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PLUGGED IN Credit Card/Loan Application
Request Date: July 28, 2015, 4:25 PM CDT
     The information below will be used to evaluate your credit request. Please complete the requested information as thoroughly as possible.

Please Note: This application is for our members aged 16 to 22. If you are not in this age group please click here .
 
  Which are you applying for: a Credit Card or Loan?
  If Loan, Amount Requested and Purpose.
  Linn Area Account #
 
 
     Here`s where you give us some information about yourself. Remember, the fields marked with an asterisk "*" are required.  
  First Name
  Middle Name
  Last Name
  Street Address
  Street Address
  City
  State
  Zip
  Country
  Years at this Address
  Your living situation Own  
Rent
Live w/ Parents
  How do you prefer we contact you? (Phone/Email)
  Home Phone    - 
  Date of Birth    MM/DD/YYYY
  Social Security Number  -   - 
  Email Address
  Employer - If not employed, what money will you use to make the payments?
  Cell Phone    - 
  Years at this Employer
  Gross Monthly Salary
     Alimony, child support, and separate maintenance income need not be declared if you do not wish to have it considered for this application.  
  Other Income:   Monthly Amount     Source  
  Other Income #1    
  Other Income #2    
  Other Income #3    
  Expenses:   Monthly Payment     Balance  
  Rent/Mortgage    
  Auto Loans    
  Credit Cards    
  Student Loans    
  Alimony/Child Support:    
  Other Expenses #1    
  Other Expenses #2    
  Other Expenses #3    
 
 
     Here's where you'll put information about a joint owner, if you need to. (If you are under 21 and don't have proof of income, you must have a co-signer.) If there is no co-signer, you can skip to the next section.  
  First Name
  Middle Name
  Last Name
  Street Address
  Street Address
  City
  State
  Zip
  Relationship to Applicant
  Years at this Address
  Do you Own or Rent? Own  
Rent
Other
  How do you prefer we contact you? (Home Phone/Cell Phone/Email)
  Home Phone    - 
  Date of Birth    MM/DD/YYYY
  Social Security Number  -   - 
  Email Address
  Employer
  Work Phone    - 
  Years at this Employer
  Gross Monthly Salary
     Alimony, child support, and separate maintenance income need not be declared if you do not wish to have it considered for this application.  
  Other Income:   Monthly Amount     Source  
  Other Income #1    
  Other Income #2    
  Other Income #3    
  Expenses:   Monthly Payment     Balance  
  Rent/Mortgage    
  Auto Loans    
  Credit Cards    
  Student Loans    
  Alimony/Child Support:    
  Other Expenses #1    
  Other Expenses #2    
  Other Expenses #3    
 
 
  Disability Insurance
  Credit Life Insurance
  Joint Life
     Review all your answers carefully. After verifying that all your information is correct, click "Submit" at the botton of the page to complete your application.

1. By submitting this application, you authorize Linn Area Credit Union to obtain credit reports in connection with this application for credit and for any update, increase, renewal, extension, or collection of the credit received. You understand that the Credit Union will rely on the information in this application and your credit report to make its decisions. If you request, the Credit Union will tell you the name and address of any credit bureau from which it received a credit report on you. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federal credit unions or state chartered credit unions insured by NCUA.

2. If you are applying for a credit card, you understand that the use of your card will constitute the acknowledgement of receipt and agreement to the terms of the credit card agreement and disclosures. You grant us a security interest in all individual and joint share and/or deposit accounts you have with us now and in the future to secure your credit card account. When you are in default, you authorize us to apply the balance in these accounts to any amounts due. Shares and deposits into an Individual Retirement Account, and any other account that would lose special tax treatement under state or federal law if given as security, are not subject to the security interest you have given in your shares and deposits.
 
  
 
 
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