First Ohio Credit Union

Loan Application
Please provide all the requested information. When you have completed the form, press the Submit Button to send your application to First Ohio Credit Union, Inc. for processing. You'll hear back from us in one working day.

Please Note: you may also print this application and fax it to (419) 435-4008.

Account #
Purpose of Loan
Amount $	# of Payments
Collateral
Method of Payment
Credit Insurance Desired
Complete for vehicle purchase:

Year

Make

Model

Mileage		Serial #
Dealer/Seller		Phone #
Applicant Information

Name

# of Dependts.

Present Address (Street, City, State, Zip)
No. of years
Homeowners Please Complete

Purchase price		Balance owed
Est. Value

Social Security #

Home phone

Birthdate

Employer's Name/Div.
Employer's Address
Employer's Phone		Position
Source of Other Inc.

Years Received		Amount $
Pay Frequency Weekly Bi-weekly Bi-monthly

Gross

Net

Hire Date

Previous Employment (Complete if less than 3 yrs)

Years Employed
Automobile owned or financed or leased		Year

Make

Model

Bal. Owed

Automobile owned or financed or leased:

Year

Make

Bal. Owed

Credit Information, Outstanding Debits
List ALL DEBTS, i.e. CAR LOANS, BANKS, LOANS, BANK LOANS, FINANCE COMPANIES, CREDIT UNIONS, DEPT. STORES, CREDIT CARD ACCOUNTS, AND OTHER OBLIGATIONS - (E.g. liability to pay alimony, child support, separate maintenance). ATTACH ADDITIONAL SHEET IF NECESSARY.

Name

1.

Int.
Rate

Monthly
Pmt.

Balance Owed

To the best of my knowledge, I have no other debts. I understand that you will retain this application whether or not it is approved. You are authorized to check my credit and employment plus any questions regarding my credit experience with you.

Signature _________________________________________
(signature not required if submitting on-line)

Joint Applicant Information
(Joint Borrower, Co-Maker)

Name	# of Dependts.

Present Address (Street, City, State, Zip)

No. of years

Previous Address
(Complete if previous address is less than 3 years)

No. of years

Homeowners Please Complete

Purchase price

Balance owed

Est. Value

Social Security #

Home phone

Birthdate

Employer's Name/Div.

Employer's Address

Emp. Phone

Position

Source of Other Inc.

Years Received

Amount $

Pay Frequency Weekly Bi-weekly Bi-monthly

Gross

Net

Hire Date

Previous Employment (Complete if less than 3 years)

Years Employed

Automobile owned or financed or leased:

Year

Make

Model

Bal. Owed

Automobile owned or financed or leased:

Year

Make

Model

Bal. Owed

Name

1.

Int.
Rate

Monthly
Pmt.

Balance Owed

Signature _________________________________________
(signature not required if submitting on-line)

Three Locations to Serve you: First Ohio Credit Union, Inc. 1-800-537-5993	1650 N. Countyline St., Fostoria, Ohio 44830 419-435-8513	203 N. Sandusky St., Tiffin, Ohio 44883 419-447-5929	111 Tarhe Trail Upper Sandusky, Ohio 43351 419-209-7589