Latrobe Federal Credit Union Secure Loan Application

Loan Type

Purpose of Loan

Requested Amount ($)

Requested Term for Loan

I have read and agree with the Credit Card Terms and Conditions

Primary Applicant Information

*First Name

*Last Name

Account #

*Social Security #

U.S. Citizen

*Date of Birth

*Email Address

Number of Dependents

We consider the primary borrower one dependent, a spouse would be the second dependent and then children would be subsequent dependents.

Please indicate your marital status if you are applying for joint credit, secured credit or if you live in a community property state:

Marital Status

*Primary Phone

Secondary Phone

*Street Address

*City

*State

*Zip Code

Current Address since

Rent Own

Payment ($)

Enter Previous Address

Number of Months

Submit Application

READ CAREFULLY BEFORE SIGNING/SUBMITTING. PER YOUR MEMBERSHIP AGREEMENT AND /OR LOAN AGREEMENTS WITH THE LATROBE YOU GIVE US A SECURITY INTEREST IN YOUR ACCOUNT(S) AND CERTAIN OTHER PROPERTY PLEDGED AS DESCRIBED IN SAID AGREEMENTS.

By submitting this application by facsimile or electronically, you agree to the same terms that apply to a signed application. If there is a co-applicant on this loan, the co-applicant has authorized the submission of this application. This facsimile or electronic submission qualifies as your signature. It is understood that you will have to sign loan documents before funds can be disbursed.

By pressing the "Submit Application" button below, you agree to the above statement.