SAKS Fifth Avenue Enterprises Federal Credit Union



I am applying for: If you wish to apply for a Mortgage or Home Equity Loan, please click here

Applicant Information

Last Name:		First Name:
Date of Birth (mm/dd/yyyy)		Mother's Maiden Name:
Address:
City:		State: Zip:
Credit Union Acct. #:		Length of Residence:
Rent Own		Social Security #:
Previous Address:		Length of Residence:
Home Phone (xxx-xxx-xxxx)		E-mail:

Tell Us About Your Employment

Present Employer:		Position:
Employer Phone		Length of Employment:
Gross Income:		Monthly Yearly
Other Income*:		Source*:
Former Employer:		Length of Employment:
Position:
*Alimony, child support, or maintenance payments are optional information and need not be revealed if the applicant does not choose to rely on such income in applying for credit.

Your Credit References

Mortgage (Rent) Payment:		Mortgage Balance:
Approximate Market Value (House):
Checking Account With:		Balance:
Savings Account With:		Balance:

Co-Applicant Information (if applicable)

Check here if you have co-applicant


Submitting this application

This statement is submitted to obtain credit and I (we) certify that all information herein is true and complete. I (We) also authorize the Credit Union to verify or obtain further information the Credit Union may deem necessary concerning my (our) credit standing. If this application is approved and a Credit Card(s) issued, the undersigned applicant(s) by signing, using or permitting another to use the Credit Card(s) agree(s) that the applicant(s) will be bound by the terms and conditions accompanying the Credit Card(s) and all amendments. I (We) hereby acknowledge receipt of the Credit Union Credit Card Agreement and Disclosure and Billing Rights that inform me (us) of the terms, responsibilities and rights as a Credit Union Credit Card account user.

I/We acknowledge receipt of the disclosure statement informing me/us of my/our rights under the Electronic Funds Transfer Act and Truth-In-Savings Act, as applicable.



We will begin processing this request immediately after receiving it via e-mail. A form requesting your signature(s) will be forwarded to you soon. Thank you.