Loan Application Form – Comtrust Federal Credit Union

Loan Application

Please provide all the requested information. When you have completed the form, click submit for processing.

Select Loan Type

Requested Amount: *

Member Number (if applicable):

Applicant Information:

E-Mail: *

First Name: *

Middle Name:

Last Name:

Social Security#: *

Date Of Birth: *

Address: *

City: *

State: *

Zip: *

Length Of Residency In Years (numbers only): *

Do you Own or Rent? *

Rent or Mortgage Payment Amount (Monthly, numbers only): *

Mobile Phone: *

Work Phone:

Employment

Employer Name: *

Are you Employed or Retired?

Employer Address: *
Monthly Income (Gross amount,numbers only): *
Length Of Employment (in years, numbers only): *

Other Income:

Source/Desc:
Monthly Income (Gross amount, numbers only):

Co-Applicant Information (if applicable):

First Name:

Middle Name:

Last Name:

Address:

Date Of Birth:

Social Security#:

Co-Applicant Employment:

Employer Name:
Employer Address:
Monthly Income (Gross amount, numbers only):
Length Of Employment (in years, numbers only):

Co-Applicant Other Income:

Source/Desc:
Monthly Income (Gross amount, numbers only):

Preferred Branch Location to Close: *

By submitting this application, you attest that all information provided is correct to the best of your knowledge and that you either are a Member or are eligible for membership at COMTRUST Federal Credit Union. You authorize COMTRUST to obtain credit reports in connection with this application for credit approval and for an update, increase, renewal, extension or collection of the credit received. If you request, COMTRUST will give you the name and address of any credit bureau from which it received a credit report in relation to your application. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on a loan application made to a federal or state-chartered credit union insured by the NCUA.

Ver: 20190711a