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If this is your first time logging in after July 3rd: Use your account number as your Online ID.

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Loan Application

No matter what the purpose, we are sure to have a loan to meet your needs. Use this convenient online application to apply!

You must qualify for membership in order to obtain a loan from Altana Federal Credit Union.

Acrobat Use our printable loan application

This application is not available for home equity loans, please call 406-651-AFCU (2328) for further instructions.

Items in red are required


Applicant

Amount Requested Member Number
$
  (if applicable)
Purpose of loan

Do you have a specific branch or individual that you would like to work with?   Yes   No
Branch or Individual   

First Name M.I. Last Name
     
Address City State Zip
      xxxxx
Years at address Phone Number E-mail
  xxx xxx-xxxx  
Date of Birth Social Security Number # of dependents
mm/dd/yyyy xxx-xx-xxxx  

Current Employer Position Date Hired Employer Phone
    mm/dd/yyyy xxx xxx-xxxx
Employers Address City State Zip
      xxxxx
Gross monthly salary Rent / Mortgage payment Other income*
     
Total of all other monthly payments
   
     

 

Co-Applicant (optional)

Relation:  Spouse Co-signer  Joint owner

First Name M.I. Last Name
     
Address City State Zip
      xxxxx
Years at address Phone Number E-mail
  xxx xxx-xxxx  
Date of Birth Social Security Number # of dependents
mm/dd/yyyy xxx-xx-xxxx  

Current Employer Position Date Hired Employer Phone
    mm/dd/yyyy xxx xxx-xxxx
Employers Address City State Zip
      xxxxx
Gross monthly salary Rent / Mortgage payment Other income*
     
Total of all other monthly payments
   
     

Please contact me by: Email Phone Mail

*Notice: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered.

The information in this application is true and may be relied on in evaluating this loan request. You are authorized to check my credit and employment status plus answer any questions regarding my credit experience with you. I understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federally insured Credit Unions.

Security Code:
This is a security generated graphic code.  Type the text you see in this image.  If you can't read it, please call us.
Enter security code displayed to the left*

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 will ask to see your driver's license or other identifying documents.