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What to Submit With Your Home Equity Application

Thank you for your interest in our home equity loan or line of credit. All forms needed to apply are

provided in this packet. Home equity loans are available only on your primary residence. If you

have any questions, please call us at 703-934-8300 or 800-491-2328 and select option 6 for Real

Estate Loans.

Submit copies of the following documents:

o

Application

o

2012 W2 and 2 most recent pay stub

o

Federal Tax Returns for 2010/2011 or 2011/2012 (if self-employed)

Please include all schedules and sign the returns.

o

Property deed and last property tax assessment

o

Mortgage Note

o

Homeowners Insurance Certificate

o

Flood Insurance Certificate and Application (if applicable)

Important Information

Appraisal and Flood Certification Fees:

These fees are required after the pre-approval of your loan or line-of-credit limit. If you are applying

for a fixed rate loan, you must receive a Good Faith Estimate from the Credit Union before providing

any fees. We require a $360 check or an authorization to debit your account. Appraisal fees may

exceed $350 for higher valued homes.

Homeowners Insurance Policy:

The amount of coverage must be enough to cover all outstanding liens on the property.

Congressional Federal Credit Union must be listed as a loss-payee on your homeowner’s policy.

Flood Insurance Policy:

If your home is located in a flood plain as designated by the Federal Emergency Management

Agency, FEMA, you must have flood insurance when borrowing from a federally insured financial

institution. We require a copy of the Flood Insurance Policy along with a copy of your application for

flood insurance. Your agent or insurance company should have a copy of the application.

Congressional Federal Credit Union must be listed as a loss-payee on your flood policy and coverage

must be adequate to cover the first and second mortgage loans.

Settlement

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Application

CUNA MUTUAL INSURANCE SOCIETY, 1991, 2003, ALL RIGHTS RESERVED Page 1 of 2 EST516 (LASER)

NAME AND ADDRESS OF PERSONAL FRIEND - NOT A RELATIVE

HOME PHONE

APPLICANT

NAME (Last - First - Initial) DRIVER'S LICENSE NUMBER/STATE

ACCOUNT NUMBER SOCIAL SECURITY NUMBER

BIRTH DATE HOME PHONE BUSINESS PHONE/EXT.

PREVIOUS ADDRESS (Street - City - State - Zip) PRESENT ADDRESS (Street - City - State - Zip)

COMPLETE FOR JOINT CREDIT, SECURED CREDIT OR IF YOU LIVE IN A COMMUNITY PROPERTY STATE:

MARRIED SEPARATED UNMARRIED (Single - Divorced - Widowed) LIST AGES OF DEPENDENTS NOT LISTED BY OTHER APPLICANT

(Exclude Self)

APPLICANT

INFORMATION

NAME (Last - First - Initial) DRIVER'S LICENSE NUMBER/STATE

ACCOUNT NUMBER SOCIAL SECURITY NUMBER

BIRTH DATE HOME PHONE BUSINESS PHONE/EXT.

PREVIOUS ADDRESS (Street - City - State - Zip) PRESENT ADDRESS (Street - City - State - Zip)

MARRIED SEPARATED UNMARRIED (Single - Divorced - Widowed)

STATEMENT

OF INTENT

LIST AGES OF DEPENDENTS NOT LISTED BY APPLICANT (Exclude Self)

3

COMPLETE FOR JOINT CREDIT, SECURED CREDIT OR IF YOU LIVE IN A COMMUNITY PROPERTY STATE:

OWN RENT OWN RENT OWN RENT OWN RENT LENGTH AT RESIDENCE LENGTH AT RESIDENCE START DATE

MILITARY

NAME AND ADDRESS OF EMPLOYER

YOUR TITLE/GRADE SUPERVISOR'S NAME

START DATE IF SELF EMPLOYED, TYPE OF BUSINESS

IF EMPLOYED IN CURRENT POSITION LESS THAN FIVE YEARS, COMPLETE PREVIOUS EMPLOYER NAME AND ADDRESS

ENDING DATE STARTING DATE

NAME AND ADDRESS OF EMPLOYER

YOUR TITLE/GRADE SUPERVISOR'S NAME

HOURS AT WORK

ENDING/SEPARATION DATE

IS DUTY STATION TRANSFER EXPECTED DURING NEXT YEAR

ENDING DATE STARTING DATE

IF EMPLOYED IN CURRENT POSITION LESS THAN FIVE YEARS, COMPLETE PREVIOUS EMPLOYER NAME AND ADDRESS

YES NO

IF SELF EMPLOYED, TYPE OF BUSINESS HOURS AT WORK

ENDING/SEPARATION DATE

IS DUTY STATION TRANSFER EXPECTED DURING NEXT YEAR LENGTH AT RESIDENCE YES NO

EMPLOYMENT

INFORMATION

WHERE WHERE LENGTH AT RESIDENCE

REFERENCES

Please include

Street, City, State

and Zip.

RELATIONSHIP

NAME AND ADDRESS OF NEAREST RELATIVE NOT LIVING WITH YOU

NAME AND ADDRESS OF PERSONAL FRIEND - NOT A RELATIVE HOME PHONE

HOME PHONE RELATIONSHIP

NAME AND ADDRESS OF NEAREST RELATIVE NOT LIVING WITH YOU

HOME PHONE

5

2

CO-APPLICANT

SPOUSE

Referred to as "Other" Use "SAA" if information is "Same as Applicant"

Individual Credit: Complete Applicant section. Complete Co-Applicant, Spouse, (referred to as "Other") section: (1) about your

spouse if you live in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI), or (2) if your spouse will use the

Account. Please check box to indicate whom the information is about.

Joint Credit: Each Applicant must individually complete the appropriate section below. If Co-Borrower is spouse of the

Applicant, mark the Co-Applicant box.

Amount Requested $

Purpose:

Repayment:

Payroll Deduction

Cash

Automatic Payment

Military Allotment

NOTICE TO OHIO APPLICANTS: The Ohio laws against discrimination require that all creditors make credit equally available to all

credit worthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The

Ohio Civil Rights Commission administers compliance with this law.

1

Married Applicants

may apply for a

separate account.

NOTE AND

COMPLETE

Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered.

$

PER PER

INCOME

INFORMATION

EMPLOYMENT INCOME OTHER INCOME

PER

GROSS

$

NOTICE: Alimony, child support, or separate maintenance income need not be

revealed if you do not choose to have it considered.

$

PER

$

EMPLOYMENT INCOME OTHER INCOME

GROSS SOURCE

NET NET SOURCE

NOTICE:

4

No

Are you interested in having your loan protected?

If you answer "yes", then the credit union will disclose the cost of this voluntary payment

protection to you. A separate election which discloses the terms and conditions must be

signed for protection to be effective.

(3)

APPLICANT

OTHER

(CO-APPLICANT, SPOUSE)

NAME AND ADDRESS OF DEPOSITORY SHARE DRAFT OR

CHECKING AMOUNT

LIST EVERY LIEN AGAINST YOUR HOME

A lien is a legal claim filed against property as security for payment of a debt. Liens include mortgages, deeds of trust, land contracts, judgments and past due taxes. NAME AND ADDRESS OF DEPOSITORY

$

HOME*

$

APPLICANT OTHER

LIST HOME AND ALL OTHER ITEMS YOU OWN AND LOCATION OF PROPERTY

For Example: Auto, Boat, Stocks, Bonds, Cash, Household Goods, Real Estate, etc. MARKET VALUE

PLEDGED AS COLLATERAL FOR ANOTHER LOAN

YES YES YES NO NO NO SAVINGS AMOUNT

NAME AND ADDRESS OF DEPOSITORY SHARE DRAFT OR

CHECKING AMOUNT

You promise that everything you have stated in this application is correct to the best of your knowledge and that the above information is a complete listing of all your debts and obligations. You authorize the credit union to obtain credit reports in connection with this application for credit and for any update, renewal or extension 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 loan applications made to Federal Credit Unions or State Chartered Credit Unions insured by NCUA. If there are any important changes, you will notify us in writing immed-iately. You also agree to notify us of any change in your name, address or employment within a reasonable time thereafter.

Page 2 of 2 EST516 (LASER)

OTHER LIENS (Describe) NAME AND ADDRESS OF DEPOSITORY

FIRST MORTGAGE HELD BY PRESENT BALANCE

IS THE PROPERTY DESCRIBED IN THIS SECTION: YOUR PRINCIPAL DWELLING? LISTED AS THE APPLICANT'S ADDRESS IN THE "APPLICANT INFORMATION" SECTION?

IS ANYONE OTHER THAN YOUR SPOUSE

A PART OWNER OF YOUR HOME? YES NO

NO NO YES YES

X

OTHER SIGNATURE DATE

X

APPLICANT'S SIGNATURE DATE

$

$

DO YOU HAVE ANY OUTSTANDING JUDGMENTS?

HAVE YOU EVER FILED FOR BANKRUPTCY OR HAD A DEBT ADJUSTMENT PLAN CONFIRMED UNDER CHAPTER 13? HAVE YOU HAD PROPERTY FORECLOSED UPON OR GIVEN A DEED IN LIEU OF FORECLOSURE IN THE LAST 7 YEARS? ARE YOU A PARTY IN A LAWSUIT?

ARE YOU OTHER THAN A U.S. CITIZEN OR PERMANENT RESIDENT ALIEN? IS YOUR INCOME LIKELY TO DECLINE IN THE NEXT TWO YEARS?

ARE YOU A CO-MAKER, CO-SIGNER OR GUARANTOR ON ANY LOAN NOT LISTED ABOVE?

FOR WHOM (Name of Others Obligated on Loan): TO WHOM (Name of Creditor):

YES NO

APPLICANT OTHER

IF A "YES" ANSWER IS GIVEN TO A QUESTION, EXPLAIN ON AN ATTACHED SHEET

$

SAVINGS AMOUNT

$

$

$

RENT MORTGAGE (incl. Tax & Ins.)

PAST DUE MONTHLY PAYMENT PRESENT BALANCE ORIGINAL BALANCE ACCOUNT NUMBER CREDITOR NAME AND ADDRESS

LIST ANY NAMES UNDER WHICH YOUR CREDIT REFERENCES AND CREDIT HISTORY CAN BE CHECKED

TOTALS

APPLICANT OTHER

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

LOAN OFFICER

CREDIT COMMITTEE OR OTHER

ADVANCE APPROVED: YES NO

OUTSIDE INFORMATION CONSIDERED: YES NO

COUNTER OFFER WILL BE MADE, IF ACCEPTED, ADVANCE APPROVED IF YES, ATTACH ADDITIONAL SHEET AND DESCRIBE

REFERRED TO/REASON(S) FOR REFERRAL: DESCRIBE COUNTER OFFER:

SPECIFIC REASON(S) FOR REJECTION: SIGNATURES:

LOAN OFFICER CREDIT COMMITTEE

DATE DATE

DATE DATE

ECOA NOTICE AND REASON FOR REJECTION SENT OR DELIVERED ON (DATE) BY (INITIALS)

X

X

X

X

This section must be com-pleted for the property which will be given as security, if applicable. DEBT RATIO $ APPROVED LIMIT

6A

ASSETS/

PROPERTY

6B*

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U.S. House of Representatives

Email Address: email@CongressionalFCU.org

Mailing Address: P.O. Box 23267, Washington, D.C. 20026-3267

The Capitol



Ford HOB



Longworth HOB



Rayburn HOB



Oakton,Virginia

(703) 934-8300



(800) 491-CFCU



6-3100 from Capitol Hill



Fax (703) 934-8320

www.CongressionalFCU.org

Please complete the following form

if any part of the requested loan proceeds will be used to purchase, construct,

improve a dwelling or real property upon which the dwelling is located, or if the new loan proceeds will be used to payoff a

loan secured by a dwelling.

