Loan Application

Consumer Loan Application

Please realize we can only accept loan applications from those in our service area who are eligible for membership. Any other applications will not be processed, nor replied to. Thank you.

All forms on our web site are encrypted using the latest internet security. Please fill out all fields and press "Submit" at the bottom of the form to send your application for processing. Any questions, feel free to contact us.

Membership Requirement
Are you already a PCM Employees Credit Union member? Yes or No
If yes, your member number? If not, please fill out the portion below regarding eligibility....
I am eligible for membership through my: (see requirements)
Employer
Family Member (name)
Loan Information
Will there be a co-applicant on this loan application? Yes or No
Amount requested
Limit requested
Purpose
Security
Length of Loan	See our financial calculators...
Personal Information
First Name:
Middle Initial:
Last Name:
Social Security Number:
Marital Status:	Married Unmarried
	(includes single, widowed and divorced)
Birthdate	(MM/DD/YYYY)
Home Address:
City:
State:
Zip:
How Long?
Home Phone Number:
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:
Employment Information
Work Phone Number:
Employer name:
Address:
City:
State:
Zip:
Position:
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.
Savings/Checking balance
Real Estate- locations, value
Auto - year, make model
Other Asset
Other Asset
Insurance and Payment Options
Credit Life and Credit Disability Insurance We offer this insurance to help protect you in the future. We encourage you to learn more about it, but it is not required to obtain credit. I request the following Insurance Coverage:

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 PCM Employees 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 PCM Employees 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. Notice to married applicant: No provision of a marital property agreement, a unilateral statement under Wis. Stat. sec 766.59 or a court decree under Wis Stat. sec 766.70 adversely affects the interests of the credit union unless prior to the time the credit is extended, the credit union is furnished with a copy of the agreement statement or decree, or has actual knowledge of the adverse provision when the obligation to the credit union is incurred.

Consumer Loan Application

Membership Requirement

Loan Information

Personal Information

Employment Information

Insurance and Payment Options