Online Loan Application

Getting ready to make a large purchase? Get pre-approved so you can negotiate as a "Cash" buyer. Just complete the below application and submit it. Once received, your Credit Union loan officer will process your application and grant you pre-approval, subject to verification of information. To speed up the process you may fax your most recent pay stub to (617) 742-1135.

For your security, we use SSL encryption. If you prefer, you can print out this application, complete it and fax it to the above number. You should see a secure symbol on your browser, if not, apply via the secure server.

This loan application is only for existing members or eligible members of Boston Customs FCU. If you are interested in becoming a member, visit our website for more information...

Loan Type Requested
Purpose
Loan Amount Requested    $
Repayment Method

Credit Type Individual Credit Joint Credit

If joint, fill out Co-Applicant section also

Applicant

Account #
Name
Address 1
Address 2
City	State Zip

Home Number	-
Work Number	-
Other Number	- (i.e. pager, cellular)
Social Security #
Date of Birth
Email

How Long at this Residence? Years Months

Rent Own

Monthly Payment $

Employer Name
Employer Address
Employer City/State	State
Department/Position
Length of Employment	Years Months
Gross Income	$ empty
Other Income*	$ empty

* Income from alimony, child support or separate maintenance payment need not be revealed if you do not choose to disclose it as income.

Co-Applicant (Fill out only if Joint Credit)

Account #	empty
Name	empty
Address 1	empty
Address 2	empty
City	empty State empty Zip empty

Home Number	empty - empty
Work Number	empty - empty
Other Number	empty - empty (i.e. pager, cellular)
Social Security #	empty
Date of Birth	empty
Email	empty

How Long at this Residence? empty Years empty Months

Rent Own

Monthly Payment $

Employer Name	empty
Employer Address	empty
Employer City/State	empty empty State
Department/Position	empty
Length of Employment	empty Years empty Months
Gross Income	$ empty
Other Income*	$ empty

* Income from alimony, child support or separate maintenance payment need not be revealed if you do not choose to disclose it as income.

Comments/Other
empty

By clicking on the Submit button below, I/we certify that the information herein is true and complete. I/we agree that inquiries may be made to verify information and that credit references or verification may be given based on inquiries from other parties. This offer is subject to the credit policies of the credit union. I/We understand that you shall retain this application whether or not it is approved.

Your Savings Federally Insured by NCUA
Federally Insured by NCUA

Online Loan Application

Applicant

Co-Applicant (Fill out only if Joint Credit)

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