Loan Application

Complete all applicable fields in this loan application in the spaces provided.


Select type of loan desired





Member Account No.
If Secured, Describe Collateral
Amount Requested
Payroll Deduction (select one)


Purpose of Loan
No. of Payments Desired months
(Auto/Secured/Personal/Vacation loans only).


 

Promo Code (Optional)

Applicant Information

Full Name (Last, First, Middle)
Social Security Number
Birth Date
Present Address
City/State/Zip ,
Years at Present Address
Home Phone
Cell Phone
Work Phone
Email Address
Ages of Dependents
Present Employer
Present Employer Address
Date Of Hire
Present Supervisor's Name
Supervisor's Work Phone
Gross Monthly Salary *Verification Required
Present Position
Previous Employer
Previous Employer Address
Years with Previous Employer
Are you a U.S. Citizen?
Other Income (Describe)

Alimony, child support, or separate maintenance payments need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Vehicle Insurance Information (Complete if applying for a vehicle loan)

Insurance Company Name
Insurance Company Phone Number
Insurance Company Address

Real Estate Information (Complete if applying for a home loan)

Present Value of the Home
Amount of Mortgage Liens
Current Mortgage Payment
Annual Insurance Premium
Annual Real Estate Taxes
Annual Homeowners Association Dues


Please list below all debts, including any alimony or child support. You may also list any accounts (paid out or open) which you wish the credit union to consider as a credit reference.

Rent or Mortgage Payable To

Name of Company or Bank
Present Balance
Monthly Payment

Auto Financed By

Name of Company or Bank
Present Balance
Monthly Payment

Other Debts

Name of Company or Bank
Present Balance
Monthly Payment

Other Debts

Name of Company or Bank
Present Balance
Monthly Payment

Other Debts

Name of Company or Bank
Present Balance
Monthly Payment



Co-Applicant Information

Full Name (Last, First, Middle)
Social Security Number
Birth Date
Present Address
City/State/Zip ,
Years at Present Address
Home Phone
Cell Phone
Work Phone
Email Address
Ages of Dependents
Present Employer
Present Employer Address
Date Of Hire
Present Supervisor's Name
Supervisor's Work Phone
Gross Monthly Salary *Verification Required
Present Position
Previous Employer
Previous Employer Address
Years with Previous Employer
Are you a U.S. Citizen?
Other Income (Describe)

Alimony, child support, or separate maintenance payments need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Vehicle Insurance Information (Complete if applying for a vehicle loan)

Insurance Company Name
Insurance Company Phone Number
Insurance Company Address

Real Estate Information (Complete if applying for a home loan)

Present Value of the Home
Amount of Mortgage Liens
Current Mortgage Payment
Annual Insurance Premium
Annual Real Estate Taxes
Annual Homeowners Association Dues
Authorization to Pull Credit

By clicking the "Submit" button, you are giving Powerco Federal Credit Union authorization to pull your credit report and the credit report of your cosigner (if applicable) for the purposes of a credit score and report review. This will be reported as an inquiry to the credit reporting agencies. You acknowledge and understand that you are certifying that the statements made on this credit application are true and complete to the best of your knowledge and that they are made for the purpose of determining eligibility for credit. You also acknowledge that you understand Powerco Federal Credit Union will retain your credit application whether or not it is approved. You also authorize Powerco Federal Credit Union to make any and all inquiries deemed necessary to verify the accuracy of the statements made on this application for credit.

 

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