1900 S. Jones Blvd., Las Vegas, NV 89146
Tel (702) 871-4746, Fax (702) 871-5041

Loan Application

All applications are reviewed daily during regular business hours.

* = Required Field

Are you currently a Member? Yes  No
Desired Loan Type*
Desired Loan Amount*
What Payment Protection Coverage do you want? II
Single Credit Life   Single Credit Disability   Joint Credit Life   None
  II Statement of Intent: 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 coverage to become effective.
Application Type Individual     Joint (Spousal)     Joint (Non-Spousal)
Additional Notes

Primary Applicant Information
Name Information
Title First Name* Middle Initial Last Name* Suffix

SSN #*


Date of Birth*

Address & Contact Information
State* Zip*
Months at Current Address*
Own / Rent Current Address*
Home Phone*
Cell Phone
Work Phone* XTN
Confirm Email*
Previous Address
Months at Previous Address
Own / Rent Previous Address
Note: If you have lived at your current address for less than 2 years, please fill in previous address information.
ID Information
  First ID
Issue Date*
Expiration Date*
  Second ID
Issue Date
Expiration Date

Employment & Income Information
Employment Status*

Employer's Name*  
Employer's Address*  
Income* /
Time in Field*


Hours Worked / Week*
Time at Current Job*
Prev Employer's Name
Prev Employer's Address
Prev Occupation
Prev Income /
Prev Time in Field


Additional Income 1 Description   Monthly Income
Additional Income 2 Description   Monthly Income
Additional Income 3 Description   Monthly Income
Monthly Childcare / Support Payment  
Note: Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.


First Reference

Phone Number*

Second Reference

Phone Number*

I have read and accept the following:
  Terms and Conditions
  VISA Disclosure

The links below are not provided by Plus Credit Union. We are not responsible for the content of the web site. Plus Credit Union does/will not represent either you, as a member of the credit union, or the web site in any transaction or agreement entered into between the above mentioned parties. Privacy and security policies may differ from those practiced by the credit union.