Check below to indicate the type of account(s) and type of credit for which you are applying.
Married applicants may apply for separate accounts.
 
Application information can be entered and submitted online from your computer.
Application information can also be entered and then printed to be mailed, faxed (816) 364-1649 or brought into the credit union.

Once the application has been received, a credit union representative will contact you.
 
Account/Loan: Individual Joint
Amount Requested: *
 

Purpose/Collateral: *

Repayment: Payroll Deduction Cash Automatic Payment
Applicant Information
NAME (Last, First, Initial): *
Account Number: Social Security Number: *
Driver's License Number/State: Date of Birth:
Home Phone Number: * Daytime Phone Number: *
List ages of dependents (excluding self) :
Present Address: *
City: * State: *
Zip: *
Years at this Address:
.
Employment/Income
Name of Employer: * Start Date: *
Employment Income: $ *
   
Applicant References (Nearest relative not living with you)  
Reference Name: Reference Relationship: *
Reference Address: * Reference Home Phone: *
   
Reference Name: Reference Relationship: *
Reference Address: * Reference Home Phone: *
   
Co-Applicant Information
NAME (Last, First, Initial):
Account Number: Social Security Number:
Driver's License Number/State: Date of Birth:
Home Phone Number: Daytime Phone Number:
List ages of dependents (excluding self) :
Present Address:
City: State:
Zip:
Years at this Address:
.
Employment/Income
Name of Employer: Start Date:
Employment Income:
 
Debts
 
What You Owe
Creditor Name Other Than This Credit Union
(Attach additional sheet(s) if necessary)
Present
Balance
Monthly
Payment

Rent
1st Mortgage
(Include Tax and Insurance)

$ $
2nd Mortgage $ $
1st Auto Loan $ $
2nd Auto Loan $ $
Credit Card $ $
Credit Card $ $
Other Debts $ $
Other Debts $ $
Other Debts $ $
       
 
  Totals:
$ $
 
Signatures
You promise that everything you have stated in this application is correct to the best of your knowledge and that the above is a complete listing of what you owe. If there are any important changes you will notify us in writing immediately. You authorize the Credit Union to obtain credit reports in connection with this application for credit and for an update, renewal or extension of the credit received. You understand that the Credit Union will rely on the information in this application and your credit report to make its decision. If you request, the Credit Union will tell you the name and address of any credit bureau from which it received a credit report on you. It is a federal crime to willfully and deliberately provide incomplete information on loan applications made to federal credit unions or state chartered credit unions insured by the NCUA.
 
Applicant Signature : ___________________________ Date: ________________________
 
Co-Applicant Signature : ___________________________ Date: ________________________


By submitting this application, I certify that statements on this application are
true and correct and
I authorize Postal & Community Credit Union to obtain a credit report in
conjunction with this application for credit and for any update,
renewal or extension of the credit received.
 
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