credit from st albans district credit union unsecured loan application form

8/4/2019 Credit From St Albans District Credit Union Unsecured Loan Application Form

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ST ALBANS DISTRICT CREDIT UNION

LOAN APPLICATION FORM

Please use black/blue ink and complete all sections in BLOCK CAPITALS.If you need any help, please ask a member of our staff. Please see the back page for Guidance notes.

Reference Number:

1. ABOUT YOU:

Member Number:

Title: Mr / Mrs / Miss / Ms/ Other *

Surname:

First Names:

Date of Birth:

Nationality:

Current Address:

Postcode:

Time lived there: Years Months

If less than 3 years give:

Previous Address:

Postcode:

Time lived there: Years MonthsHousing Status: Homeowner / Tenant / Other *Marital StatusNumber of direct dependants:(partner, children under 18)

Home Telephone:

Mobile Telephone:

Work Telephone:

Work Status:Employed / Self-employed / Retired / Student/Unemployed or receiving State Benefits*

2. ABOUT YOUR WORK:

Occupation:

National Insurance No:

Current (or last) Employer:

Address (inc postcode) :

Contact name and telephone:

Period in job: From: To:

If less than 3 years in

St Albans District Credit Union Ltd Registered office: 135 Hatfield Road, St Albans, Hertfordshire AL1 4JXAuthorised and regulated by the Financial Services Authority, FRN 213794

Telephone 01727 859135 . Web site: www.stadcu.org Email: [email protected]

CU use

*Delete asrequired

http://www.stadcu.org/


mailto:[email protected]





current employment give

Previous Employer:

Address (inc postcode):

Contact name and telephone:

Period in job From: To:

Self Employed?

Type of Business:

Period self employed: From: To:

3. ABOUT THE LOAN:

I have a current Credit Union loan Yes/ No *

I would like to borrow an(additional) amount of:

£

Purpose of loan:

I would like to repay the loan: Over year(s)I propose to repay: Monthly / weekly *I would also like to save: £ per month / week *

I will make the payments by:Standing Order / Cash or Cheque/Payroll Deduction *

I would like the loan by:(Note: It may take some time toset-up a loan)

I understand that my savings in my Saver Account, may not be withdrawn while I have an outstanding loanbalance. Repayments will commence no more than one month after the date on which the loan is granted.An unsecured loan must be repaid within 5 years.

4. DATA PROTECTION STATEMENT:

In accordance with the principles of the Data Protection Act 1998, we will use your personal details for the

purpose of managing your accounts with the Credit Union. Your personal details will be treated

confidentially and will only be shared with other agencies for the purpose of credit referencing and debt

recovery for which purpose we hold a category F Consumer Credit Licence.

5. ABOUT THINGS YOU OWN:

Give current value

Cash/ savings with credit union: £Cash/ savings elsewhere: * £

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*Documentsrequired

*Delete asrequired



Residential Property (approximate market value): £Any other land or property: £Shares, Bonds, Premium Bonds etc

including ISA’s (total value):£

Vehicle(s): £Other valuables: £

£

££

Please supply bank statements for current and saving accounts (if any), covering the last three months.

6. ABOUT MONEY YOU OWE TO OTHERS:

Balance owed

Bank Current Account Overdraft: * £Bank Loans: * £Mortgage (if any): * £

Credit Cards: * £Store Cards: * £Catalogues: * £Hire Purchase Agreements: * £Arrears of mortgage/rent or council tax: * £Other loans e.g. Doorstep lenders: * £Utilities Arrears (Gas, Electricity, Water etc) £

£

Please provide details of any money you already owe to anyone other than the Credit Union and supply statements for

the latest month for all outstanding accounts. If you have a mortgage we need to see your last mortgage statement.

The balance owed will be shown on your latest statement from the lender.

