Military Travel Credit Application

IMPORTANT APPLICANT INFORMATION: Federal law requires financial institutions to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. In some instances we may use outside sources to confirm the information. The information you provide is protected by our privacy policy and federal law.

Application Type * Purpose * How did you hear about us?

Method of Repayment * Preferred Payment Day *

Amount Requested Specific Amount As much as Possible * Amount Requested *

Borrower Information

First * MI * Last * Suffix

Birth Month * Birth Day * Birth Year *

Gender *

SSN * Re-enter SSN *

Employer Active Duty Government Retired *

Marital Status * # of Dependents *

Branch of Service *

Current Location * Country of Residence * Does your Spouse have Power of Attorney?

Email Address * Additional Email Address

Active Duty Borrower Information

Address * City * State * Zip *

Home Phone * Cell Phone *

Housing Type * Monthly Rent/Mortgage Payment *

Military and Income Information

Command/Unit Name *

Unit Phone * Extension

Pay Grade * BAH Received *

Supervisor Name(E6 or Higher) * Supervisor Pay Grade *

Supervisor Phone * Extension

Active Paybase

Pay Base Month * Pay Base Day * Pay Base Year *

Time in Service

Years in Service * Months *

Time in Reserves

Was Borrower in the Reserves? Yes No * How Many Years?

Break in Service

Has Borrower had a Break in Service? Yes No *

ETS Information

ETS Month * Day * Year *

Indefinite ETS? Must be E8 or higher to have indefinite ETS.

Special Pays: Enter all that apply

Special Pay Monthly Amount

Expenses

Child Support * Child Support Check Box Paid Received

Ever been subject to UCMJ action? Yes No * Active Discharge? Yes No *

Month of Discharge Year

Address City State Zip

Supplemental Unit Information

Unit/Command Phone

Reference Information

REFERENCES MUST BE AT DIFFERENT ADDRESSES AND PHONE NUMBERS.

Reference 1

Relationship * Name * Phone * Email Address

Address * City * State * Zip *

Country

Reference 2

Relationship * Name * Phone * Email Address

Address * City * State * Zip *

Country

Agreement Disclosure Section

I agree that the following statements are all true:

I have not voluntarily applied for, nor have pending at the present time, an early release from the military.
I do not have any disciplinary or court martial action on my record or pending.
I am not barred from re-enlistment.

I certify that everything I have stated in this application and on any attachments is correct. Creditor may keep this application whether or not it is approved. By clicking submit, electronically, I authorize Creditor to check my credit and employment history and to answer questions others may ask Creditor about my credit record with Creditor. I understand that I must update credit information at Creditor's request if my financial condition changes. By providing my email address, I consent to receive electronic information such as notices of credit decisions, monthly billing statements and collection notices.

Government Borrower Information

Street Address * City * State * Zip *

Home Phone * Cell Phone *

Housing Type * Housing Payment *

Government Employment and Income Information

Employer * Employer Phone *

Address * City * State * Zip *

Grade * Pay Step *

Years * Months

Month of Hire * Day * Year *

Retired from Branch of Service Last Grade Retired Military Income *

Expense Information

Child Support/Alimony Paid

Advanced Pay Being Repaid Monthly Remaining Balance

LES Submission

Please Submit copy of LES

Supplemental Employment Information

Supervisor Name * Supervisor Job Title * Supervisor Phone *

Reference Information

REFERENCES MUST BE AT DIFFERENT ADDRESSES AND PHONE NUMBERS.

Reference 1

Relationship * Name * Phone *

Address * City * State * Zip *

Country

Reference 2

Relationship * Name * Phone *

Address * City * State * Zip *

Country

Agreement Disclosure Section

I agree that the following statements are all true:

I have not voluntarily applied for, nor have pending at the present time, an early release from the military.
I do not have any disciplinary or court martial action on my record or pending.
I am not barred from re-enlistment.

Retired Borrower Information

Address * City * State * Zip *

Home Phone * Cell Phone *

Housing Type * Monthly Rent/Mortgage Payment *

Current Employment Information

Employer * Employer Phone *

Street Address * City * State * Zip *

Job Title * Gross Monthly Income * Net Monthly Income *

Month Hired * Day * Year *

Supervisor Name Supervisor Job Title Supervisor Phone

Military Retirement Information

Years Served * Last Grade * Retirement Month * Day * Year *

Retirement Income Information

Retired Military Income * VA Benefits(Monthly) * Social Security Benefits(Monthly) *

Expense Information

Child Support/Alimony Paid Monthly

Advanced Pay Being Repaid Remaining Balance Monthly Amount

Reference Information

REFERENCES MUST BE AT DIFFERENT ADDRESSES AND PHONE NUMBERS.

Reference 1

Relationship * Name * Phone *

Address * City * State * Zip *

Country

Reference 2

Relationship * Name * Phone *

Address * City * State * Zip *

Country

I agree that the following statements are all true:

I have not voluntarily applied for, nor have pending at the present time, an early release from the military.
I do not have any disciplinary or court martial action on my record or pending.
I am not barred from re-enlistment.

Co-Borrower Information

Co-Borrower Employer Civilian Active Duty Government *

Civilian Co-Borrower

First * MI * Last * Suffix

Date of Birth

Month * Day * Year *

SSN * Re-Enter SSN *

Gender *

Personal Contact Information

Home Number * Cell Phone *

Email Address * Work Email(optional)

Street City State Zip

Civilian Employment

Employed? Yes No *

Employer Name

Street Address City * State * Zip

Hire Month * Hire Year *

Monthly Pay

Gross * Net

Supervisor Name

Supervisor Telephone Number Extension

Active Duty Co-Borrower

First * MI * Last * Suffix

Date of Birth

Month * Day * Year *

SSN * Re-Enter SSN *

Gender *

Does your Spouse have Power of Attorney? Yes No *

Personal Contact Information

Home Number * Cell Phone *

Email Address * Work Email(optional)

Street City State Zip

Current Location *

Housing Information

Housing Type * Monthly Payment *

Command/Unit Information

Unit Name *

Unit Phone *

Supervisor's Name(E-6 or Above) *

Rank/Pay Grade *

Pay Base Month * Day * Year *

Branch of Service *

ETS Month * Day * Year *

Years of Service *

BAH Received *

Have you had a Break in Service? YES NO *

Time in Reserves? YES NO *

Number of Years

Have you ever been subject to UCMJ Action? YES NO *

Active Disharge? YES NO Date of Action

I agree that the following statements are all true:

I have not voluntarily applied for, nor have pending at the present time, an early release from the military.
I do not have any disciplinary or court martial action on my record or pending.
I am not barred from re-enlistment.

Government Co-Borrower

First * MI * Last * Suffix

Date of Birth

Month * Day * Year *

SSN * Re-Enter SSN *

Gender *

Personal Contact Information

Home Number * Cell Phone *

Email Address * Work Email(optional)

Street * City * State * Zip *

Country of Residence *

Housing Information

Housing Type * Monthly Payment *

Employer Information

Employer Name *

Street Address * City * State * Zip *

Telephone Number * Extension

Pay Grade * Pay Step *

Month Hired * Day Hired * Year Hired *

Supervisor Name * Telephone Number * Extension

LES

Thank you for your application submission.

** Please email a copy of your LES to travel@unitedmilitarytravel.com **

One of our representatives will contact you shortly. We look forward to helping you make the perfect travel plans.

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