Consumers Cooperative FCU Go to main content
308-762-1871

Loan Application

* Required Fields


    • ( ) - ext











    • Please Tell Us About Yourself (Primary Borrower)










    • Your Vehicle #1



    • Your Vehicle #2









    • ( ) - ext
    • ( ) - ext
    • ( ) - ext



    • Please Tell Us About Your Job (Primary Borrower)


    • ( ) - ext


    • Monthly dollar amount that you receive in alimony, child support, or separate maintenance - this income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.



    • The following information pertains to CO-BORROWER.
    • Please Tell Us About Yourself (Co-Borrower)






    • ( ) - ext
    • ( ) - ext
    • ( ) - ext



    • Your Vehicle #2




    • Please Tell Us About Your Job (Co-Borrower)


    • ( ) - ext


    • Monthly dollar amount that you receive in alimony, child support, or separate maintenance - this income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.



    • Please List Nearest Relative Not Living With You


    • ( ) - ext
    • Please List An Additional Relative Not Living With You


    • ( ) - ext

    • Click the "I accept the terms of the disclaimer above and submit my application" button to send the application to us via the WWW after reading the disclaimer below. By clicking "I accept the terms of the disclaimer above and submit my application", you accept the terms of the disclaimer below.

      DISCLAIMER: I/WE HEREBY CERTIFY THAT ALL STATEMENTS MADE ARE TRUE AND COMPLETE, ARE SUBMITTED FOR THE PURPOSE OF OBTAINING CREDIT, AND THAT THE CREDIT UNION MAY RELY ON THEM FOR SUCH DETERMINATION. I/WE AUTHORIZE YOU TO OBTAIN SUCH INFORMATION AS YOU MAY REQUIRE CONCERNING THE STATEMENTS MADE IN THIS APPLICATION, AND AGREE THAT THE APPLICATION SHALL REMAIN YOUR PROPERTY, AND YOU ARE AUTHORIZED TO ANSWER QUESTIONS ABOUT YOUR CREDIT EXPERIENCE WITH ME/US.

      Federal law requires verification of valid identification on all new accounts. As a loan is included in the definition of a new account, please be prepared to show valid identification.

      A five dollar loan application fee may be assessed.

    • Security Code
      What's This?
      captcha

    Go to main navigation