NFO IRVINE FEDERAL CREDIT UNION
213 W. Third Ave. - P.O. Box 723, Warren, PA 
16365
Phone: (814) 723-3661 • Fax: (814) 723-5306

Secure Loan Application

Note: All fields with an asterisk (*) indicate required fields that must be completed before submitting your application.

You must be a member to apply over the internet.  If you are not currently a member and would like to apply, please call us at (814) 723-3661.

 
LOAN INFORMATION
Enter Member #:
Desired Loan Type:
Desired Loan Amount:
$
Desired Loan Term:
Months
Application Type:
PRIMARY APPLICANT INFORMATION
First Name:
Middle Initial:
Last Name:
Date of Birth:
Social Security Number:
Drivers License or ID #:
Drivers License State:
Home Phone Number:
Work Phone Number:
Email Address:
Street Address:
City:
State: Zip:
Time At Current Address:
Years    Months
Type Of Housing:
      Monthly Housing Costs: $

 
Employer:
Job Title:
Time On Job:
Years    Months
Time On Previous Job:
Years    Months
Gross Income:
Total Hours Per Pay:
Other Income:
Source
Frequency
Source
Frequency
$
Monthly Childcare/Support Payment:
$

 
Reference (Relative Not Living With You):
First Name: MI: Last Name:
Address:
City:
State: Zip:
Phone:
Relationship:

Are you a U.S. citizen or permanent resident alien? Yes No
 
Do you currently have any outstanding judgments or have you ever filed for bankruptcy, had a debt adjustment plan confirmed under chapter 13, had property foreclosed upon or repossessed in the last 7 years, or been a party in a lawsuit? Yes No
 
Is your income likely to decline in the next two years? Yes No
 
Are you a co-maker, co-signer or guarantor on any loan not listed above? Yes No

Complete the following information
if your request is for a vehicle:
 
Type:
N/A Purchase Vehicle Refinance Vehicle
Year Of Vehicle:
Make:
Model:
Vehicle Mileage:
Purchase Price:
$
If Refinancing, Current Payoff:
$
I Am Interested In GAP Insurance On Loan:
Yes No
 
   
CO- APPLICANT INFORMATION
First Name:
Middle Initial:
Last Name:
Date of Birth:
Social Security Number:
Drivers License or ID #:
Drivers License State:
Home Phone Number:
Work Phone Number:
Email Address:
Street Address:
City:
State: Zip:
Time At Current Address:
Years    Months
Type Of Housing:
      Monthly Housing Costs: $

 
Employer:
Job Title:
Time On Job:
Years    Months
Time On Previous Job:
Years    Months
Gross Income:
Total Hours Per Pay:
Other Income:
Source
Frequency
Source
Frequency

Additional Notes:

I am interested in Disability Insurance on the loan.
Yes No

You agree that everything stated in this application is correct to the best of your knowledge. The Credit Union is authorized to investigate your creditworthiness, employment history, and to obtain a credit report to answer questions about their credit experience with you. You understand that any false or misleading statement in your application may cause any loan or extension of credit to be in default. You authorize us to accept your facsimile signatures on this application and agree that your facsimile signature will have the same legal force and effect as your original signature. You assume any risk that may be associated with permitting us to accept your facsimile signature.

By pressing the "Submit Application" button below, you agree to the above statement. You understand that we may require additional information to finalize our credit decision and your signature on additional documents prior to disbursing any credit proceeds.