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Greater Pittsburgh Police Federal Credit Union Loan Application Form

Please use our Contact Page for any questions regarding getting a loan or payments. Only use this application if you are ready to proceed with the loan process.

Two current paystubs must be submitted with your loan application. Please fax them to the credit union at 1-412-458-0812.

Applicant Information:
Name:
Account Number:
E-mail address:
Social Security #:
Driver's License Number:
Home Phone:
Cell Phone:
Birth Date:
Current Address:  
Street:
City:
State:
Zip:
How many years have you lived at your current address?
Do you rent or own? Rent Own
Previous Address:  
Street:
City:
State:
Zip:
How many years did you live at this address?
Did you rent or own? Rent Own
Current Employer:
Employer's Phone:
Date Started:
Job Position/Title:
Est. Monthly Salary: $
Are you a U.S. Citizen or permanent resident alien? Yes No
Do you currently have any outstanding judgements or have you filed for bankruptcy, had a debt adjustment plan confirmed under chapter 13, had a property forclosed upon or repossessed in the last 7 years or been party in a lawsuit? Yes No
Are you a co-maker, co-signer, or guarantor on any loan not listed below? If yes, list for whom and to whom below. Yes No
For: To:
Reference 1:  
Name: Phone:
Address: City, State, Zip:
Reference 2:  
Name: Phone:
Address: City, State, Zip:
   
Co-Applicant Information:
Name:
Cu Account #(If any):
Social Security #:
Phone Number:
Birth Date:
Current Address:  
Street:
City:
State:
Zip:
How many years have you lived at your current address?
Do you rent or own? Rent Own
Previous Address:  
Street:
City:
State:
Zip:
How many years did you live at this address?
Did you rent or own? Rent Own
Current Employer:
Employer's Phone:
Date Started:
Job Position/Title:
Est. Monthly Salary: $
Are you a U.S. Citizen or permanent resident alien? Yes No
Do you currently have any outstanding judgements or have you filed for bankruptcy, had a debt adjustment plan confirmed under chapter 13, had a property forclosed upon or repossessed in the last 7 years or been party in a lawsuit? Yes No
Are you a co-maker, co-signer, or guarantor on any loan not listed below? If yes, list for whom and to whom below. Yes No
For: To:
   
Loan Information:
Type of Loan:
How many months to pay this back?
Amount Requested: $
Would you like credit disability insurance on your loan? No Yes
Would you like credit life insurance on your loan? No Yes
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 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.
   
Debts:
Debtor Current Balance Monthly Payment Consolidate Into New Loan?
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
If you have any other information you would like us to consider, or any comments or suggestions, please enter them  here:
By submitting 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. This is the first step in the loan process, you may be required to fill out and sign additional paperwork in person.
 

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