NEW MEMBER LOAN APPLICATION
Please provide all the requested information. When you have completed the form, use the Submit button at the bottom to securely forward it to us. If you prefer you may print the form and drop it off, mail it, or fax it to Portland Federal Credit Union for processing. You'll hear back from us as soon as possible. We look forward to helping you with your lending needs!

* - denotes required fields
Loan Information
*Will there be a co-applicant on this loan application? 
Yes or No 
*Amount requested 
*Purpose          
*Security
*Length of Loan
Personal Information
*Complete for joint credit, secured credit or if you live in a community property state:
Married   Separated   Unmarried (single/divorced/windowed)
*First Name:
Middle Initial:
*Last Name:
*Mother's Maiden Name:
*Social Security Number: - -
*Birthdate (xx/xx/xxxx)
*Home Address:
*City:
*State:
*Zip:
*How Long?
*Housing Type?
*Housing Debt?
If you've lived at your current address less than 2 years, please provide your previous home address:
Previous Home Address:
   City:
   State:
   Zip:
*Email Address:
Home Phone Number: () -
Cell Phone Number: () -
Employment Information
Length Of Employment: months years
*Work Phone Number: () -
*Job Title:
*Employer name:
*Address:
*City:
*State:
*Zip:
Income & Asset Information
*Gross monthly pay:
Other income Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Other income source
References
Nearest relative Not Living With You
*First Name:
*Last Name:
Relationship:
* -- ext.
Address 1:
Address 2:
City:
State:
*Zip: -
Any comments or questions you may have for us?

By submitting this application, I/We certify that this information has been supplied truthfully, accurately and voluntarily, and therefore authorize Portland Federal Credit Union 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.  

Thank You.  Upon receipt of this application, someone at Portland Federal Credit Union will review your information and get back to you to extend credit, with additional questions or to request  further information. We appreciate this opportunity to be your financial partner.
If this is a single application you may submit now!

 
Co-Applicant Information

Complete the required fields below ONLY if there is a co-applicant.
*Complete for joint credit, secured credit or if you live in a community property state:
Married   Separated   Unmarried (single/divorced/windowed)
*First Name:
Middle Initial:
*Last Name:
*Social Security Number: - -
*Birthdate (xx/xx/xxxx)
*Home Address:
*City:
*State:
*Zip:
How Long?
Housing Type?
Housing Debt?
If you've lived at your current address less than 2 years, please provide your previous home address:
Previous Home Address:
   City:
   State:
   Zip:
*Email Address:
Home Phone Number: () -
Employment Information
Length Of Employment: months myears
*Work Phone Number: () -
*Job Title:
*Employer name:
*Address:
*City:
*State:
*Zip:
Income & Asset Information
*Gross monthly pay:
Other income Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Other income source
Any comments or questions you may have for us?

By submitting this application, I/We certify that this information has been supplied truthfully, accurately and voluntarily, and therefore authorize Portland Federal Credit Union 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.  

Thank You.  Upon receipt of this application, someone at Portland Federal Credit Union will review your information and get back to you to extend credit, with additional questions or to request  further information. We appreciate this opportunity to be your financial partner.