Have you ever had any County Court Judgements (CCJs)? Yes / No *

If ‘Yes’ have you missed any payments in the last 12 months? Yes / No *

Have you ever been made bankrupt? Yes / No *

Have you ever entered into an Individual Voluntary Arrangement (IVA)? Yes / No *

Are you in arrears with any bills, rent or mortgage? Yes / No *

Having a county court judgement does not necessarily mean you won’t get the loan but we will ask for moreinformation about this at a loan interview.

If you are worried about the amount of money you already owe to other people, you may wish to contact oneof the free sources of debt advice listed in our Guide for Loan Applicants on the back page of this document.

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*Delete asrequired

*Documentsrequiredfor any

balances owed



7. ABOUT YOUR INCOME AND EXPENDITURE:

Put in your monthly figures only for each box that is relevant to you. Use nearest whole £.

My Income: £ per month

Household Expenditure £ per month

CU Use

Salary/Wages (Net) 1st Job: * £ Rent: * £

Salary/Wages (Net) 2nd

Job: * £ Mortgage: * £Pension *: £ Council Tax: * £

State Benefits(list individually):* Food + Cleaning materials: £

£ Insurance (not car): £

£ Gas: £

£ Electricity: £

£ Water: £

Other income: £ TV Licence/rental etc: £

£ Telephones: * £

Total of my income: £Car (Licence, MOT,insurance and repairs):

£

Petrol + Oil: £

My Partner’s Income: Public Transport: £(only if applicable to this loan.See Guide and Part 9)

Clothing: £

Salary/Wages (Net) 1st Job: * £ Pets: £

Salary/Wages (Net) 2nd Job: * £ Entertainment: £

Pension * : £Holidays:Extra life assurance andpension contributions

£

₤

Other: £

State Benefits(list individually):* £

£ ££ £

Expenditure Subtotal: £

Other income: £ Credit & Loan Payments: £

£

Total of partner’s income: £ Total of my expenditure: £

Total income: £ Disposable income: £

NET Salary and Wages means take-home pay after deductions for Tax, NI, and employer pension scheme.Only include Overtime / or bonuses if they are regular or guaranteed. Disposable income is thedifference between your total income and your regular expenditure.

8. FORMAL DECLARATION:

I declare that I am/am not* in good health and that I do/do not* require regular medical treatment. (*Delete as

appropriate). I declare that the information I have given on this form is, to the best of knowledge and belief,accurate and complete.

I understand that if I default on repayments on this loan, the whole loan will become due for repayment.Also if I default and am being paid Income Support, Jobseekers Allowance, Incapacity Benefit, Carer’sAllowance, State Pension, or Pension Credit, or other state benefits, information about my loan may bepassed to the Department for Work and Pensions for their consideration of deductions from the benefitsthat I am or will become entitled to. I consent to the Department of Work and Pensions making suchdeductions from my benefit to make the loan repayments for me.

The provision of false information is fraud, and I understand that the Credit Union may take appropriateaction if I am found to have deliberately provided false or misleading information. I agree that the Credit

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* Documents required



Union may carry out a Credit Search on me and that my savings can be held as security against any loan if I miss repayments.

Applicant’s signature:……………………………………. Date:………………….

9. PARTNER’S DECLARATION:

If you have declared your partner’s income and expenditure details as part of your overall income whenapplying for this loan, your partner must sign below to confirm their agreement for their information tobe used in considering the loan and its repayment. Credit checks may be made as part of thisapplication as referred to and declared in Part 8 above. By signing this declaration, the partner acceptsthat he/she will become a joint borrower under any resulting loan agreement.

Partner’s name: …………………………. Signature: ……………………….. Date:………………….

Partner’s date of birth: …………………….

