Eagle River Credit Union
Call Toll Free at 1-877-377-3728
Loan Application
*
= REQUIRED FIELDS
Loan Information
Application Type:
Mortgage
Personal Loan
Line Of Credit
RRSP Loan
Credit Card
Overdraft
Requested Amount
*
Reason For Loan
*
MORTGAGE CALCULATOR
LOANS CALCULATOR
Applicant Personal Information
Last Name
*
First Name
*
Middle Name
Birth date
*
SIN
*
Address - Street
*
City
*
Province
*
- Select Province -
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
*
How long at this address (yrs)
Previous Address (if at current address less than 2 yrs)
Primary Phone #
*
Secondary Phone #
Email Address
*
Preferred Method of Contact (i.e. email, telephone, work, home, cell)
Are you an Eagle River Credit Union Member?
Yes
No
Marital Status:
*
Single
Married
Common Law
Separated/Divorced
# of Dependants
*
0
1
2
3
4
5
6
Co-Applicant Personal Information
Last Name
First Name
Middle Name
Birth date
SIN
Same Address as Buyer?
Yes
No
Address - Street
City
Province
- Select Province -
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
How long at this address (yrs)
Previous Address (if at current address less than 2 yrs)
Marital Status:
Single
Married
Common Law
Separated/Divorced
Applicant Employment & Income
Employer
*
Employer Phone
*
ext
Employers Complete Physical Address
Including postal code
*
How long have you been working there? (yrs)
*
Employment Status
*
Part Time
Full Time
Retired
Unemployed
Seasonal
Self Employed
Other-Undergraduate(University)
Other-Graduate(Masters/PHD)
Employment Type (please complete if above answer is Other-Undergraduate(University) or Other-Graduate(Masters/PHD)
Employed Part Time
Employed Full Time
Unemployed
Occupation / Position
*
Gross Income (Monthly)
*
Additional Income (Monthly)
Identify Source for Additional Income
Pension
Commissions
Self-Employment
Monthly Support
Other
If Other please Specify
Previous employer (if less than 2 years in current position)
How long were you there for? (yrs)
Occupation / Position
Co-Applicant Employment & Income
Employer
Employer Phone
ext
Employers Complete Physical Address
Including postal code
How long have you been working there? (yrs)
Employment Status
Part Time
Full Time
Retired
Unemployed
Seasonal
Self Employed
Other-Undergraduate(University)
Other-Graduate(Masters/PHD)
Employment Type (please complete if above answer is Other-Undergraduate(University) or Other-Graduate(Masters/PHD)
Employed Part Time
Employed Full Time
Unemployed
Occupation / Position
Gross Income (Monthly)
Previous employer (if less than 2 years in current position)
How long were you there for? (yrs)
Occupation / Position
Applicant Financial Information
Housing Status
Rent
Own
Other
Estimated Property Value
Estimated Mortgage Balance
Rent/Motgage Payment (Monthly)
*
Support Payments (Monthly)
Property Tax
Other Debt
examples (Credit Cards, Loans, Extra Mortgage)
Other Debt
Balance
Description
ex: Loan
$2000.00
Eagle River CU
Assets
examples (House, Investments, RRSP's savings, cars, cottage)
Value
Description
Value
Description
Will this loan be used by or on behalf of a third party?
No
Yes (If "Yes" is selected please complete and attach a Third Party Determination form.)
Applicant
Co-Aplicant
Have you ever been?
Bankrupt
*
Yes
No
Yes
No
Date:
Date:
Orderly Payment of Debts
Yes
No
Yes
No
Are you now or do you anticipate being involved in litigation?
Yes
No
Yes
No
Branch
Branch Selection Required
Humber Valley
Labrador Savings
LAnse Au Loup
Marys Harbour
Tri-Town
White Hills
If I/we choose to provide the Credit Union with my/our Social Insurance Number(s), I/we authorize the Credit Union to use it for verifying and reporting credit information to credit bureaus and credit reporting agencies. I/We understand that I/we may refuse to consent to its use or disclosure for these purposes. This consent and authorization is provided on the condition that the Credit Union is in compliance with any applicable legislation, including the Personal Information Protection and Electronic Documents Act (Canada). I/We understand that I/we may obtain more information regarding the Credit Union's commitment to protecting my/our privacy including my/our right to limit or withdraw my/our consent and authorization respecting my/our Personal Information by reviewing the Credit Union's Privacy Code, which will be provided to me/us at my/our request. I/We hereby certify that all statements made in this credit application are true and complete and submitted for the purpose of obtaining credit.