ePrescreen Mortgage Loan Application

Mortgage Loan or HELOC Application

You must meet one of the following requirements to be eligible for a loan with Public Service Credit Union:

Check which option applies for you: *

I am currently a member at PSCU in Indiana

I live or work in Allen County or Huntington County in Indiana

I have an immediate family member who is already a member at Public Service CU in Indiana (spouse, parent, child, grandparent or sibling)

Membership Eligibility

We are not affiliated with any Public Service Credit Union outside of Indiana.

Personal Information

Account Number

First Name *

Last Name *

Social Security Number

Date of Birth *

Street Address *

City *

ZIP Code *

How long have you lived there? (months and years) *

If less than 2 years, what was your former full address? *

ID and Contact Information

Please upload a clear photo of the front of your driver's license/state ID:

Click or drag & drop image here to upload

Email Address

Phone Number *

I agree to receive SMS text messages from Public Service Credit Union at the mobile number provided above. Message frequency may vary. Message and data rates may apply. Reply STOP to opt-out or HELP for assistance. View our Terms of Service and Privacy Policy.

Terms of Service

Privacy Policy

When is the best time to reach you about this application? *

Mortgage/HELOC Application

How much money do you need to borrow? *

(minimum amount for a HELOC is $5000)

How much would you like your monthly payment to be?

Estimated payoff on your current mortgage (if applicable)

Property Information

Property Address

Property City

Property ZIP Code

Approximate Home Value

Is or will this home be your primary residence?

Income Information

Your Monthly Income *

Your Income Source (employer name, retirement/pension, etc.) *

(if retired, please list former employer)

Occupation/Job Title *

(if retired, please list former occupation)

How long have you worked there? (months and years) *

If less than 2 years, who was your former employer?

If less than 2 years, what was your former job title?

Last 2 pay stubs (can be submitted later):

Click or drag & drop file here to upload

Last 2 years of tax returns (can be submitted later):

Click or drag & drop file here to upload

Co-Applicant Information

(if you do not have a co-applicant, skip to the next page)

Co-Applicant Account Number

Co-Applicant First Name

Co-Applicant Last Name

Co-Applicant Social Security Number

Co-Applicant Date of Birth

Co-Applicant Street Address

Co-Applicant City

Co-Applicant ZIP Code

How long have they lived there? (months and years)

If less than 2 years, what was their former full address?

Co-Applicant Phone Number

Co-Applicant Email Address

Co-Applicant Income Information

(if you do not have a co-applicant, skip to the next page)

Co-Applicant's Monthly Income

Co-Applicant's Income Source (employer name, retirement/pension, etc.)

(if retired, please list former employer)

Co-Applicant's Occupation/Job Title

(if retired, please list former occupation)

How long have they worked there? (months and years)

If less than 2 years, who was their former employer?

If less than 2 years, what was their former job title?

Credit Check Authorization

By checking the box below, I authorize Public Service Credit Union to obtain my credit history. I understand that Public Service Credit Union may contact me for additional information. Public Service Credit Union may obtain information from others about me and give information to others, including but not limited to verifying my identity and performing authentications as required by applicable local, state, and federal regulations.

By submitting this application electronically, I agree to the same terms that apply to a signed application. If there is a co-applicant on this application, that co-applicant has authorized the submission of this application. This electronic submission qualifies as my signature. I understand that I/we may have to sign additional documents before my loan will be processed.

I understand that I am providing 'written instructions' to Public Service Credit Union under the Fair Credit Reporting Act authorizing Public Service Credit Union to obtain information from my personal credit profile. I authorize Public Service Credit Union to obtain such information solely for this loan application with Public Service Credit Union.

I understand that credit inquiries have the potential to impact my credit score.

Do you authorize Public Service Credit Union to obtain your credit report and process this loan application?

Yes