjustment plan confirmed under Chapter 13, had property foreclosed upon or repossessed in the last 7 years, or been a party in a lawsuit?

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

Are you a co-maker, cosigner or guarantor on any loan?

If yes, list the name of others obligated on the loan and the name of the creditor.

Are you responsible for alimony or child support?

Employer Name

Address

City

State

Zip Code

Position

Hire Date MM/DD/YYYY

Supervisor's Name

Work Phone w/Area Code

Monthly Gross Wages

Other Income

Source

Previous Employer

Length of Employment

Position

Authorize

I hereby authorize the Credit Union to whom this application is made, or any Credit Bureau or other investigative agency employed by such Credit Union, to investigate the references herein listed or statements or other data obtained from me or from any other source whatsoever pertaining to my credit and financial responsibility. The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

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