Short Term Loan 

* Required Fields

To qualify the following criteria must be met:

Monthly Direct Deposit:
Gross income of at least $1,000/month:
Active checking account for at least 90 days:
Continuous employment for the last six months:
I'm 18 years or older:
All accounts are currently in good standing (Including Loans and Credit Cards):
Don't currently have a Short Term Loan with Pinal County FCU at this time:
Not looking to pay off one Short Term loan with another:
Business Accounts are not eligible:

If you answered NO to any of the above questions you are not eligible for a Short Term Loan at this time. Please come back again when you meet the eligibility criteria.  Thank you!


Are you currently involved in any bankruptcy proceedings?

If you answered YES, you are not eligible for a Short Term Loan at this time. Please come back again when you meet the eligibility criteria.  Thank you!


(BETWEEN $500.00 AND $1000.00)

1. Applicant Information



2. Employment Information



3. Income Information

NOTICE: Alimony, child support, or separate maintenance income do not need to be revealed if you choose not to have it considered.
Employment Income
Other Income

4. References

Nearest Relative Not Living with You

If there are any important changes, you will notify us in writing immediately. You also agree to notify us of any change in your name, address or employment within a reasonable time hereafter. You also promise that everything you have stated in this application is correct to the best of your knowledge and that the above information is complete. You understand that it is a federal crime to willfully and deliberately provide incomplete or false and misleading information.
Security Code:

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