VAntage Trust Federal Credit Union
Loan Application
Type of Loan: Personal Loan
New Vehicle 		Home Equity Loan
Used Vehicle		 Refinancing
APPLICANT INFORMATION
This application will enable us to begin processing your request for most loan products. It may be necessary for a loan specialist to call you for additional information.
Amount Requested: Term Requested:
Applicant Name:
Date of Birth:  
Street Address:
City: State:   Zip:
Home Phone (10 digit): Work:
Years at this Address:     Monthly Housing Cost:
Own      Rent      Room
Previous Address:
if less than 2 years
Employer:
Self-Employed?  
Address:
How Long?  Gross Annual Income:
Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered a basis for repaying this obligation.
Source of Additional Income: Amount:
CO-APPLICANT INFORMATION
Co-Applicant Name:
Date of Birth:
Street Address:
City: State: Zip:
Home Phone: Work:
Employer: Self Employed?
How Long?: Gross Annual Income:
Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered a basis for repaying this obligation.
Source of Additional Income: Amount:

You may also print and fill out this application offline, then bring, fax, or mail it to the credit union:

VAntage Trust FCU
881 Mundy Street
Wilkes-Barre, PA 18702

Privacy Statement

All information entered on this site will be kept confidential. It will not be disclosed to others outside VAntage Trust Federal Credit Union and will be used exclusively for the purpose intended. Only authorized VAntage Trust Federal Credit Union employees who are trained in the proper handling of member/owner information will have access to this information.

This form is protected with 128-bit Encryption


We do business in accordance with the
Federal Housing Law and the Equal Credit Opportunity Act.