Share Balance $ ______________ CITY OF FAIRBANKS FEDERAL CREDIT UNION   Acct Number _ _ _ _
Loan Balance  $ ______________  502 Ninth Avenue Fairbanks, Alaska 99701-4902  Suffix                  _ _
Debt Ratio __________                            Phone 907-452-3371   FAX 907-452-6953       Note Number _ _ _ _
                                                                   A P P L I C A T I O N    F O R    L O A N	
Amount Requested $__________ plus old loan balance $___________ = TOTAL NEW LOAN $____________
To be repaid in ______ payments of $___________ Purpose of loan __________________________________
___    Signature Loan
___    Secured Credit - Collateral - Shares in Account: #'s __________________ $'s _____________________
	New/Used Auto: Make __________________________ Year _ _ _ _ Cost /Value $ ______________
	Other _______________________________________ Serial# ________________________________
	Owners' Name & Phone Number _______________________________________________________
	Current Lien holder (if any) _____________________________ Account# _____________________
Full Name _________________________________ S.S.# _ _ _ - _ _- _ _ _ _ Birth Date _ _ - _ _ - _ _ _ _
Home Address __________________________________ Years There ____ Home Phone _ _ _ - _ _ _ _
City ______________________ State_____ Zip Code _ _ _ _ _ - _ _ _ _ Cell Phone _ _ _ - _ _ _ - _ _ _ _
Mailing Address ________________________________________________ Zip Code _ _ _ _ _ - _ _ _ _
Present Employer ______________________ Years There_____ Business Phone _ _ _ - _ _ _ - _ _ _ _
Position or Title _________________________________________ Supervisor ____________________
Employer's Address _____________________________________________ Zip Code _ _ _ _ _ - _ _ _ _  
Spouse's Name__________________________________ Spouse's Employer _____________________
Nearest relative not living with you __________________________ Relationship __________________
Mailing Address ________________________________________________ Phone _ _ _ - _ _ _ - _ _ _ _
City ______________________________________ State ________________ Zip Code _ _ _ _ _ - _ _ _ _
        Gross Monthly Salary $_____________________             
        Other Income         $___________________ per _____________ Source ________________________
        Other Income         $___________________ per _____________ Source ________________________
          O U T S T A N D I N G    D E B T S-List Everything  (attach another sheet if necessary)
 Creditor (name & account #)                          Date of           Original         Present       Monthly   Past Due?
                          	                                          Loan               Debt             Balance      Payment    Yes/No
Rent/Mortgage ______________________ __________ ____________ ___________ __________ _________
Credit Union ________________________ __________ ____________ ___________ __________ _________
Auto Loan __________________________ __________ ____________ ___________ __________ _________
Credit Card _________________________ __________ ____________ ___________ __________ _________
Credit Card _________________________ __________ ____________ ___________ __________ _________
Credit Card _________________________ __________ ____________ ___________ __________ _________
Child Support   ______________________ __________ ____________ ___________ __________ _________
Other  ______________________________ __________ ____________ ___________ __________ _________
Other  ______________________________ __________ ____________ ___________ __________ _________
                                  TOTALS                                                                      ___________ __________
Are any other persons obligated on any of the above loans?
         ______ No  _____ Yes        Which ones and who? _____________________________________________
Are you a co-maker, co-signer or guarantor on any loan? ______ No  _____ Yes
         For Whom? ________________________________ To Whom? ___________________________________
Have you had a foreclosure in the last 5 years?               ______ No  _____ Yes--Date Finalized ___________
Have you been declared bankrupt in the last 10 years?   ______ No  _____ Yes--Date Discharged __________

Everything that I have stated in this application is correct to the best of my knowledge. You are authorized
to check my credit and employment history and answer questions about your credit experience with me.

** Signature of Member ________________________________________________ Date ___ - ___ - _____
-------------------------------------------------------------------------------------------------------------------------------------------------------
FOR CREDIT UNION USE:			LOAN OFFICER/CREDIT COMMITTEE ACTION
Loan Officer:/Credit Committee:
________I/We approve the loan as submitted.
________We approve the loan if the following counter offer is accepted by the applicant: ______________________        
________We reject the loan as submitted. Specific reason(s) for rejection: _________________________________
               Outside information considered? ____ No ____ Yes (describe: __________________________________)
Signed______________________________________ Date ___ - ___ - _____
Signed______________________________________ Date ___ - ___ - _____
Signed______________________________________ Date ___ - ___ - _____ ECOA notice sent __ Signed _____
	         PS     CRR     COS    APR     POA     TTL     UCC     INS     LO     CC