IMPORTANT NOTICE:   Alabama Central Credit Union will be introducing a New Online Banking System beginning Monday, April 11, 2016.

to view our tutorials for the upcoming changes.

Online Banking Login



Why Use eStatements?





Online Loan Application

Fill out the form below to electronically apply for a loan with Alabama Central Credit Union. You will have the option to print or save this form once completed.

3601 4th Avenue South
Birmingham, AL 35222
(800) 223-2415

Individual or Joint Credit

Married Applicants may apply for a separate account. Check the appropriate box to indicate individual Credit or Joint Credit

Individual Credit:

Complete Applicant sections if only the applicant's income is considered for loan aproval.

Complete Applicant and Co-Applicant sections: (1) if you are relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as the basis for repayment of credit requested, or; (2) if you reside in a Community Property State, or; (3) if you are relying on property located in a Community Property State as a basis for repayment of the credit requested. Community Property States include: AK, AZ, CA, ID, LA, NM, TX, WA, WI.

Joint Credit:

Complete Applicant and Co-Applicant sections if your co-applicant will be contractually liable for repayment of the loan and initial below:

We intend to apply for joint credit.

Applicant Initials:
Co-Applicant Inilials

Credit Application Type

PLEASE CHECK BELOW TO INDICATE THE TYPE OF ACCOUNT(S) AND TYPE OF CREDIT FOR WHICH YOU ARE APPLYING.

Account/Loan:

Individual     Joint     (Including ATM/Debit Card Access to the Account if Available)

 
Amount Requested ($):
Purpose/Collateral:

Other Loan Request: 

Credit Card:

Individual     Joint

 

Visa® Classic

Visa® Gold

Visa® Platinum

 

Authorized User's Name:

Repayment

Please select your method of repayment for the account(s) you are applying.

Payroll Deduction      Billing Notice     Automatic Payment      Web Pay      Other

Applicant General Information

Please fill out the following details for the primary account holder.

ACCOUNT NUMBER:
FIRST NAME:
MIDDLE INITIAL:
LAST NAME:
SOCIAL SECURITY NUMBER: - -
MOTHER'S MAIDEN NAME:
EMAIL ADDRESS:
DATE OF BIRTH:
HOME PHONE: () -
CELL NUMBER: () -
BUSINESS PHONE: () -     Ext:
PRESENT ADDRESS:
ADDRESS:
CITY:
STATE:
ZIP CODE:
Own       Rent
TIME AT ADDRESS:     Years:     Months:
PREVIOUS ADDRESS:
ADDRESS:
CITY:
STATE:
ZIP CODE:
PURCHASE PRICE OF HOME: $
PRESENT HOME VALUE: $
MORTGAGE BALANCE: $
MONTHLY PAYMENT (MORTGAGE/RENT): $

PLEASE COMPLETE ONLY IF YOU ARE APPLYING FOR JOINT CREDIT, SECURED CREDIT, OR IF YOU LIVE IN A COMMUNITY PROPERTY STATE.

MARRIED (WA and CA Only: includes registered domestic partners)
SEPARATED
UNMARRIED (Single | Divored | Widowed)

Applicant Employment

Please fill out the following employment details for the primary applicant.

NAME OF EMPLOYER:
EMPLOYER ADDRESS:
ADDRESS:
CITY:
STATE:
ZIP CODE:
Hire Date:
POSITION:
NAME OF PRIOR EMPLOYER:

Applicant Income

Please fill out the following income details for the primary applicant.

EMPLOYMENT INCOME (Gross): $ PER
OTHER INCOME (Gross): $ PER

Applicant References

Please fill out the following reference information for the primary applicant.

NAME AND ADDRESS OF NEAREST RELATIVE NOT LIVING WITH YOU:
Name:
ADDRESS:
CITY:
STATE:
ZIP CODE:
PHONE NUMBER: () -
RELATIONSHIP:


Co-Applicant General Information

Please fill out the following details for the co-applicant, non-applicant spouse/other, or guarantor.

