Loan #_________[]A  []B  []C  []D   [return to "How to Apply"]                                                                                                

Women’s Southwest FCU (WSFCU) ~ Mail P.O. Box 720207 Dallas TX 75372

 Supplement to application for Share-Secured, Incentive, or Credit-Builder Loan

We do not sell names & addresses; we do not give phone numbers/e-mail addresses to credit bureaus.  Please provide contact info so that we can reach you if we have questions, need help reading your printing, or need to change your loan funding appointment.

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Name_________________________________________________ WSFCU Share Account #_____________

Phone Numbers (cell, landline, day, evening): __________________________________________________

E-mail address:_________________________________________________________________

LOAN TYPE (check one):

[ ]Share-Secured Type I (your savings account = $106 for every $100 you borrow)

[ ]Share-Secured Type II (a friend/relative has/will open a WSFCU savings account with $106 for every $100 you borrow). Their

name_________________________Their WSFCU Account #__________

[ ]Credit Builder (funds you borrow will go into your WSFCU savings and be “frozen” until loan is paid in full)

[ ]Incentive Loan secured by 0.00% Annual Percentage Yield share certificate (via Dallas office only)

Shall we combine this loan with an existing loan?  [ ]n.a.  [ ]No  [ ]Yes, with Loan [ ]A   [ ]B   [ ]C  [ ]D

Repayment preference (check one or both):  I want to pay off this loan:

[ ] in (number of) _______ months.           [ ] at  approximately $______________ per month.

Distribution of loan funds (check one):

          [ ] Put all $ in my WSFCU savings #__________

          [ ] Make check out to: [ ] me                  [ ] ___________________________________________________

          [ ] Make check out as above for $_____________; put the rest in WSFCU savings #_______________

Payment date: all payments will be due the same date of each month.  Your first payment may be due up to 45 days from date loan is funded.

Month first payment will be due:_________  Regular payment date: [ ]5^th  [ ]20^th [ ] (other)__________

Funding Preference (select one option):

          [ ]I’ll contact you to make an appointment to visit your [ ]Main office  [ ] Pacific Coast branch

          [ ]By mail: send me a Loan Agreement (check one):  [ ] by postal mail  [ ] attached to an e-mail.  A Notary Public will watch me sign it; I’ll mail it back to you; then disburse the funds

OPTIONAL CREDIT INSURANCE  

[ ] I have read the literature from Credit Union National Association (CUNA) Mutual Insurance Society.  Please draw up a comparison to let me know how much my monthly payments would be with and without credit insurances.  (If I elect credit insurance, I shall read my Certificate of Insurance for details.)