| Please provide the requested information to apply for credit. When you have completed the form,
click submit to forward the information via our secure server. Prior to clicking on the
Submit Application button, you may want to print a copy of the completed form to keep for your
records. Please fax, mail or drop off a copy of your check or pay stub to the loan office.
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Please Note: If you don't wish to submit the following application through the internet, you may
print this form and fax it to: 413-733-8101. Printable Loan Application
Credit can only be extended to existing members or those eligible for membership . Apply for membership. All other
applications will not be processed.
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| Click here to read the terms & conditions of this loan application |
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Check here if you
agree to the terms & conditions of this loan application. |
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| Loan Amount: $ |
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| # of Months: |
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| Borrower Information |
| First Name: |
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| Last Name: |
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| Date of Birth: |
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| Social Security #: |
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| PVFCU Account #: |
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| Street Address: |
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| Do you rent or own?
Rent
Own |
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| Monthly Rent/Mortgage: $ |
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| Borrower Income/Employment |
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Monthly Gross: $ |
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| Other Income: $ |
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| Monthly Gross: $ |
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| Are you obligated to pay alimony, child support or separate maintenance?
Yes
No
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| If yes, how much monthly? $
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| Co-Borrower Information |
| First Name: |
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| Last Name: |
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| Date of Birth: |
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| Social Security #: |
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| PVFCU Account #: |
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| Co-Borrower Income/Employment |
| Employer: |
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Phone: |
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Monthly Gross: $ |
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| Other Income: $ |
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| Monthly Gross: $ |
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| Are you obligated to pay alimony, child support or separate maintenance?
Yes
No
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| If yes, how much monthly? $
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| Automatic Payment/Insurance |
Automatic Loan Payment Method
We will contact you with full details on this method of payment if
you select it as an option. These are offered to you
as a service from our institution. You do not have to select an automatic payment method to obtain credit.
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| Automatic Loan Payment: |
Deduct from my paycheck
From PVFCU Checking
From PVFCU Savings
I do not want Automatic Payment
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| Credit Life and Disability Insurance
These insurances are available to protect your loan. Credit Life Insurance can reduce or pay off
your loan if you should pass away. Credit Disability Insurance will help make your loan payments if you
should become disabled and unable to work.
I understand that by selecting an insurance coverage below that this is not an application for
insurance. This insurance is voluntary and is not a condition for approval of my loan. I plan to apply
for the insurance coverage(s) checked below. Insurance coverage will become effective, after I
apply and meet the eligibility requirements of the group policies, when my loan is approved. |
| Choose One: |
Single Credit Life
Single Credit Life and Disability
Single Credit Disability
None |
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| Vehicle Loan Information |
| Complete this section if you are requesting a vehicle loan. |
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| Vehicle Type: |
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| Choose One: |
Refinance
Purchase
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| Year of Vehicle: |
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| Make: |
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| Model: |
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| Mileage: |
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| Are you interested in GAP Protection?
Yes
No
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| If your vehicle is stolen, damaged or declared a total loss by the insurance company, GAP bridges
the difference between what your insurance will pay and what you owe on your vehicle. PVFCU
offers this coverage to our members at an affordable cost and can be included with the loan
payment. GAP covers your vehicle for the life of the loan, up to 84 months and is effective
immediately. |
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| Are you interested in a Vehicle Extended Warranty?
Yes
No
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Maximum protection at an affordable price that extends the manufacturer's warranty for both
new and pre-owed vehicles, motorcycles and recreational vehicles.
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| Comments: |
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By submitting this application, I / We certify that this information has been supplied truthfully,
accurately and voluntarily, and therefore authorize PVFCU to investigate our creditworthiness,
credit history and financial responsibility through any credit bureau or by any other reasonable
means for consideration for the loan applied for, or for any other services offered. This application
does not constitute a contract for the extension of credit.
Upon receipt of this application, a Loan Officer will contact you regarding the status of your loan.
Thank you. |