Loan Application

Please provide all the requested information. When you have completed the form, press the "Submit" button to send your application. You'll hear back from us the same day during our normal business hours for all loan applications except Mortgages. We will respond within 48 business hours for Mortgage applications.

 

* INDICATES REQUIRED FIELDS

Is this an individual or joint loan? IndividualJoint
Type of Loan Requested:
Term of Loan Desired:
Amount Requested:
Reason for loan:
Referred By:
Additional Comments:


  Primary Borrower Information
First Name:*
Middle Initial:*
Last Name:*
Date of Birth:*
Social Security No.:*
Member Number:*(enter 00000 if you do not have a number)
Number of Dependents:*
Email:*
Send me email updates about Premier’s latest offers:*
Preferred Contact Branch:
Current Address:*
City, State, Zip Code:*
Current Phone Number:*
Current Employer:*
Current Work Phone:*
Current Job Title:*
Start Date:*
Gross Annual Income:*
Additional Income:
Source:
Nearest Relative NOT living with you
First Name:
Last Name:
Address:
City, State, Zip Code:
Home Phone:


  Co-Borrower Information
The Co-Borrower listed below acknowledges his or her intent to apply for joint credit.*
First Name:*
Middle Initial:*
Last Name:*
Date of Birth:*
Social Security No.:*
Number of Dependents:*
Email:
Current Address:*
City, State, Zip Code:*
Current Home Phone:*
Current Employer:*
Current Work Phone:*
Current Job Title:*
Start Date:*
Gross Annual Income:*
Additional Income:
Source:


Debts: Monthly Payments:

In addition to Rent/Mortgage, list all other debts (for example auto loans, credit cards, second mortgage, alimony, child support, child care, medical, utilities, auto insurance, IRS liabilities, etc.). Please use a separate line for each credit card and auto loan. Income verification is required; therefore, other information may be necessary.
** Alimony or child support maintenance payments are optional information and need not be revealed if the applicant does not choose to rely on such income in applying for credit. I certify that statements on this application are true and complete. I authorize any person, association, firm or corporation to furnish, on request of Premier Credit Union, any information concerning my affairs or me. Sec. 1014, Title 13, U.S. Code, makes it a Federal Crime to knowingly make a false statement on this application.
The above information is accurate and posted on this site on 09/15/04. Please call the credit union at (515) 282-1611/toll-free (866) 273-9938 for any changes.

Site Search

News & Events

  • Make plans to attend our Home Buying Seminar on May 6th, click here for more details.
  • We will be closed on Saturday, April 19th in observance of Easter.