Home Equity Loan Application (Short Form)

The following form is an abbreviated residential loan application. After you complete and submit this application, a Mortgage Professional located here at First Community Credit Union will pre-qualify you (i.e., determine your mortgage loan eligibility qualifications) and will assist you with the process of obtaining a loan.

If you prefer, you can perform a simple pre-qualifying calculation yourself, using our simplified self-qualifying calculator.

When you have completed the form, press the "Submit Form" button to send your application to First Community Credit Union for processing. The data will be transfered using our Secure Server. If you do not have an HTTPS compatible browser, you may simply print this form and fax it to (636) 537-4491.

Married applicants may apply for individual credit. Complete spousal information only if you are a resident of a community property state (CA, AZ, ID, NV, WI, LA, WA, NM, TX) or if you are relying on income or applying for joint credit with a spouse.

Income from alimony/child or spousal support payments need not be revealed unless you wish the credit union to consider them as a basis for repayment of debt.


Personal Information

(BORROWER)
Member Number
SSN
Date of Birth
First Name
Mi
Last Name
Present Street Address
(Do not use P.O. Box)

City

St

Zip

Years
Home Phone #
Daytime Phone #
E-mail address
(CO-BORROWER)
First Name
Mi
Last Name
SSN
Date of Birth
Present Street Address
(Do not use P.O. Box)

City

St

Zip

Years

Employment Information
(BORROWER)
Present Employer
Position
Years
Employer's Phone #

Monthly Salary
Source of other monthly income:
Property, Investments, Social Security, CD's, etc.

Other Income
(CO-BORROWER)
Present Employer
Position
Years
Employer's Phone #

Monthly Salary
Source of other monthly income:
Property, Investments, Social Security, CD's, etc.

Other Income

Home Equity Product
Select One Worry Free Interest Only First Line Interest Only Worry Free First Line Choice Zero

Requested Loan Amount
Loan Purpose

Property Information (Primary Residence Only)
Property Address
City
St
Zip
County
Property Value
1st Mortgage Balance

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