Loan or Mortgage Application

Whether you want a new car, a vacation, an education or debt freedom - we offer competitive rates, flexible terms and a full range of financial products and services - plus friendly, knowledgeable service to help you get there.

Getting Started

Are you a member? YES NO

Your Personal Banking Information

Name First * Last

Date of Birth / MM / DD * YYYY

Branch

Basic Information

Name First * Last

Date of Birth MM DD * YYYY

Address

* Street Address

* City

* Province

* Postal Code

Phone

* Home

Other

Best time to call

S.I.N.

Email Address

Yes: I would like to receive email updates on Provincial Alliance Credit Union products and services.

Employer

Name

Position

Address

Branch

Applying for Your Loan or Mortgage

Choose from the following lending products

* Reason for Loan/Mortgage

* Amount

How long have you resided at your current address?

If you have resided at your current address for less than 3 years please provide your previous address

Reference 1

Name

Phone

Reference 2

Name

Phone

Employment History

* Length

* Salary

If you are self-employed please list your verification source

Marital Status:

Spouse Information

Spouse Employer

Name

Position

Address

Office phone

Spouse’s Employment History

Length

Salary

If your spouse is self-employed please list their verification source

Assets

Properties

Location

Purchase Price

Estimated Value

Location

Purchase Price

Estimated Value

Vehicles

Year

Make Model

Year

Make Model

Bank accounts

Bank Name

Account Name

Approximate balance

Bank Name

Account Name

Approximate balance

Bank Name

Account Name

Approximate balance

Investment accounts

Bank Name

Account Name

Approximate balance

Bank Name

Account Name

Approximate balance

Bank Name

Account Name

Approximate balance

Liabilities

Mortgage

Financial Institution Name

Account Name

Amount per month

Personal loans

Financial Institution Name

Balance

Amount per month

Financial Institution Name

Balance

Amount per month

Financial Institution Name

Balance

Amount per month

Financial Institution Name

Balance

Amount per month

Credit cards

Financial Institution Name

Balance

Amount per month

Financial Institution Name

Balance

Amount per month

Financial Institution Name

Balance

Amount per month

Financial Institution Name

Balance

Amount per month

Financial Institution Name

Balance

Amount per month

Financial Institution Name

Balance

Amount per month

Vehicle Leases

Financial Institution Name

Termination date

Amount per month

Financial Institution Name

Termination date

Amount per month

Financial Institution Name

Termination date

Amount per month

Financial Institution Name

Termination date

Amount per month

Child support/Alimony payment per month

Yearly Property Tax Amount

Monthly Rent Amount

Have you declared Bankruptcy or Consumer Proposal?

Yes No*

Discharge Date:

Application Agreement

The undersigned is not indebted to any other credit union, bank, loan agency, store or individual merchant, either as maker or endorser, except as stated above. The statements herein are made for the purpose of obtaining the loan, and are true to the best of my/our knowledge and belief. I authorize the credit union to obtain such factual and investigative information regarding me from others as permitted by law and to furnish other credit grantors and any credit bureau particulars of this credit application. In addition, I hereby acknowledge notice from the credit union that a consumer report containing credit information may or will be referred to in connection with this application for credit or any renewal or extension thereof. I hereby authorize the credit union to deduct the costs of security registration, processing or consumer reports from my account or loan proceeds.

I acknowledge I have read the above and request to apply for a Loan or Mortgage with Provincial Alliance Credit Union Ltd.

Loan or Mortgage Application

Getting Started

Your Personal Banking Information

Basic Information

Applying for Your Loan or Mortgage

Spouse Information

Assets

Liabilities

Application Agreement

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Loan or Mortgage Application

Getting Started

Your Personal Banking Information

Basic Information

Applying for Your Loan or Mortgage

Spouse Information

Assets

Liabilities

Application Agreement

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