Revolving Loan Application FormPersonal InformationFull NameEmail Address *Account NumberBranchPauls Ave, KingstownPort Elizabeth, BequiaDavis St, BarrouallieRetreat Village, CanouanClifton, Union IslandREQUEST:AMOUNT REQUESTEDXCDAdditionalXCDRate per MonthDuration (Months)PaymentXCDCONFORMITY WITH REGISTRATION FORM(Fill a new REG form if Yes to first two questions)The Member’s occupation is the same as the Registration Form?Yes NoThe Member’s address is the same as the Registration Form?Yes NoThe Member’s status and Spouse Occupation are the same as the Registration Form?Yes NoThe Member’s shares add to Co-maker’s shares cover 100% of the loan?Yes No BORROWERS FINANCIAL STATUSMonthly IncomeBorrower’s Gross IncomeXCDSpouse’s wages (for information)XCDFamily Member:Other family income (itemized)XCDFamily Member:Other family income (itemized)XCDFamily Member:Other family income (itemized)XCDFamily Member:Other family income (itemized)XCDTOTAL GROSS INCOMEMonthly DisbursementsRent/ mortgage/ pensionXCDFood/ TransportationXCDElectricity, water, telephone, mobile, CableXCDNIS, Income Tax, Union duesXCDClothing, Medical care, InsuranceXCDSchool fees, AllowancesXCDOther expenses: hire PurchaseXCDOther Loan payments SVUTCCUXCDOther Loan paymentsXCDTOTAL EXPENSESBUDGET SURPLUS (income - expenses) PERSONAL BALANCE SHEETASSETSSavings & Shares in SVUTCCUXCDFurniture/appliancesXCDBank NameSavings in Banks :XCDCredit Union NameSavings & Shares in CUXCDPropertyLandHouseProperty Value:XCDVehicle ModelVehicle YearVehicle ValueXCDOther:Other Value:XCDTotal Assets ValueLIABILITIESSVUTCCU Loan TotalXCDLoans at other Banks:Bank loans TotalXCDLoans at other Credit UnionsCredit Union(s) loans TotalXCDHire Purchase, Credit Card, otherHire Purchase, Credit Card, other TotalXCDDue: (Water, Mobil} TotalXCDMortgage, Taxes TotalXCDCo-Maker for someoneXCDTOTAL LIABILITIESNET WORTH: (Total Assets Less Total Liabilities):Agreement *Yes, I agree with the privacy policy, terms and conditionSend Message
