To: American Airlines Federal Credit Union
Member Name: Date of Birth:
Address: ZIP Code:
CHECK AS APPLICABLE
Applicant is applying for this loan:
o Individually, without a co-signer or guaranty of a person or other legal entity.
o Jointly, with the co-signature or guaranty of one or more persons or legal entities (including
existing guarantors).
Social Security Number Driver’s License Number Visa or Mastercard No. Home Phone
Occupation Name of Employer No. of Years Salary Business Phone
Amount of alimony, child support and separate maintenance payment income. NOTE: Alimony, child support or separate
maintenance payment income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Name and address of payer of any alimony, child support or separate maintenance payment income disclosed above as a source of repayment:
Alimony, child support, or separate maintenance received under: 
o court order  o written agreement  o oral agreement  o Other:
Income (salary, social security, dividend, interest, etc.) source: $ per month
Have you borrowed from any other branch of this Credit Union? Branch name: Date:
Number of dependents: Ages:
Have you established a trust? 
o Yes  o No If yes, is it:  o Revocable  o Irrevocable Name(s) of Trustee(s):
Have you made a will? 
o Yes  o No Name of Personal Representative:
Have you guaranteed or endorsed the notes and/or loans of any other person?
o Yes  o No
Do you have any other contingent liabilities? 
o Yes  o No
Have any actions or suits been filed against you or are there any recorded judgments or decree entered against you or have you been adjudged bankrupt in
the last seven (7) years or made any assignments for the benefit of creditors? 
o Yes  o No
If yes, please explain:
Name of reference Address/Phone number
NAMES OF OTHER PERSON(S) OR LEGAL ENTITY(IES):
If applicant resides in a community property state, please complete the following concerning
marital status:
Applicant is:  o married  o separated  o unmarried (includes single, divorced and widowed)
Co-Applicant, if any, is:  o married  o separated  o unmarried (includes single, divorced and widowed)
Federally insured by NCUA
American Airlines Credit Union and the Flight Symbol are marks of American Airlines, Inc.
$
INDIVIDUAL FINANCIAL STATEMENT
1
10/15
$ per
INDIVIDUAL FINANCIAL STATEMENT
Co-Applicant’s Full Name Date of Birth Address
Social Security Number Driver’s License Number Visa or Mastercard No. Home Phone
Occupation Name of Employer No. of Years Salary Business Phone
Amount of alimony, child support and separate maintenance payment income. NOTE: Alimony, child support or separate
maintenance payment income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Name and address of payer of any alimony, child support or separate maintenance payment income disclosed above as a source of repayment:
Alimony, child support, or separate maintenance received under: 
o court order  o written agreement  o oral agreement  o Other:
Income (salary, social security, dividend, interest, etc.) source: $ per month
Have you borrowed from any other branch of this Credit Union? 
o Yes  o No Branch name: Date:
Number of dependents: Ages:
Have you established a trust? 
o Yes  o No If yes, is it:  o Revocable  o Irrevocable Name(s) of Trustee(s):
Have you made a will? 
o Yes  o No Name of Personal Representative:
Have you guaranteed or endorsed the notes and/or loans of any other person?
o Yes  o No
Do you have any other contingent liabilities? 
o Yes  o No
Have any actions or suits been filed against you or are there any recorded judgments or decree entered against you or have you been adjudged bankrupt in
the last seven (7) years or made any assignments for the benefit of creditors? 
o Yes  o No
If yes, please explain:
Name of reference Address/Phone number
$
Federally insured by NCUA
American Airlines Credit Union and the Flight Symbol are marks of American Airlines, Inc.
2
10/15
$ per
INDIVIDUAL FINANCIAL STATEMENT
Please indicate or provide an explanation as to any assets owned jointly or by a trust or liabilities
owed to others. Attach schedules and explanatory notes if necessary.
Statement of financial condition of as of 20
RE-CAP OF INCOME AND EXPENSES
*See Notice below before completing other income
*Alimony, child support or separate maintenance payment income need not be revealed if you do not wish to have it considered as a basis
for repaying this obligation.
SCHEDULE A SCHEDULE G
SCHEDULE B
SCHEDULE C
SCHEDULE C
SCHEDULE DSCHEDULE D
SCHEDULE E
SCHEDULE E
SCHEDULE H
SCHEDULE F
SCHEDULE I
TOTAL ASSETS $
TOTAL LIABILITIES $
NET WORTH $
Federally insured by NCUA
American Airlines Credit Union and the Flight Symbol are marks of American Airlines, Inc.
Cash
Stocks
& Bonds
Tax
Insurance
Notes
Receivable
Real
Estate
Other
Assets
Notes &
Loans (No
Real Estate)
Insurance
Loans
Taxes Due
Accounts
& Bills
Payable
Real Estate
Notes &
Contracts
Payable
Other
Liabilities
In this Credit Union
Other Credit Unions or Banks
Notes Payable to Credit Unions
Notes & Loans Payable to Others
Taxes Payable
Marketable Securities
Others
Cash Value
Accounts & Notes ReceivableAccounts & Notes Receivable
Salary or Wages
Dividends and/or Interest
Rentals (Gross Income)
Business (Net Income)
Other Income (Describe)
Total Income $
Ckng Sav. CD’s Credit Union and Branch Where Carried Balance Interest CD Maturity Is Account Balance of Maturity Date
Rate Date Pledged Loan of Loan
for a loan?
