Southeastern Ohio Credit Union Loan Application


Please fill out the following information and press the "Submit Application" button
at the bottom. All questions with an "*" are required.
Your application will then be emailed directly to our loan department.
There is a $20 loan application fee.

The information in this application you are about to send will be encrypted for security purposes. 


  Amount of Loan


  Purpose of Loan   *
If vehicle, enter the Year, Make and Model

Length of Repayment




  Member's Name   *
  Home Phone   *
  Email   *
Date of Birth *
Social Security Number  *
Marital Status

Present Address

  Street   *
  City   *
  State   *
  Zip   *
Since Mo/Yr. *
Rent or Own. *
Monthly Rent or Mortgage Payment
Name of Mortgage Holder/Landlord

Your Present Employer

  Employer's Name   *
Phone *
  Position   *
  Hire Date   *

Applicant's Income and Expenses

Gross Monthly Income


Part Time or Full Time

Are you currently working?

Have you any judgments, garnishes or legal proceedings
against you?
If you filed for bankruptcy in the past, what was your discharge date?

ARE YOU APPLYING WITH ANOTHER PERSON? (Co-Applicant for joint credit)
If not, you may skip down to the end.

  Co-Applicant's Name  
  Home Phone  
Social Security Number
  Date of Birth  

Co-Applicant's Address


Co-Applicant's Present Employer

  Employer's Name  
  Hire Date  

Co-Applicant's Income and Expenses 

Gross Monthly Income $

Would you like to add any comments?

How would you like us to contact you?      
Which branch office is closer to you?
  1. The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy 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.

  2. 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 this obligation.

  3. A signature is required before funds can be disbursed.
USA Patriot Act Disclosure:
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.


Southeastern Ohio Credit Union Secure Loan Application.
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