CO-APPLICANT TYPE: Co-Applicant
Non-Applicant Spouse / Other
Guarantor
ACCOUNT NUMBER:
FIRST NAME:
MIDDLE INITIAL:
LAST NAME:
SOCIAL SECURITY NUMBER: - -
MOTHER'S MAIDEN NAME:
EMAIL ADDRESS:
DATE OF BIRTH:
HOME PHONE: () -
CELL NUMBER: () -
BUSINESS PHONE: () -     Ext:
PRESENT ADDRESS:
ADDRESS:
CITY:
STATE:
ZIP CODE:
Own       Rent
TIME AT ADDRESS:     Years:     Months:
PREVIOUS ADDRESS:
ADDRESS:
CITY:
STATE:
ZIP CODE:
PURCHASE PRICE OF HOME: $
PRESENT HOME VALUE: $
MORTGAGE BALANCE: $
MONTHLY PAYMENT (MORTGAGE/RENT): $

PLEASE COMPLETE ONLY IF YOU ARE APPLYING FOR JOINT CREDIT, SECURED CREDIT, OR IF YOU LIVE IN A COMMUNITY PROPERTY STATE.

MARRIED (WA and CA Only: includes registered domestic partners)
SEPARATED
UNMARRIED (Single | Divored | Widowed)

Co-Applicant Employment

Please fill out the following employment details for the co-applicant.

NAME OF EMPLOYER:
EMPLOYER ADDRESS:
ADDRESS:
CITY:
STATE:
ZIP CODE:
Hire Date:
POSITION:
NAME OF PRIOR EMPLOYER:

Co-Applicant Income

Please fill out the following income details for the co-applicant.

EMPLOYMENT INCOME (Gross): $ PER
OTHER INCOME (Gross): $ PER

Co-Applicant References

Please fill out the following reference information for the co-applicant.

NAME AND ADDRESS OF NEAREST RELATIVE NOT LIVING WITH YOU:
Name:
ADDRESS:
CITY:
STATE:
ZIP CODE:
PHONE NUMBER: () -
RELATIONSHIP:

STATE NOTICES

OHIO RESIDENTS ONLY: 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 Commisision administers compliance with this law.

WISCONSIN RESIDENTS:     Marital Status: Married       Unmarried       Legally Separated

If married: the name of my spouse is

Notice: 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.

MARRIED WISCONSIN RESIDENTS APPLYING FOR AN INDIVIDUAL ACCOUNT: By electronically signing here, I state that the credit being applied for, if granted, will be incurred in the interest of the marriage or family of the Borrower(s).

                                                            ELECTRONIC SIGNITURE Please type in your initials:

LOAN APPLICATION SIGNATURES

Please READ BEFORE ELECTRONICALLY SIGNING:

All the information in this applicaiton is true. I understand that section 1014 Title 18 U.S. Code make it a federal crime to knowingly make a false statement on this application. You have my permission to check it. You may retain this application even if not approved. If this application is approved, I agree to honor the provisions of the credit or loan agreement and security agreement covering my account or loan. (If this application is for tow of us, this statement applies to both of us.)

Credit Report Authorization. By signing this Application, I authorize you to obtain my credit report for the purposes of evaluating this application and to obtain subsequent credit reports on an on-going basis in connection with this transaction, and for all other legitimate purposes, such as reviewing my accounts or taking collection action on the account.

Vermont Residents: Application provided consent via phone

IMPORTANT NOTICE ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT
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 me: When I open an account, you will ask for my name, address, date of birth, and other information that will allow you to identify me. You may also ask to see my driver's license or other identifying information.

APPLICANT ELECTRONIC SIGNATURE:     INITIALS:     ENTER DATE:

CO-APPLICANT ELECTRONIC SIGNATURE:     INITIALS:     ENTER DATE: