Note: All fields with an asterisk (*) indicate required fields that must be completed before submitting your application.
Enter Member #  *
Desired Loan Type  *
Desired Loan Amount  *
Desired Loan Term 
Application Type  Individual   
Joint (Spousal)   
Joint (Non-Spousal)
Method of Repayment Cash/Check
Payroll Deduction
Auto transfer from checking/savings
Do you currently have a checking account with PTFCU? Yes No
ShareDraft / Checking Acct No. Where

Primary Applicant Information
First Name   *
Middle Initial  
Last Name   *
Date of Birth   *
Social Security #   *
Drivers License or ID #   *
Drivers License State   *
Home Phone   *
Work Phone   *
Email Address   *
Verify Email Address   *
Street Address   *
City   * State * Zip *
Time at Current Address   * Years * Months
Type of Housing  Own
Rent 
Other

 

Monthly Housing Costs
 *
If Own, Mortgage Balance(s) 
 
If Own, Current Value of Home
 
Previous Address Previous Address (if you have lived at your current address less than 2 years):
Name, Address and Phone of nearest relative not living with you
Number of Dependants (excluding self)
Marital Status Married Unmarried Separated
(If you live in a community property State such as Texas)
Employer   *
Job Title   *
Time on Job   * Years  * Months
Time at Previous Job   Years   Months
Gross Monthly Income   *
Other Income  
You need not list income from Alimony, Child Support
or Seperate Maintenance unless you wish it considered
for purposes of granting this credit.

Source of Other Income   
Current Monthly
Auto Payment
Monthly Childcare/Support
Payment  
Other Monthly Debts-Total  
Are you a cosigner
on any loan?
Yes No
Complete the following information if your request is for a vehicle:
Type Purchase Auto    Refinance Auto
Year of Vehicle 
Make and Model 
Purchase Price 
Down Payment 
Current Payment on Trade In 

 

 

Co-Applicant Information
First Name  
Middle Initial  
Last Name  
Date of Birth  
Social Security #  
Drivers License #  
Drivers License State  
Is this address the same as above? Yes    No
Home Phone  
Work Phone  
Street Address  
City   State Zip
Time at Current Address   Years Months
Type of Housing  Own
Rent 
Other

 

Monthly Housing Costs
 
If Own, Mortgage Balance(s) 
 
If Own, Current Value of Home
 
Employer  
Job Title  
Time at Current Job   Years   Months
Time at Previous Job   Years   Months
Gross Monthly Income 
Other Income 
Source of Other Income 
Other Monthly Debts-Total  

Additional Notes:

Do you want Loan Protection Insurance in case of your disability or death?
Yes    No
Have you been subject to Bankruptcy relief within the past 10 years?
Yes    No
 To review terms and conditions please click here

  You authorize the credit union to obtain credit reports in connection with this application for credit and for any update, renewal or extension of credit received. 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. You understand that it is a Federal crime to willfully and deliberately provide incomplete or incorrect information of loan applications.

Next Click The Box Below showing you have read the terms.
I have read the Terms and Conditions/Disclosure and agree to them.

Signature may be required at a later date.