Secure Loan Application
110 Wagner Rd. Petersburg, VA 23805
Phone: (804)748-3081  •  Fax: (804)518-0766

Type Of Loan Applying For
Request Financial Coaching. Yes      No

New or Used Vehicle Loan
New or Used Boat Loan
Recreational Vehicle (Camper, ATV, Motorcyle, etc.)

Visa Disclosure
I have read and agree with Terms and Conditions
Purpose of loan :
Requested Amount : $ .00

Applicant Information
Applicant Name:
Social Security #:
Birthdate (MM/DD/YY):
Email Address :
Best Phone #:
Alternate Phone #:
Joint Applicant Name:
Is Joint Applicant your spouse? Yes No
Social Security #:
Birthdate (MM/DD/YY):
Email Address :
Best Phone #:
Alternate Phone #:

Personal Financial Profile
These questions must be answered.
Have you ever filed for bankruptcy or had debt adjustment under Chapter 13?
   Are you a party in a lawsuit?
   Have you ever had property foreclosed or repossesion in the last 7 years?
   Is your income likely to decline in the next two years?
Are you co-maker/endorser on any loan not listed above?
   If yes then for whom?
   If yes then to whom?
Are you a U.S. citizen or permanent resident alien?

Submit Application

I/We understand that credit union membership is required to fully process this loan application and further documentation / signatures may be required. By submitting this form with your electronic signature(s), you agree that everything stated in this application is correct to the best of your knowledge and grant permission to Peoples Advantage Federal Credit Union to perform the following. PAFCU is authorized to validate your information, investigate your creditworthiness, employment history, and obtain a credit report. 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. PAFCU may keep this application whether or not it is approved.

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

Primary Signature:
Joint Signature: