Loan/Credit Card Application


Loan Information

How can we help expedite your loan request?

  1. To avoid any unnecessary delays in processing your loan request, do not leave any form field blank. If a form field does not apply, simply enter N/A.
  2. All income must be verified. Acceptable proof of income: Pay check stubs issued within the last thirty (30) days and/or two (2) years previous federal tax returns.
  3. All employment will be verified.
Loan/Credit Card Application Account Type *
  1. If you have a spouse or registered domestic partner ("RDP")*, your spouse or RDP should not sign this application unless he/she wishes to be obligated in this Loan as a Co-Borrower. If you have a spouse/RDP, you may still apply for individual credit. However, if you live in a community property state (AZ, CA, ID, LA, NM, NV, TX, WA, WI), you are encouraged to consult with your own financial or legal advisor to ascertain whether community property assets may be at risk in the event of default.
  2. If you are under 21 years of age, and are applying for a credit card, you must either:
    1. Provide proof of your ability to make the required payments; or
    2. Complete the Co-Applicant section and obtain the signature of a co-signer or joint applicant who is at least 21 years of age and has the means to repay the debt and agrees to joint liability

* Refers to RDP's in a state with RDP laws that provide for community property rights that mirror those of a spouse.

Loan/Credit Card Requested *


Payment Method *
Credit Insurance Options

Credit life and/or disability insurance is not required to obtain credit under this plan and will be included only if requested by the applicant. Check coverage(s) desired.


Personal Information

Applicant Personal Information
Marital Status

Complete for joint credit, secured credit, or if you live in a community property state.

Current Residence

Applicant Current Residence
Do you own or rent? *

Previous Residence (If less than five (5) years ago)

Applicant Previous Residence (If less than five (5) years ago)
Did you own or rent?

Employment & Income

Applicant Employment & Income
Gross or net

You need not list income from alimony, child support, or separate maintenance unless you wish it considered for purpose of granting this credit.


Applicant Reference

Outstanding Debts

Monthly Payment
Do you have any of the following?


"You" and "Your" mean each and all of the applicants signing the application.

  1. You certify the accuracy of the information given in this application and you will notify the Credit Union in writing immediately if there is any change in your financial condition. It is a violation of Section 104, Title 18, U.S. Code, to make a false statement or overvalue security for the purpose of influencing the action of any federally insured Credit Union.
  2. You authorize the Credit Union to gather whatever credit and employment information it considers appropriate from time to time (you understand that this will assist, for example, in determining your eligibility for renewal of credit and additional extensions of credit). You authorize the Credit Union to give information concerning your credit experience with us to others. You understand and agree that the Credit Union may retain this application and other credit information the Credit Union may receive.
  3. You agree that by using or authorizing another to use the Account, you will be bound by the terms and conditions of the applicable Huntington Beach Credit Union disclosure entitled: A) Disclosure, Loan Agreement and Security Agreement, or B) Visa Card Agreement, (which will be given to you if your application is approved and before the first transaction is made).

Typing your name(s) into the signature field(s) below will constitute an electronic signature.

Primary Applicant Signature and Date

Please review your application carefully and verify all information is accurate before submitting.

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