Credit Card Application Request Form

With this request, you are permitting Carter Federal to access your credit report and history. There is no fee associated with your request.



General Information
Type of Loan Requested:

Amount Requested:

Reason for Loan: (Please be specific)

Primary Applicant
Section 1
*Member Number:

*If you are not currently a member, leave Member Number field blank and make sure to complete the membership eligibility question in section 4.

*First Name:

*Last Name:

*Social Security Number:

*Date of Birth:

*Driver's License:		*State:

E-mail Address:

* marked are required fields. If you have applied for a loan with us in the last 12 months, you may stop here, but update any changes since that application.

Section 2
Street Address:

City:

State:		Zip:


*How many Years at current residence? Do you own, rent or live with relatives?


*Rent/Monthly Payment:




Home Phone:
Cell Phone:

Section 3
Employer Name:


Employee Phone Number:		Ext.


Years with Employer:


*Gross Monthly Income:


Job Title:


Additional Income Source:


(Alimony, child support, or separate maintenance income need not be revealed, if you choose not to have it considered.)


Monthly Amount:


Marital Status: Are you married, seperated or unmarried?

Joint Applicant Section 4
Name:


Address:


Contact Number:



Account or Social:



Employer:



Hire Date:


Work Number:


Salary:


Birth Date:

Section 5

Complete this section if you are currently NOT* a member of Carter Federal. Membership is a requirement. We will process your membership application along with your loan application.


Please indicate which association makes you eligible for membership:



	Live, work, worship or attend school, or are a business or other legal entity in Caddo, Bossier, Webster, Bienville, Claiborne, DeSoto or Red River Parishes, and Columbia or Lafayette Counties.

	Family member or part of household unit

	Other

*Please Note:* Income verification is required; other information may be required. By submitting this application you agree to notify us immediately of any important changes. You also agree that all the information entered is correct to the best of your knowledge, and the above is complete. You authorize Carter Federal Credit Union to check your credit and employment history and to report to others its experience with you. At your request we will provide name and address of any credit bureau from which we received a credit report. Carter Federal Credit Union is an Equal Housing Lender and Equal Opportunity Lender. All loans subject to approval.

Membership Application

Checking Application

You’re Insured!

One of the most attractive things about Carter Federal is the peace of mind you enjoy knowing the National Credit Union Association insures your account up to $250,000.

Close This Window