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Loan Request Information

* Required Fields

Loan Details

*Are you a current Division 10 Highway Employees Credit Union member: *Are you a current Division 10 Highway Employees Credit Union member:

Member Eligibility Reason:

Family Member Name:

I qualify for membership based on one of the following:

In order to continue, the items outlined in red below must be corrected. Please correct the issues and click next to continue.

I am a current full-time employee or retiree of the SE District of MODOT

I am a current full-time employee or retiree of Troop E of the Missouri State Highway Patrol

I am an immediate family member of a current Division 10 Credit Union member

*First Name:

Middle Name:

*Last Name:

*Relationship:

None of the above

*Member Number:

*Type of Loan:

*What type of card best fits your needs:

*Loan Type Description:

*Disclosure:

Read and agree to the disclosure statement...

*Product Type:

*Vendor:

*Vendor Contact:

Include Co-Applicant:

Co-Borrower Type:

Joint Applicant

Co-Signer / Guarantor

*Requested Amount:

*Term (in months):

Select a Loan Type...

Rates

*Request Type: Request Type:

*Purpose of Loan:

Rates

*Reason For Other:

*Reason For Purpose of Loan:

Loan Protection Options

Please add Guaranteed Asset Protection (GAP) to my loan.

If your car is totaled/stolen for any reason, the amount of reimbursement you receive from your insurance company may be substantially less than the amount you owe on your car loan. Unless you’re covered by gap insurance, this financial shortfall, or “GAP” could leave you owing thousands of dollars. Ask one of our Loan Specialists for more information. The big picture is everything!

Please add Vehicle Service Contract to my loan.

For just pennies a day, Member Protection Vehicle Service Contracts shield you from the high costs of mechanical or electrical repairs on your vehicle once your basic manufacturer’s warranty has expired. In addition, Vehicle Service Contracts also provides comprehensive roadside assistance, nationwide coverage, and the flexibility to choose a repair facility of your choice. Before you commit to any other program, compare it to our vehicle service contract plans.

Loan Type Disclosure Statement

Important information for younger borrowers.

It is important that the information we collect is accurate. Please ensure you are under 18 by clicking "Yes, I am under 18" below.

Important information for younger borrowers.

Unfortunately we cannot legally have any contractual agreements signed by minors. We apologize for any inconvenience.

What Type of Co-Applicant should I Choose?

Co-Signer/Guarantor - Person who assumes equal liability for the obligation but does not benefit from the proceeds of the obligation.

A spouse cannot be a Co-Signer/Guarantor

Joint Borrower/Co-Borrower - Person who assumes equal liability for the obligation and benefits from the proceeds of the obligation.

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Requested Amount

Estimated Interest Rate

Term (months) Term (months)

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