Vehicle Loan Application

Thank you for applying for a vehicle loan with KEMBA! If you have any questions please give us a call at 800-735-3622.

Loan Amount Requested: *

Purpose of Loan

How to you plan to make your loan payments?

Payroll Deduction select

Applicants Information

KEMBA Account Number:

First Name: *

Last Name: *

Home Phone:

Cell Phone:

Work Phone:

Email: *

Social Security Number:

Date of Birth (mm/dd/yyyy):

Drivers License Number:

Drivers License State:

select

Mother's Maiden Name:

Are you currently:

Married select

Present Address

Address:

City:

State:

select

Zip Code:

Do you:

Own select

Length at Residence:

More Than 1 Year select

Employment Information

Employer:

How long have you been with current employer:

Employer Street Address:

City:

State:

select

Zip Code:

Title/Position:

How are you paid:

Hourly select

Income/Hour:

Start Date:

Supervisor's Name:

If Self-Employed indicate type of business:

Do you collect income from any other sources:

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Step 1 of 7

Your Current Debts and Current Assets

Use first table to enter all of your outstanding loans and debts. If you have a joint applicant on this loan be sure to indicate which debts belong to you and which belong to the joint applicant.

Use the second table to enter all of your assets or things you own (vehicles, other bank accounts, stocks, bonds, mutual funds, etc.). If you have a joint applicant on this loan be sure to indicate which assets belong to you and which belong to the joint applicant.

Amount You Owe	Creditor's Name	Interest Rate	Present Balance ($$)	Monthly Payment ($$)	Whose Debt is This
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE			Enter a Value
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE			AP1_DEBT2_X
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE			AP1_DEBT2_X
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE			AP1_DEBT2_X
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE			AP1_DEBT2_X
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE			AP1_DEBT2_X
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE			AP1_DEBT2_X
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE			AP1_DEBT2_X

Amount You Own	Type of Property or Financial Institution	Market Value	This is pledged as collateral on another loan	Who Owns This
ASSET1_DESC	ASSET1_ITEM_LOC	ASSET1_MKT_VALUE	AP1_DEBT2_X	AP1_DEBT2_X
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE	AP1_DEBT2_X	AP1_DEBT2_X
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE	AP1_DEBT2_X	AP1_DEBT2_X
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE	AP1_DEBT2_X	AP1_DEBT2_X
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE	AP1_DEBT2_X	AP1_DEBT2_X
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE	AP1_DEBT2_X	AP1_DEBT2_X
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE	AP1_DEBT2_X	AP1_DEBT2_X
DEBT1_DESC	DEBT1_CREDIT_NAME	DEBT1_INT_RATE	AP1_DEBT2_X	AP1_DEBT2_X

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Step 4 of 7

Are you a U.S. Citizen or Permanent Resident Alien?

Do you currently have any outstanding judgments or have you ever filed bankruptcy, had a debt adjustment plan confirmed under chapter 13, had property foreclosed upon or repossessed in the last 7 years, or been a party in a lawsuit?

Is your income likely to decline in the next two years?

Are you a co-maker, co-signer or guarantor on any loan not listed previously?

Name of creditor for other loan that you are a co-maker, co-signor, or guarntor?

For whom are you a co-maker, co-signor, or guarantor?

Is the joint applicant a U.S. Citizen or Permanent Resident Alien?

Does the joint applicant currently have any outstanding judgments or have you ever filed bankruptcy, had a debt adjustment plan confirmed under chapter 13, had property foreclosed upon or repossessed in the last 7 years, or been a party in a lawsuit?

Is the joint applicant's income likely to decline in the next two years?

Is the joint applicant a co-maker, co-signer or guarantor on any loan not listed previously?

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Step 5 of 7

Here is what to expect now that you have completed the online loan application...

A friendly KEMBA representative will be in touch shortly via email and/or phone to collect any additional information and finalize your request. They may need to collect the following information:

1.) A copy of your most recent paystub.

2.) A valid copy of your government issued ID.

If any other information is needed the representative will let you know. Otherwise, they will start processing your application as quickly as possible. If you have any questions please contact us at 800-735-3622 and enter "1" for the lending team or email info@kembafcu.org.

As part of your application, you promise that everything you have stated in this application is correct to the best of your knowledge. You authorize the 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 and for other accounts, products, or services we may offer you or for which you may qualify. You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. 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.

KEMBA Roanoke Federal Credit Union does not discriminate against credit applicants on the basis of sex,
marital status, race, color, religion, national origin, age (provided the applicant has the capacity to contract), whether all or part of the applicant’s income is derived from any public assistance program, or if the applicant has in good faith exercised any right under the Consumer Credit Protection Act.

Notice to Nebraska Residents: A credit agreement must be in writing to be enforceable under Nebraska law. To protect you and us from any misunderstandings or disappointments, any contract, promise, undertaking, or offer to forebear repayment of money or to make any other financial accommodation in connection with this loan of money or grant or extension of credit, or any amendment of, cancellation of, waiver of, or substitution for any or all of the terms or provisions of any instrument or document executed in connection with this loan of money or grant or extension of credit, must be in writing to be effective.

Notice to Ohio Residents: The Ohio laws against discrimination require that all creditors make credit equally available to all creditworthy customers,and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law.

Notice to Wisconsin Residents: (1) No provision of any marital property agreement, unilateral statement under Section 766.59, or court decree under Section 766.70 will adversely affect the rights of the Credit Union unless the Credit Union is furnished a copy of the agreement, statement or decree, or has actual knowledge of its terms, before the credit is granted or the account is opened. (2) Please sign if you are not applying for this account or loan with your spouse. The credit being applied for, if granted, will be incurred in the interest of the marriage or family of the undersigned.

I agree and understand the above information

Yes

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PDF File

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Thank you for applying for a vehicle loan with KEMBA! If you have any questions please give us a call at 800-735-3622.

A friendly KEMBA representative will be in touch shortly via email and/or phone to collect any additional information and finalize your request. They may need to collect the following information: