Loan Application

Loan Applications are for existing THCU members only.

Click here to download and print a PDF application form If you prefer to print out this form,
click here for a printable PDF version.

You will need Adobe Reader to view this document.

THCU's online application is located on a secure server, however, as with any electronic transfer of information, it is impossible to completely guarantee the security of this document.

PLEASE CHECK THE APPROPRIATE BOX BELOW TO INDICATE THE TYPE OF CREDIT FOR WHICH YOU ARE APPLYING.
NOTE: A MARRIED APPLICANT MAY APPLY FOR A SEPARATE ACCOUNT.


Individual Credit: Complete "APPLICANT" section. Complete other sections as follows: (1) Information about your spouse if you live in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI) or if your spouse will use the Account. (2) Information about the party making the payments if you are relying on alimony spousal support, or separate/spousal maintenance as a basis for repayment.

Joint Credit: Complete both the "APPLICANT" and the "CO-APPLICANT" sections.

CREDIT UNION ACCOUNT #: 
LOAN AMOUNT REQUESTED:
TO BE REPAID IN MONTHS
PURPOSE OF LOAN
COLLATERAL OFFERED


APPLICANT:
Full Name:
Home Address: How Long?
City: State:
ZIP Code:
Home Phone: Birthdate :
No. of Dependents: Ages:
Social Security No.

NOTICE: ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED IF YOU DO NOT CHOOSE TO HAVE IT CONSIDERED
Current Employer: Title:
Start Date:
Business Address:
Business Phone
Gross Monthly Income
Net Monthly Income
Other Income
Source of Other Income
Previous Employer Title
Start Date End Date


CO-APPLICANT: SPOUSE EX-SPOUSE GUARANTOR
Full Name:
Home Address: How Long?
City: State:
ZIP Code:
Home Phone: Birthdate:
No. of Dependents: Ages:
Social Security No.
NOTICE: ALIMONY, CHILD SUPPORT, OR SEPARATE MAINTENANCE INCOME NEED NOT BE REVEALED IF YOU DO NOT CHOOSE TO HAVE IT CONSIDERED
Current Employer: Title:
Start Date:
Business Address:
Business Phone
Gross Monthly Income
Net Monthly Income
Other Income
Source of Other Income


Debts
Mortgage or Rent
Owed To:
Balance:
Payments:

Second Mortgage
Owed To:
Balance:
Payments:

Auto Loan
Owed To:
Balance:
Payments:

Credit Union
Owed To:
Balance:
Payments:

Credit Card
Owed To:
Balance:
Payments:

Credit Card
Owed To:
Balance:
Payments:

Child Support, Alimony, or Maintenance:
Payments:

Dependent/Day Care:
Payments:

Other
Owed To:
Balance:
Payments:

Other
Owed To:
Balance:
Payments:

Other
Owed To:
Balance:
Payments:


Complete this item only if you live in a community property state (Arizona, California, Idaho, Louisiana, New Mexico, Nevada, Texas, Washington & Wisconsin)
Married Unmarried Separated


Are You A Co-Maker Of Any Other Loans? Yes No
How Much? For Whom?

Have You Ever Filed For Bankruptcy? Yes No

Have You Any Legal Proceedings Against You? Yes No

Are You A U.S. Citizen? Yes No


Personal References
Name Of A Personal Friend (Not A Relative):
Address:
Home Phone:

Name Of Nearest Relative (Not Living With You):
Address:
Home Phone:
Relationship:

Disclosure Table for Texas Health Credit Union MasterCard and MasterCard Gold

Annual Percentage Rate for Purchases 13.90% for MasterCard and 9.90% for MasterCard Gold
Grace Period for Purchases 25 Days
Balance Calculation Method Average Balance Including New Purchases
Annual Fees None
Minimum Finance Charge None
Transaction Fee for Purchases and Cash Advances None
Late Payment Fee (After 10 Days) 5% of Payment Due, Minimum $1.00, Maximum $5.00
Over Credit Limit Fee (10% or More Over Line) $5.00

I hereby apply for credit with you according to the terms and conditions of such credit as I may, from time to time, request from you. You may also investigate my credit worthiness, credit history and financial responsibility through any credit reporting agency, or by direct creditor contact and you may directly verify my employment. I hereby direct any past, present or future employer, person, association, firm, corporation, or agency to furnish any and all information concerning me or my personal affairs, release from any liability is granted in advance. I also certify that there are no lawsuits pending or judgements outstanding against me other than those I have outlined in the application. I understand that any false or misleading statements in my application will cause any loan or extension of credit you grant me to be in default. You may then demand immediate payment of the balance of the loan, past due and any later charges. I AGREE TO PROMPTLY REPAY ANY LOAN OR CREDIT EXTENDED ACCORDING TO THE TERMS THEREON.

Applicant:
Date:

Co-Applicant:
Date:

  Please confirm the verification code below:
Verification Code:
Please confirm:

Address: 4800 Grover Avenue, Austin, TX 78756 | Phone: (512) 454-4636 or (800) 545-1771 | Lobby/Phone Hours: (M-F) 9am - 4pm | Drive-Thru Hours: (M-F) 7:30am - 5:30pm, (Sat) 9am - Noon