LPSCU Loan Application

Loan Application
Applicant is:
Purpose of loan
For Vehicle Loan
Amount Requested $
Term (months)
Account #
Co-Borrower?
Borrower

First NameLast Name
Co-Borrower Name

First NameLast Name
Address
Address
City, State, Zip
City, State, Zip
Phone Number

Area CodePhone Number
Phone Number

Area CodePhone Number
E-mail
E-mail
Employer
Employer
Type a question
I agree that everything stated in this application is correct and I authorize the
credit union to obtain information about my credit history.
I Agree
I Agree
Should be Empty: