Loan Application...

If you are not a member of Olin Community Credit Union, please complete the Membership Application which also allows you to open deposit accounts. Membership eligibility is required to apply for a loan. To determine if you are eligible for membership, review the criteria for Membership Eligibility

You may use our Loan Calculator to help in determining what you would need to borrow.

Please provide all requested information. When you have completed the form, press the Submit button to send your application. We will contact you as soon as your information has been processed.

Note: All transactions are secure. Internet Explorer uses a lock , Netscape Navigator uses a key . You may see a broken lock or key because this site was developed using a frame design.

Required fields are marked with an asterisk (*)
Member Number 
  Loan Amount
$ 		Purpose of Loan
Months to Repay

Additional Comments

Member 
First Name* 
 
Last Name* 
 
Address 
 
City 
State/Province 
ZIP/Postal Code 
 
Country 
Social Security Number* 
- -
Date of Birth 
 
Home Phone 
 
Home E-mail 

Drivers License
Number  
State   

Best Time to Call
Daytime  
Evenings  
Joint Applicant 
First Name 
 
Last Name 
 
Address 
 
City 
State/Province 
ZIP/Postal Code 
 
Country 
Social Security Number* 
- -
Date of Birth 
 
Home Phone 
 
Home E-mail 

Drivers License
Number  
State   

Income and Employment Information

  Annual Income
$		   Annual Other Income
$
GrossNet   Source of Other Income
  
Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying the obligation.

Member  Joint Applicant 
Employer Name 
 Employer Name 
Address 
 Address 
City 
 City 
State/Province 
 State/Province 
Zip/Postal Code 
 Zip/Postal Code 
Phone Number 
 Phone Number 
Work E-mail 
 Work E-mail 
Position 
 Position
Start Date 
 Start Date 

Outstanding Debt

Years at Current Address                Do you
               

List all member and Joint Applicant's debts (for example, rent/mortgage payments, credit cards, second mortgage, alimony, car payment, child support, child care, medical, IRS liabilities, etc.) Please use a separate line for each creditor.

Creditor's Name   Monthly Payment   Balance
$ $
$ $
$ $
$ $
$ $
$ $

Would you like to transfer your higher rate credit card balance to your OCCU Visa?
Yes        No