The Section below is for Credit Union use only

Date Received: __________________________

The Loan of £____________ for a period of ________________is Approved / Revised / Refused

Credit Check(s) carried out : Yes / No*

The following comments are to be made to the applicant:

Approved by the following Credit Committee Members:

Name: ………………………… Signature:………………………….Name: ………………………………… Signature:…………………………………..Name: ………………………………… Signature: …………………………………

Reason for refusal – if appropriate

Loan Cheque Receipt

Cheque Number Dated:Amount: In words:

Name: Membership Number:

Signature: Date:

Signature Checked and confirmed against file: Yes / No

Cheque presented to member on behalf of Credit Union by:

Name: Title:

Signature: Date:

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GUIDE FOR LOAN APPLICANTS

If you are not already a member of the credit union you will need to become a member before we can offer you a loan.To become a member, you need to bring to one of our collection points, a £2 non-refundable membership fee, another

£1 to open your saving account, proof of identity (passport or picture driving licence preferred) and proof of address(e.g. utility bill or bank statement not more than 3 months old) .

The Credit Committee reviews all loan applications from members. It requires quite a lot of information to do this.Before the committee meets, you will have a meeting with a committee member. The information you provide on your application form will be discussed and you may be asked to clarify some points. You can also ask questions.

You will need to provide documentary evidence to support some of the information on your application form. Pleasebe sure to bring the appropriate paperwork with your completed application form. Some of the papers will be copiedand held by the credit union, and all the original documents given back to you straight away.

There are nine parts to the form:

Part 1 asks for factual information about you.Part 2 asks about the work you are doing (or used to do before you went onto benefits). If you have more than one jobplease give us the details about your main job but include both salaries in Part 7 and supply copies of payslips for both jobs.

Part 3 is about the loan you are requesting. How much you want to borrow, how you propose to repay and when youideally need the loan. We expect all members to save with the credit union because it is only because members savethat we have money available to lend.

Part 4 is our Data Protection Statement. Your personal details will be treated confidentially.

Parts 5, 6 and 7 are a bit more complex, but they are important because it is largely on these that the CreditCommittee will make its decision. They are designed to give a complete picture of your financial situation. As aresponsible lender, the Credit Union needs to ensure that you will continue to be able to manage your loans. We are

not able to grant a loan if we consider that you would not be able to make the repayments.

Part 5 asks you about the major items that you own.

Part 6 asks whether you already owe money to other lenders, and if so to whom and how much. This will notnecessarily prevent us from offering you a loan, provided you show you are able to manage your loans.

Part 7 looks at all of your income and expenditure. You are asked to do this on a monthly basis. Most people receiveincome weekly or monthly, and quite a lot of expenditure is much the same each week or each month. If you need toconvert weekly amounts to monthly amounts, multiply the weekly amount by 52 and divide the answer by 12. Someitems only come up once a year, or from time to time. Just divide the annual cost by 12 and put in the monthlyaverage. If you do not have to pay out all of your income each month, then any amount left over should be shown inthe Disposable Income section of the Expenditure column.

In Part 7 your partner’s income, should only be included if your partner will also be a party to the loan agreement. If you do include your partner’s income, then you must also include all of your partner’s expenditure.

Part 8 asks you to sign that the information you have given to us is complete and accurate and that you give us your permission to carry out a credit search with a credit reference agency on yourself and your partner if included.

Part 9 requests your partner to agree that his or her income and expenditure can be taken into account by signing thePartner’s Declaration.

NOTE: If you are worried about the amount of money you owe, you may wish to contact one of the followingsources of free debt advice before taking out this loan:

St Albans Citizens Advice Bureau, 64 London Road, St Albans, AL1 1NG Telephone 01727 855269

Community Legal Service Direct – 0845 345 4 345 – or visit www.clsdirect.org.ukConsumer Credit Counselling Service – free national helpline – 0800 138 1111 or visit www.cccs.co.ukNational Debtline - telephone helpline – 0808 808 4000 or visit www.nationaldebtline.co.ukHarpenden Money Advice Centre – 07954 276281 or e-mail: [email protected]

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http://www.cccs.co.uk/

http://www.nationaldebtline.co.uk/


http://www.cccs.co.uk/

http://www.nationaldebtline.co.uk/
