Application for 3L Loan

Number of Existing Loans and Credit Cards

I hereby authorize the Georgetown University Alumni and Student Federal Credit Union (hereafter GUASFCU), any credit bureau, or any other investigative agency to obtain any and all information necessary to evaluate this credit application. I hereby authorize references herein to release statements or any other data pertaining to my credit and financial responsibility. I hereby authorize the GUASFCU to obtain and Georgetown University to release a copy of my student account bill and my financial aid award letter. I understand that the GUASFCU is required to render a decision upon this application within thirty days of the date on this disclosure. I also understand that if I am unable to supply all information required in this application and additional information which may be requested or needed by the GUASFCU Credit Committee to render a decision, the Credit Committee will have no choice but to deny this credit application. I hereby certify that all the statements in this application are true and accurate, that I answered all questions in full, and that I understand that false or incomplete information will void this application. It is a federal offense to knowingly make a false statement or report, or willfully over value any security for the purpose of influencing the action of a Federal Credit Union. The GUASFCU is required by law to report any such occurrences to the Federal Bureau of Investigation under the provisions of Title 18, U.S. Code, Section 1014. Violators shall be fined not more than $100,000, or imprisoned not more than thirty years, or both.

I have read this disclosure and understand and agree to all terms, conditions, and requirements here stated.