IMPORTANT: DO NOT ENLARGE, REDUCE OR MOVE the FIM and barcodes. They are only valid as printed! IMPORTANT: Special care must DO NOTbe taken ENLARGE, to ensure REDUCE FIM and barcodeOR MOVE are theactual FIM size and AND barcodes. placed They properly are only on the valid mail as piece printed! Specialto meet careboth mustUSPS be regulations taken to ensure and automation FIM and barcode compatibility are actual standards. size AND placed properly on the mail piece to meet both USPS regulations and automation compatibility standards. CONSUMER LOAN CONSUMER APPLICATION NO POSTAGE NONECESSARY POSTAGE NECESSARYIF MAILED IFIN MAILED THE UNITEDIN THE STATES UNITED STATES BUSINESS REPLY MAIL FIRST-CLASSBUSINESS MAIL PERMIT REPLY NO. 559 ROCHESTER MAIL NY FIRST-CLASS MAIL PERMIT NO. 559 ROCHESTER NY POSTAGE WILL BE PAID BY ADDRESSEE POSTAGE WILL BE PAID BY ADDRESSEE ESL FEDERAL CREDIT UNION ATTN: CONSUMER LOAN DEPT PO BOX 92714 ROCHESTER NY 14692-9837 Artwork for Envelope, Business, #9, 3 7/8 x 8 7/8 in (3.875" x 8.875") Produced by DAZzle, Version 12.2.02 ArtworkLayout: samplefor Envelope, BRM Env Business, with IMB.lyt #9, 3 7/8 x 8 7/8 in (3.875" x 8.875") Produced(c) 1993-2012, by DAZzle, DYMO Version Endicia, 12.2.02 www.Endicia.com OctoberLayout: sample 9, 2013 BRM Env with IMB.lyt Authorized(c) 1993-2012, User, DYMO Serial Endicia, # www.Endicia.com October 9, 2013 Authorized User, Serial # Fold and seal outside edge with two pieces of tape before mailing. ESL CONSUMER LOAN APPLICATION Type of Loan Requested PERSONAL > BUSINESS > WEALTH MANAGEMENT q Personal q Vehicle q RV q Motorcycle q Boat For Vehicle Loans 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 Online Banking 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 Mobile Banking 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.