Wilkes-Barre Postal FCU Loan Application

WILKES-BARRE POSTAL FEDERAL CREDIT UNION
566 South Main Street P.O. Box 1172 Wilkes-Barre, PA 18703 (570)823-6151 FAX: (570)824-2276

Loan Application

Type of Loan: Personal Loan Home Equity Loan Refinancing
New Vehicle   Used Vehicle

APPLICANT INFORMATION

This application will enable us to begin processing your request for most loan products. It may be necessary for a loan specialist to call you for additional information.

Amount Requested: Term Requested:

Applicant Name:

Applicant Email Addr:

Account No.

Date of Birth:

Street Address:

City State Zip

Home Phone (10 digit) Work

Years at this Address     Monthly Housing Cost

Own     Rent     Room

Previous Address if less than 2 years

Employer

Self-Employed?

Address

How Long? Gross Annual Income

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

Source of Additional Income: Amount:

CO-APPLICANT INFORMATION

Co-Applicant Name:

Account No.

Date of Birth:

Street Address:

City State: Zip

Home Phone: Work:

Employer: Self Employed?

How Long: Gross Annual Income:

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

Source of Additional Income: Amount:

You may also print and fill out this application offline and bring it in, fax it (570)824-2276 or mail it to:

Wilkes-Barre Postal FCU
566 South Main Street
P.O. Box 1172
Wilkes Barre, PA 18703-1172

Privacy Statement

All information entered on this site will be kept confidential. It will not be disclosed to others outside Wilkes-Barre Postal Federal Credit Union and will be used exclusively for the purpose intended. Only authorized Wilkes-Barre Postal Federal Credit Union employees who are trained in the proper handling of member/owner information will have access to this information.

We do business in accordance with the
Federal Housing Law and the Equal Credit Opportunity Act.

Loan Application
Type of Loan:	Personal Loan Home Equity Loan Refinancing New Vehicle Used Vehicle
APPLICANT INFORMATION
This application will enable us to begin processing your request for most loan products. It may be necessary for a loan specialist to call you for additional information.
Amount Requested:	Term Requested:
Applicant Name:
Applicant Email Addr:
Account No.
Date of Birth:
Street Address:
City	State Zip
Home Phone (10 digit)	Work
Years at this Address	Monthly Housing Cost
	Own Rent Room
Previous Address	if less than 2 years
Employer
Self-Employed?
Address
How Long?	Gross Annual Income
Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered a basis for repaying this obligation.
Source of Additional Income:	Amount:
CO-APPLICANT INFORMATION
Co-Applicant Name:
Account No.
Date of Birth:
Street Address:
City	State: Zip
Home Phone:	Work:
Employer:	Self Employed?
How Long:	Gross Annual Income:
Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered a basis for repaying this obligation.
Source of Additional Income:	Amount: