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FIRST SECURITY CREDIT UNION

7161 N. Cicero Ave., Suite 202
Lincolnwood, IL 60712

Phone: 847/933-3305

Fax: 847-933-9885

APPLICATION FOR LOAN

Please note — We may report information about your account to credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in your credit report.

Section I - Income Information

Section II - References

Address Phone

Section III - Credit Obligations

I am not indebted to any other credit union, bank, or loan agency either as a maker, or endorser, except as stated herein. No consideration has passed or will pass on me, as the borrower, to any co-signer or endorser. The statements herein are made for the purpose of obtaining credit, and are true to the best of my knowledge. I understand that you will retain this application whether or not it is approved. You are authorized to check my credit and employment history and to inquire about my credit experience with FSCU.