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CONSUMER APPLICATION FIRST-CLASS MAIL FIRST-CLASS MAIL FIRST-CLASS BUSINESS REPLY MAIL BUSINESS REPLY MAIL ROCHESTER NY 14692-9837 PO BOX 92714 ATTN: CONSUMER LOAN DEPT ESL FEDERAL

POSTAGE WILL BE PAID BY BE PAID ADDRESSEE WILL POSTAGE BY BE PAID ADDRESSEE WILL POSTAGE Fold and seal outside edge with two pieces of tape before mailing. PERMIT NO. 559 NO. PERMIT 559 NO. PERMIT Authorized User, Serial # Serial User, Authorized # Serial User, www.Endicia.com Endicia, DYMO 1993-2012, Authorized (c) www.Endicia.com Endicia, DYMO 1993-2012, Produced by(c) Version DAZzle, 12.2.02 Produced by Version DAZzle, 12.2.02 ROCHESTER NY ROCHESTER NY ROCHESTER UNITED STATES UNITED STATES UNITED NO POSTAGE NO POSTAGE NO NECESSARY NECESSARY IF MAILED IF MAILED IN THE IN THE ESL CONSUMER LOAN APPLICATION Type of Loan Requested PERSONAL > BUSINESS > WEALTH MANAGEMENT q Personal q Vehicle q RV q Motorcycle q Boat For Vehicle q Pre-Approval q Copy of Purchase Order Purpose of Loan Amount Requested Terms/Months ESL PRODUCTS & SERVICES Checking Visa® Prepaid Cards AUTOMATED PAYMENT OPTIONS (SELECT ONE) Money Maker Visa® Secured Credit Cards q AutoSweep Automatic Transfer: From ESL Account q ACH (transfer from another bank) Savings Visa® Check Cards Certificates q We intend to apply for joint credit IRAs Online Bill Pay Applicant Initials Co-Applicant Initials Health Savings Accounts In-Person Bill Pay APPLICANT INFORMATION CO-APPLICANT INFORMATION Mortgages Telephone Banking ESL Member # Mother’s Maiden Name ESL Member # Mother’s Maiden Name Home Equity Loans ESL Chat Banking and Lines of Credit ATM Network First Name M.I. Last First Name M.I. Last Vehicle and Personal Loans Short-Term Loans Mobile Deposit Date of Birth Social Security # Date of Birth Social Security # Visa® Credit Cards House Number & Street Name House Number & Street Name q Same as Primary q Own q Rent q Own q Rent Ask about our full line of Business Banking and City State/Zip Years There City State/Zip Years There Wealth Management products and services. Email Address Home Phone Email Address Home Phone CONNECT WITH US: ( ) ( ) Your Employer How Long Work Phone Your Employer How Long Work Phone Corporate Headquarters ( ) ( ) 225 Chestnut Street > Rochester, NY 14604 Gross Annual Salary by source (e.g., Primary, Part-time, Rental, Distributions, etc.) Gross Annual Salary by source (e.g., Primary, Part-time, Rental, Distributions, etc.) (Check esl.org for branch locations/hours) Additional Gross Annual Income Additional Gross Annual Income Contact Center (Rochester, NY) Alimony, child support or separate maintenance income need not Alimony, child support or separate maintenance income need not $ be revealed if you do not want that income considered as a basis $ be revealed if you do not want that income considered as a basis 585.336.1000 > 800.848.2265 for repayment. for repayment. TDD Services Source Source 585.336.1399 > 800.243.6722 Monthly Mortgage or Rent Payment $ Monthly Mortgage or Rent Payment $ Please list property taxes separate if not included in mortgage payment Please list property taxes separate if not included in mortgage payment Internet esl.org > ESL Chat Banking Property Taxes $ Property Taxes $ Are you obligated to pay alimony or child support? q Yes q No Are you obligated to pay alimony or child support? q Yes q No If yes, what is the monthly amount? $ If yes, what is the monthly amount? $ OPTIONAL CREDIT LIFE AND DISABILITY INSURANCE (MUST BE UNDER AGE 66)

Would you like to apply for: Group Credit Life Insurance? q Yes q Single or q Joint q No Your Initials

Would you like to apply for: Group Disability Insurance? q Yes q Single or q Joint q No Your Initials

SIGNATURE(S) APPLICANT(S) PLEASE READ BEFORE SIGNING: You promise all the information given on this application is true, correct and complete. You authorize ESL Federal Credit Union to exchange credit information related to this application and credit granted as part of the credit investigation process. ESL may request a credit report in connection with this application for credit and any credit update, renewal or extension of credit. Upon request, ESL will furnish you with the name and address of the consumer reporting agency furnishing the report. You agree these funds are to be used for the purpose stated. The selection of a contractor or dealer, acceptance of merchandise purchased and work performed is your responsibility. ESL is a registered service mark of ESL Federal Credit Union. Federally insured by the NCUA. 30-1055 (09/16) APPLICANT SIGNATURE DATE CO-APPLICANT SIGNATURE DATE