Consumer 1st Federal Credit Union Loan Application

Type of Loan *

How many months to pay this loan back? *

Amount Requested *

Would you like credit disability insurance on your loan? *

Yes No

Would you like credit life insurance on your loan? *

Yes No

The credit union will disclose the cost of this voluntary insurance to you. A seperate insurance election which disloses the terms and conditions must be signed for coverage to become effective.

If applying for a vehicle loan, please describe the year, make, model, VIN number, and the dealership you are purchasing from. For all other types of loans please describe the purpose for the loan.

Please enter all information about your current debts:

	Debtor	Current Balance	Monthly Payment	Consolidate Into New Loan?
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If you have any other information you would like us to consider, or any comments or suggestions, please enter them here:

Please attach any relevant documents required to complete or pertaining to this loan application such as Proof of Income, Car Dealership Invoices, etc.

By submiting this form, you hereby grant permission to the Credit Union to gather any relevant data on you necessary to complete your Loan application, such as credit reports. Proof of income in the form of 2 recent paystubs must be faxed to (412) 424-6054 or attach below. Members must maintain a minimum balance of $200.00 in their share account until the loan is paid off.

Please verify that you are human *

Identity Verification Notice

On October 26, 2001, President Bush signed into law the USA Patriot Act. The purpose of this law is to help protect you, your family and our country from terrorism by preventing terrorist financing. We want you to know that section 326 of this Act requires our credit union to verify the identity of all new credit union members. We must also verify the identity of members and nonmembers added as signatories to and have access to new or existing deposit account and loans. We must also retain copies of documents used to verify your identity.

If you are an existing member who joined the credit union before the USA Patriot Act rules became effective we may also need to verify and retain copies of any documents used to verify your identity when you request a new deposit account, apply for a loan or are added as a signatory to a new or existing deposit or loan account.

We ask for your understanding as we work to support these efforts to maintain the security of your funds and our country. Please speak with a credit union staff member if you have any questions or concerns about our identification policies.

This secure form was created for Consumer 1st Federal Credit Union using JotForm, Inc. The information submitted here will be used to complete the actual loan application form document in-office and if approved, a formal signature will be required at the time of loan signing. All efforts are made to ensure the safety & security of your personal information.

Consumer 1st Federal Credit Union

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Loan Information

Debts