• 1
  • 2

Loan Information

How To Apply:

- Please complete all pages of this form

-Incomplete / incorrect information may delay processing

-Proof of income will be required before loan can be finalized

Individual Credit: You must complete an application about yourself. Your Spouse must also submit an application if:
1. you live in or the property pledged as collateral is located in a community property state (AK,AZ, CA, ID, LA, NM, NV, TX, WA, WI),
2. Your spouse will use the account
3. You are relying on your spouse's income as a basis for your repayment.

Joint Credit: Each Applicant must individually complete the application.

Please fill out information below to indicate the type of credit for which you are applying.

Payment Protection

Check if coverage is desired. The Credit Union will disclose the cost of this voluntary insurance to you. A separate insurance election which discloses the terms and conditions must be signed for the coverage to become effective.


Main office: 915 E. Second Street
Jamestown, NY 14701
(716) 483-1650

Log in to Online Banking