Property Taxes & Assessments
Federal & State Income Taxes
Real Estate Loan Payments
Contract/Note Payments
Living Expenses (Estimated)
Other Expenses
Total Expenses $
As Endorser on Notes/Contracts
As Guarantor on Notes/Contracts
For Taxes
Other Contingent Liabilities
Total Contingent Liabilities $
Residence(s)
Residence(s)
Credit Card Accounts
Other Assets & Personal Property
Other Liabilities
(Difference between total assets
and total liability)
Unimproved Land
Unimproved Land
Open & Revolving Accounts
Income Properties
Income Properties
Other
Other Real Estate
Other Real Estate
Tax Refund Due
Assets Amount Liabilities Amount
Annual Income for Year 20 Annual Expenses for Year 20 Contingent Liabilities
Schedule A Cash Location and Status of Credit Union and Other Accounts
3
10/15
INDIVIDUAL FINANCIAL STATEMENT
Federally insured by NCUA
American Airlines Credit Union and the Flight Symbol are marks of American Airlines, Inc.
Automobiles Value Rec. Vehicles and Boats Value Personal Property Value Subtotal for Subtotal
Year Make Year Make
Schedule F Other Assets on Personal Property
Total
Total
Total
Total Total
Total
Description Number Registration Number Source of Valuation Date Price Total Value Purchased on Margin
of Shares Per Share or Pledged
Insured Primary Beneficiary Face Amount Cash Value Loans on Policy Name of Company Location of Office
Owner(s) Due Form Address Collateral Maturity Due How Payable? Balance Due
Amount Per
Schedule B Stocks and Bonds ( Includes Interests In Any Closely Held Business)
Schedule C Life Insurance
Schedule D Accounts and Notes Receivable
Schedule E: Real Estate is on page 4 of this form.
Furniture
Jewelry
Equipment
Other:
Other:
Automobiles
RVs/Boats
Personal
Property
Total for
Other Assets
$
$
$
$
Subtotal
Automobiles
Subtotal
RV’s/Boats
Subtotal
Pers. Prop.
$ $ $
4
10/15
INDIVIDUAL FINANCIAL STATEMENT
Federally insured by NCUA
American Airlines Credit Union and the Flight Symbol are marks of American Airlines, Inc.
Total
Total
Total
Total
Total
Total
Payable To Address Collateral Person(s) Liable Maturity Date How Payable? Balance Due
Payable To Account Number Person(s) Liable How Payable? Balance Due
Payable To Collateral Person(s) Liable How Payable? Balance Due
Amount
Amount
Amount
Per
Per
Per
Schedule G Notes and Loans Payable to Credit Unions and Others
Schedule H Accounts and Bills Payable (Including Credit Cards)
Schedule I Other Liabilities
5
10/15
INDIVIDUAL FINANCIAL STATEMENT
Federally insured by NCUA
American Airlines Credit Union and the Flight Symbol are marks of American Airlines, Inc.
Totals $ $ $ $ $
Location Address Owner(s) Date Acquired Acquisition Cost Mortgage or Annual Taxes Monthly Income Monthly Payment Present Value Balance Due
Lien Holder
Parcel No. Description
Schedule E Real Estate
6
10/15
INDIVIDUAL FINANCIAL STATEMENT
Federally insured by NCUA
American Airlines Credit Union and the Flight Symbol are marks of American Airlines, Inc.
I (we) hereby affirm that the foregoing information contained in this financial statement is presented for
the purpose of obtaining credit as of the date indicated and is true, complete and correct. I understand
the Credit Union is relying on this statement of my financial condition in making loan(s) to me. The Credit
Union or its designee is authorized to make any investigation of my credit or employment status either
directly or through any agency employed by the Credit Union for that purpose now and in the future. The
Credit Union may disclose to any other interested parties the Credit Union’s experience with this account.
I agree to inform the Credit Union immediately of any matter which will cause any material change to my
financial condition. I understand that the Credit Union will retain this financial statement whether or not
credit is granted.
Applicant’s Signature: Date:
Co-Applicant’s Signature: Date:
Co-Applicant’s Signature: Date:
Co-Applicant’s Signature: Date:
Co-Applicant’s Signature: Date:
Co-Applicant’s Signature: Date:
Consent (If you are relying on income from a person who is not an applicant above, please have that
person complete this section so we can verify their credit.)
I authorize the Credit Union to make any investigation of my credit either directly or through any agency
employed by Credit Union for that purpose in connection with credit application now and in the future.
Applicant’s Signature: Date:
Social Security Number:
7
10/15