North Star Community Credit Union

Will there be a co-applicant for this loan?

Yes
No

Marital Status

Complete this section if this loan is for:

  1. Joint or Secured Credit
  2. You reside in or rely on property located in a community property estate
    (AZ, CA, ID, LA, NM, NY, TX, WA, WI)

If this loan is not for joint or secured credit AND you do not live in any of the states listed above, check the box below.

Neither 1 or 2 apply to me.

Marital Status

Type of Loan

Vehicle Make

Vehicle Model

Vehicle Vin Number

Vehicle Mileage

Vehicle Year

Amount Requested*

Description of Collateral Offered/Purchasing

Number of Dependents

Have You Ever Received Credit From Us?

Yes
No

Mailing Address

  • City

  • State

  • Zip

Applicant

First Name*

Last Name*

Date of Birth*

Social Security Number*

Physical Address*

  • City*

  • State*

  • Zip*

Years at Address

Previous Address

  • City

  • State

  • Zip

Years at Address

Daytime Phone*

Evening Phone

Email

Closest/Nearest Relative Name Not Living With You

Closest/Nearest Relative Phone Number Not Living With You

Personal References

Reference 1

Name

Phone

Relationship

Reference 2

Name

Phone

Relationship

Reference 3

Name

Phone

Relationship

Employment Information

Employer

Position

Years Employed

Previous Employer

Previous Position

Years Worked For Previous Employer

Gross Pay - per payroll period

(Before taxes & insurance)

Net Pay - per payroll period

(After taxes & insurance)

Payroll frequency

Monthly - every 2 weeks
2 times a month
Biweekly
Weekly
Other

Payroll dates

Are you self employed?

Yes
No

Other Income

Do you own or rent?

Own
Rent

Amount of Rent Currently Paying

Co-Applicant

First Name

Last Name

Date of Birth

Social Security Number

Address

  • City

  • State

  • Zip

Years at Address

Previous Address

  • City

  • State

  • Zip

Years at Address

Daytime Phone

Evening Phone

Email

Employment Information

Employer

Position

Years Employed

Gross Pay - per payroll period

(Before taxes & insurance)

Net Pay - per payroll period

(After taxes & insurance)

Payroll frequency

Monthly - every 2 weeks
2 times a month
Biweekly
Weekly
Other

Payroll dates

Are you self employed?

Yes
No