Lufthansa Employee Federal Credit Union Approved for $ ______

LOAN APPLICATIONSignature ______

I/We apply for a loan of $______plus / less old loan balance for a period of ______months, to be repaid in______

monthly installments. Purpose of Loan:______

APPLICANT INFORMATION .

COMPLETE LEGAL NAME OF APPLICANTDATE OF BIRTH SOCIAL SECURITY NUMBER GROSS MONTHLY INCOME

RESIDENCE STREET ADDRESSCITYSTATEZIP CODE HOW LONG AT RESIDENCE HOME PHONE NUMBER

OWN RENTING BUYING WITH PARENTS

FINANCED

RENT/MTGE. PER MONTH______NO. OF DEPENDANTS______DO YOU OWN AN AUTOMOBILE______MAKE______YEAR______BY______

DEPARTMENTPOSITION AT WORKLH PERS. NO.DATE OF EMPLOYMENT WORK PHONE DRIVERS LICENSE NO

NAME OF NEAREST RELATIVEADDRESSCITYSTATEZIP CODEPHONE

CO-MAKER INFORMATION .

COMPLETE LEGAL NAME OF JOINT APPLICANTDATE OF BIRTH SOCIAL SECURITY NUMBER GROSS MONTHLY INCOME

RESIDENCE STREET ADDRESSCITYSTATEZIP CODE HOW LONG AT RESIDENCE HOME PHONE NUMBER

OWN RENTING BUYING WITH PARENTS

FINANCED

RENT/MTGE. PER MONTH______NO. OF DEPENDANTS______DO YOU OWN AN AUTOMOBILE______MAKE______YEAR______BY______

EMPLOYED BYPOSITION AT WORKDATE OF EMPLOYMENTWORK PHONE DRIVERS LICENSE NO.

DEBTS .

(Please attach a separate sheet if necessary)

The total of all my/our present debts as borrowers, Co-Makers or otherwise is/are $______. If none, state “NONE” otherwise list each obligation below:

CREDITOR AND ADDRESSACCT NOORIG. AMTBALANCEMONTHLY PAYMENTS

Have you ever been adjudged as bankrupt or have any judgment, garnishes or other legal proceedings ever been filed against you?______. If yes, give particulars on a separate sheet. I/We certify that all statements made are true and complete and are submitted for the purpose of obtaining credit. I/we authorize you to obtain any information relative to this application from any bank, finance company, credit bureau and my/our employer. Without in any way limiting the foregoing (I/We affirm, represent and warrant that I/We have no outstanding obligations to any bank , loan company, corporation or individual and no suits, judgments or legal claims of any kind whatsoever are pending against me/us except as stated by me/us in this application. I/We further authorize the Payroll Department of Lufthansa and/or its subsidiaries to deduct the monthly payments from my pay each payroll period and to transmit same currently to the Lufthansa Employee Federal Credit Union.

______

SIGNATURE OF APPLICANT CO-MAKER

CONSUMER CREDIT DISCLOSURE OF LOAN .

TOTAL OF
PAYMENTS / FINANCE
CHARGE / AMOUNT
FINANCED / ANNUAL
PERCENTAGE RATE / CREDIT LIFE
INS. CHARGE / DISABILITY
INS. CHARGE / PROPERTY
INSURANCE CHARGE
$ / $ / $ / % / NONE / NOT INCLUDED / NOT INCLUDED
Payable in: / DUE DATE OF PAYMENTS / AMOUNT OF / PAYMENT
Consecutive
Monthly
Installments / First:
/ Others: Same Day of Each Month / FINAL:
SAME / First:
$ / Others:
Same / Final:
Same / Recording Fee
$

NOTICE: All Loans not secured by real estate are covered by life insurance up to $30,000.00 - at no cost to the borrower/s. Coverage excludes pre-existing health conditions and loans for borrower/s who have reached the age of 70.

THERE IS NO PENALTY FOR EARLY REPAYMENT OF LOAN. FULL CREDIT FOR UNUSED INTEREST CHARGES WILL BE GIVEN.

LATE CHARGES: NONE

CONSUMER LOAN NOTECHECK #______

This is the note that covers my loan with LUFTHANSA EMPLOYEE FEDERAL CREDIT UNION. When I sign my name below, this means I accept the terms of the note. I understand that anyone else who signs will be responsible, individually, and together, to the same extent I am. In this note the words “I”, “me” and “my” mean the borrower. “You” and “your” refer to Lufthansa Employee Federal Credit Union.

Promise to pay: I promise to pay to you as the set forth below at 1640 Hempstead Turnpike, East Meadow, NY 11554, the financed amount of $______/____in______monthly installments of $______each. The first installment will be due not less than 30 days after the date I receive the proceeds. The finance charge will begin 5 days after I sign this note.

Here is the breakdown of this note:

LOAN PROCEEDS$______

FINANCE CHARGES$______

TOTAL PAYMENTS$______ANNUAL PERCENTAGE RATE______%

To ASSURE PAYMENT OF THIS NOTE I give you as SECURITY______.

Your option on default or termination of employment: In case of failure to pay, when due, any amount payable under this note, or upontermination of my employment withLufthansa and/or its subsidiaries, you may at your option declare the entire balance then owed under this note, less finance charges not yet accruing, IMMEDIATELY due and payable. I expressly and irrevocably authorize Lufthansa and/or its subsidiaries to deduct all or part of such balance from any money it owes me (for example, unpaid wages, unused sick days, unused vacation days, or severance pay) and to transmit such amount to you on my behalf.

Delay in enforcement : You can waive or delay any of your rights without losing them. You can waive or delay enforcing a right as to any one borrower without waiving it as to the other. Also, you can release one borrower from his or her responsibilities under this note without releasing the other. You need not give anyone notice of your waiver, delay or release.

Collection Costs: I agree to pay any costs, including court costs, reasonably incurred by you in enforcing your rights to collect any amount due under this note. If you use an attorney who is not a salaried employee to enforce these rights, I also agree to pay an attorney’s fee of up to 20% of the amount due under this note.

Right of Setoff: If the entire balance of my loan becomes due for any reason, you may collect all or part of this unpaid balance by deducting such amount from any deposit balances or credit balances I have with you. In addition, you may collect all or part of this unpaid balance by selling any property I have given as security for this note and applying the proceeds from such sale toward my debt.

Notice not required: If the note is not paid when due, you do not have to give notice before you can enforce your rights to collect all amounts due. You do not have to present this note, demand payment or protest.

Applicable law: This agreement is governed by New York State law.

I have read this Note and received a completed copy. I understand that it contains all our rights and responsibilities. The Note can not be changed without your written permission and will be binding on my heirs, and legal representatives.

______

SIGNATURE OF APPLICANT (PRINT OR TYPE NAME BENEATH)CO-MAKER

______

WITNESS

OR NOTARIZATION

State of______County of______SS:______

On the______day of ______20_____, before me personally

came______to me known to be the individual (s) described in and who executed the foregoing instrument, and acknowledged that (he, she, they) executed the same.

______

NOTARY PUBLIC