• OK Loan Amount Requested $ is required
  • OK Type of Loan is required
  • OK Applicant's Name is required
  • OK Social Security Number is required
  • OK Primary Phone is required
  • OK Email Address is required
  • OK Street Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • Date of Birth

    OK Date of Birth is required
  • OK Mortgage/Rent Payment is required
    OK is required
  • How Long Have You Lived At Current Address?

    OK How Long Have You Lived At Current Address? is required

Previous Address

  • OK Street Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required

Income

  • OK Annual Income $ is required
    OK is required
  • OK Employer is required
  • OK How many years employed? is required

Previous Employer (if current employment less than 2 yrs)

  • OK Employer is required
  • OK How many years employed? is required

Previous Employer (if current employment less than 2 yrs)

  • OK Employer is required
  • OK How many years employed? is required

Co-Applicant

  • Optional OK Co-Applicant's Name is required
  • Optional OK Social Security Number is required
  • Date of Birth

    Optional OK Date of Birth is required
  • Optional OK Annual Income $ is required

Disclosure

    I, (We) present this application/statement and certify that all statements are true and complete to the best of my (our) knowledge and for the purpose of obtaining credit from the Credit Union and that no unfavorable information know to me (us) or called for herein has been omitted. I (We) authorize you to obtain such information as you may require concerning this application. I (We) agree that this application/statement remain the property of the Credit Union whether the loan is granted or not. I (We) agree to all the terms and conditions of the Cardholder Agreement and Truth-in-Lending Disclosure. Credit Card Applications: By signing this Application and continuing to use your account, you authorize Benchmark, on an annual basis, to obtain a credit report for the purpose of determining the APR. In accordance with applicable state and federal laws, including but not limited to, those of the State of Vermont.

  • OK is required