Information for Government Monitoring Purposes

The following information is requested by the federal government for certain types of loans related to a dwelling in order to

monitor the lender’s compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not

required to furnish this information, but are encouraged to do so. You may select one or more designations for “Race.” The

law provides that a lender may not discriminate on the basis of this information and you have made this application in

person, under federal regulations the lender is required to note ethnicity, race and sex on the basis of visual observation or

surname. If you do not wish to furnish the information, please check below.

Applicant

Co-Applicant

 I do not wish to furnish this information

 I do not wish to furnish this information

Ethnicity

Ethnicity

 Hispanic or Latino

 Hispanic or Latino

 Not Hispanic or Latino

 Not Hispanic or Latino

Race

Race

 American Indian, Alaskan Native

 American Indian, Alaskan Native

 Asian

 Asian

 Black or African American

 Black or African American

 Native Hawaiian or other Pacific Islander

 Native Hawaiian or other Pacific Islander

 White

 White

Sex

Sex

 Female

 Female

 Male

 Male

Applicant’s Name and Address

Applicant’s Name and Address

__________________________________________________________________________

__________________________________________________________

__________________________________________________________________________

__________________________________________________________

__________________________________________________________________________

__________________________________________________________

__________________________________________________________________________

__________________________________________________________

Account Number ______________________________

Application Number ______________________________

(5)

U.S. House of Representatives

Email Address: email@CongressionalFCU.org

Mailing Address: P.O. Box 23267, Washington, D.C. 20026-3267

The Capitol



Ford HOB



Longworth HOB



Rayburn HOB



Oakton,Virginia

(703) 934-8300



(800) 491-CFCU



6-3100 from Capitol Hill



Fax (703) 934-8319

www.CongressionalFCU.org

Insurance Request Disclosure

Congressional FCU is pleased to announce that we can now offer you auto and homeowner’s insurance through our affiliate insurance agency

— Credit Union Insurance Services. There is no cost or obligation to receive a quote — it’s just one more convenient and potentially

money-saving option we provide to our valued members.

As part of the process of providing you the requested quote for insurance, you authorize us to provide

Credit Union Insurance Services information about your insurance, coverage, and loan application.

 YES.

I would like to receive a free, no obligation insurance quote from Credit Union Insurance Services.

 I currently hold insurance with _______________________________________________ which expires on ______________________.

insurance carrier’s name month/day/year

 I currently do not have any insurance.

 NO.

I am not interested in receiving a quote. Please provide the following information:

Current insurance carrier _______________________________________________

Insurance renewal date ______________________

month/day/year

Anti-Tying Disclosure Regarding Sale of Insurance

Credit Union Insurance Services is a partially-owned subsidiary of Congressional FCU, offering a wide range of insurance products and

services. You may choose to request a quote for your insurance coverage from Credit Union Insurance Services, at your convenience.

You may be contacted by an employee of Credit Union Insurance Services, who will offer you a free, no obligation quote to provide

insurance coverage in connection with your loan.

YOUR DECISION TO RECEIVE A QUOTE OR TO PURCHASE INSURANCE FROM CREDIT UNION INSURANCE SERVICES WILL NOT

AFFECT THE APPROVAL OF YOUR LOAN. YOU MAY PURCHASE INSURANCE FROM ANY AGENT OR INSURANCE COMPANY OF

YOUR CHOICE.

If you have any concerns, questions, or complaints regarding this business relationship, you may contact Member Services at

(703) 934-8300, (800) 491-CFCU, or 6-3100 from Capitol Hill.

The undersigned hereby acknowledges that the member(s) have read and received a copy of this disclosure.

Member’s Signature:______________________________________________________________ Date: ______________________

Member’s Signature:______________________________________________________________ Date: ______________________

References

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