Loan Application

All applicants must submit proof of income (a recent pay stub, tax returns or IRS form 1099) via Fax to: 714.894.1596.

*required fields

Individual Account
Joint Account with my spouse
Joint Account with someone other than my spouse or co-signer (send separate applicationsindicate this in the comment box at the end of this form)

Married applicants can apply for an individual account. Please indicate if you want an individual account in your name or a joint account with another person.

Notice: Applicant/Co-Applicant need not reveal income from alimony, child support or separate maintenance if such income is not to be considered as a basis for repaying the obligation.

Complete the co-applicant section if (1) this is to be a joint account with your spouse, (2) your spouse will use this account; (3) you live in a community property state (Arizona, California, Idaho, Louisiana, New Mexico, Nevada, Texas, Washington or Wisconsin); (4) you are relying on your spouses income in applying for this account; (5) your co-applicant is someone other than your spouse.


*Loan Type: *Loan Amount: $
*Loan Purpose:

Auto Loans Only
We can process your request more quickly if you provide the following information:

Year  Make  Model  Purchase Type:
Lender Name:   I want to transfer my auto loan from another lender.
Down Payment:

Personal Information

Account Number:    
*First Name, MI: Last Name:
*SSN: (123-45-6789) Marital Status:
*Drivers License #: *Birth Date: (27JUN1963)
Address: Address 2:
City: State:
Zip: At this address since: (08AUG1995)
Own  Rent  With Relatives  
Describe Other:
Rent or Mortgage: $
Home Phone Number: () *Email Address:
Work Phone Number: ()    
Cell Phone Number: ()    

Employment Information

Employer: Retired
Address: Address #2:
City: State:
Zip: Employment Start Date: (08AUG1995)
Name of School:  For School District Employees:
*Gross Monthly Income:
12 months per year 10 months per year Additional Gross Monthly Income (2nd job, alimony, etc.)
Zip: Employment Start Date: (08AUG1995)

2nd Employer: Employer Phone: () ext
Employment Start Date: (08AUG1995)

Nearest relative not living with you:

*Name: *Address:
*City: *State:
*Zip: *Home Phone: ()

Your Mother's Maiden Name: Depository Institution: Checking Account:
Depository Institution: Savings Account:

Co-applicant Information

Last Name: First Name, MI
SSN: - - Birth Date (27JUN1963)
Drivers License #: Relationship to Applicant: Spouse Other
(Skip the address information section if you are the spouse of the applicant.)
Address: Address 2:
City: State:
Zip:
Employer: Retired
Employer Address: Employer Address #2:
Employer City: Employer State:
Employer Zip: Employment Start Date: (08AUG1995)
Gross Monthly Income: $     12 months per year 10 months per year
Mother's Maiden Name: Depository Institution: Checking Account:
Depository Institution: Savings Account:

Co-Applicant's nearest relative not living at the same address:

*Name: *Address:
*City: *State:
*Zip: *Home Phone: ()

To which of our offices do you want your completed loan documents sent?

4341 E. Tenth St., Long Beach
4916 Bellflower Blvd., Lakewood
4436 Atlantic Ave., Bixby Knolls, Long Beach
11239 183rd St., Cerritos
6417 Spring St., Los Altos, Long Beach
1401 Quail St., Ste. 130, Newport Beach
Mail my loan documents to me

Other instructions and/or information:



Please read before submitting:
By submitting this form, you, the joint owner and/or the co-applicant agree and attest to the following: That this is an application to LBS Financial Credit Union for the credit indicated and represents that all statements made in this application are true and made for the purpose of obtaining the desired credit. Verification may be obtained from any source named in the application and from any legitimate credit reporting agency. This form will be retained by LBS Financial, even if credit is not granted. That I/we certify under PENALTY OF PERJURY that this application is a complete, true and correct statement. You are hereby authorized to reveal my (our) payment records to any legitimate credit grantor and/or credit reporting agency upon their request on my(our) loan and accounts with this credit union.


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