Union Branch
2209 West State Street
New Castle PA 16101
Phone: (724)652-8393
Fax: (724)652-8855
Neshannock Branch
2810 Wilmington Road
New Castle PA 16105
Phone: (724)652-8070
Fax: (724)202-6568
New Castle Branch
1144 Butler Avenue
Phone: (724)656-3595
Fax: (724)656-0379
Text-Based Loans
Erica's Team: (724)740-8400
MaryLou's Team: (724)856-0926
Maureen's Team: (724)856-0976
Susan's Team: (724)761-2828
* a vehicle is used as collateral, tell us about it
* only for credit cards
These are debt protection options for your loan. These can include protection choices, GAP coverage and more. Have questions? Please ask about each debt protection options at (724)652-8393.
Complete if present address is less than 3 yrs.
Whole dollars only. If you would like us to include other sources of income, you can do that in the next step. Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered as a basis for repaying this obligation.
Complete if current employment is less than 2 years.
Whole Dollars. If you would like us to include other sources of income, please discuss this with our Loan Officers. Alimony, child support, or separate maintenance income need not be revealed if you do not choose to have it considered as a basis for repaying this obligation.
Please list all outstanding debts including charge accounts, installment loans, credit cards, rent, mortgage, legal or other obligations, etc. Under these debts, please list all assets that you would like to be used as part of the consideration for your loan application.
Debt
Asset
Please provide two people
Loan Type:
Loan Purpose:
Loan Amount:
Loan Terms:
Loan Length:
Loan Payment Type:
Collateral VIN:
Collateral Mileage:
Life+ Debt Protection (L):
L+ & Disability Debt Protection (D):
L+, D & Involuntary Unemployment Protection:
GAP Coverage (G):
First Name:
Last Name:
Member #:
Social Security #:
Date Of Birth:
Marital Status:
Phone #:
Email Address:
Driver's License:
US Citizen:
Active Military:
Current Address:
Current City:
Current State:
Current Zip:
Years at address:
Because you were not living at your current address for 3 years, we need your previous address as well.
Previous Address:
Previous City:
Previous State:
Previous Zip:
Approx. Movein Date:
Approx. Moveout Date:
Current Employer:
Occupation / Title:
Address:
City:
State:
Zip:
Start Date:
Gross Wages:
Gross Wage Type:
Because your current position is not that old, we need your previous employment information.
Previous Employer:
End Date:
Is there a joint applicant?
Because your joint applicant's current position is not that old, we need your previous employment information.
Any outstanding judgements?
Ever filed bankruptcy?
Foreclosures in your past?
Party in a lawsuit?
Income likely to decline?
Are you a co-signer, co-maker or guarantor?
Reference One
Reference Two
Branch Location:
Contact Method
Further commentsNo comments were left.
You promise that everything you have stated in this application is correct to the best of your knowledge and that the above information is a complete listing of what you owe. If there are any important changes you will notify us in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and for any update, renewal or extension of the credit received. You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. If you request, the Credit Union will tell you the name and address of any credit bureau from which it received a credit report on you. It is a federal crime to willfully and deliberately provide incomplete or incorrect information on loan applications made to federal credit unions or state chartered credit unions insured by NCUA.