Honolulu Federal Credit Union

Honolulu FCU - LOANLINER® Loan Application

We have a general loan application request form online for you to retrieve and use at your convenience. Please print out this page, fill out the form, and fax it back to us at 203-5880 along with the necessary records requested.

Loan Calculator

Married applicants may apply for a separate account. If you are applying for Individual Credit, you must complete the Applicant section about yourself and the Co-Applicant section about your spouse if:

You live in or the property pledged as collateral is located in a community property state (AK, AZ, CA, ID, LA, NM, NV, TX, WA, WI),
Your spouse will use the account, or
You are relying on your spouse's income as a basis for repayment.

If you are relying on income from alimony, child support or separate maintenance, complete the Co-Applicant section to the extent possible about the person on whose payments you are relying.

If you are applying for Joint Credit with another person, complete the Applicant and Co-Applicant sections.

If you are applying with a guarantor for your loan, mark the Guarantor box below and enter the guarantor's information under the Co-Applicant section.

TYPE AND AMOUNT OF CREDIT YOU'RE REQUESTING

Is this your first loan from us?	yes no
Amount/Credit Limit Requested:	$
Approximate Time to Repay:	How Many? Periods:
Purpose:
Security Offered:	(for secured credit only, not applicable to credit cards)
Type of Credit:	Individual Joint Spouse Guarantor

For Credit Cards, see Disclosure Table

PAYMENT PROTECTION COVERAGE Check if desired

Payment Protection Insurance is available to our members when they apply for and receive credit.

Why consider this coverage? A disability could cause a loan balance to become a financial burden, especially in the event of lower or no income due to your inability to return to work. Payment Protection Insurance - Credit Disability can make the minimum monthly payment on your loan or credit card with HFCU if you become totally and continuously disabled, and are payable for the life of your loan.

And the cost of this coverage is reasonable. To see how much it would add to your loan payment, see our loan calculator. And be sure to check "yes" below if you would like to add this valuable coverage. (Some restrictions may apply; a separate enrollment form which discloses the terms and conditions must be signed for the coverage to be effective.)

Payment Protection Insurance - for a bit more you gain a lot of relief.

Yes No

Do you want your loan protected for you and your family if you become disabled?

Member Information - Module C

TELL US ABOUT YOURSELF

E-mail address:

Applicant	Co-Applicant · Other
Name:	Name:
CU Account #:	CU Account #:
Social Security #:	Social Security #:
Please indicate your marital status if you are applying for Joint Credit, secured credit or if you live in a community property state: Married Separated Unmarried (Single - Divorced - Widowed)	Please indicate your marital status if you are applying for Joint Credit, secured credit or if you live in a community property state: Married Separated Unmarried (Single - Divorced - Widowed)

Driver's License #: State:	Driver's License #: State:
Birth Date:	Birth Date:
Home Phone: Business Phone:	Home Phone: Business Phone:
Present Address: Years There: Own Rent	Present Address: Years There: Own Rent

DEBTS	DEBTS
Mortgage/Rent owed to:	Mortgage/Rent owed to:
Balance (Mortgage only):	Balance (Mortgage only):
Monthly Payment: Current APR % (Mortgage only):	Monthly Payment: Current APR % (Mortgage only):
Person Responsible for Payment:	Person Responsible for Payment:
INCOME	INCOME
Employer:	Employer:
Income: $ Net Gross Annual Monthly Bi-weekly Weekly	Income: $ Net Gross Annual Monthly Bi-weekly Weekly
Other Income: (Notice: Alimony,child support or separate maintenance income need not be revealed if you do not have it considered as a basis for repaying this obligation.) Source: $ Annual MonthlyHourly	Other Income: (Notice: Alimony,child support or separate maintenance income need not be revealed if you do not have it considered as a basis for repaying this obligation.) Source: $ Annual MonthlyHourly

CREDIT CARD DISCLOSURES

VISA Gold/Classic

Annual percentage rate for purchases	9.75% APR* Gold 11.75% APR* Classic
Grace period for repayment of the balance for purchases	A Finance Charge will not be imposed on Purchases if you pay the entire new balance for the purchases in full as shown on your statement within a 25 day grace period
Method of computing the balance for purchases	The Average Daily Balance (including new purchases)
Annual fees	none

VISA Platinum

Annual percentage rate for purchases	8.75% APR*
Grace period for repayment of the balance for purchases	A Finance Charge will not be imposed on Purchases if you pay the entire new balance for the purchases in full as shown on your statement within a 25 day grace period
Method of computing the balance for purchases	Apply the monthly periodic rate to the Average Daily Balance (including new purchases)
Annual fees	$20.00

* Annual Percentage Rate
Late-payment fee: $20.00 if paid after the due date on your statement.
Over-the-credit-limit fee: $20.00
Rewards Program available with Platinum Card - Earn 1 point for each $1.00 spent on purchases.

This information is accurate as of December 20, 2006 and is subject to change after that date. Please contact the credit union at 203-5850 for any changes to this information.

SIGNATURES: You promise that everything you have stated in this request is correct to the best of your knowledge. If there are any important changes, you will notify us in writing immediately. You also agree to notify us of any change in your name, address or employment within a reasonable time thereafter. You authorize the credit union to obtain credit reports in connection with this request and for any update, increase, renewal, extension or collection of the credit received. If you request, the credit union will tell you the name and address of any credit bureau from which it received a credit report on you. You understand that it is a federal crime to willfully and deliberately provide incomplete or incorrect information on requests made to Federal Credit Unions or State Chartered Credit Unions insured by the NCUA. You understand that the credit union will rely on the information in the request and your credit report to make its decision. If you are in default of a financial obligation to us, federal law gives us the right to apply the balance of shares and dividends in your account(s) at the time of default to satisfy that obligation. We may exercise this right without further notice to you. By signing below, you agree to the terms of the Credit Card Agreement which will be sent with the card and you agree to pay all charges incurred in accordance with the terms of that Agreement.

X________________________________
Applicant Signature and Date

X________________________________
Other Signature and Date

Note: If the purpose of the loan is to improve your residence, please download and complete the following form for Information for Government Monitoring Purposes (Freddie Mac Form 65/Fannie Mae Form 1003).

CSTLR1 6857 - Internet Loan Request ©CUNA MUTUAL INSURANCE SOCIETY, 1980, 82, 84, 86, 89. All Rights Reserved.
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