Debt Relief Loan Application – Bleccu Online Applications

Requirements

Members interested in obtaining a Debt Relief Loan must have at least 10% of the amount you wish to borrow on your share account. Each loan request must be accompanied with a current job letter, pay slip and supporting documents (bank printouts, invoices etc.) Interest rates for Debt Relief Loans vary between 11.5% – 15%.

Personal Information

Member Number

Applicant Name

First

Last

Mobile Phone

Work Phone

Email

Applicant Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Employment Information

Employer

Employee #

Rank / Position

Length of Service (yrs)

Retirement Date

Loan Information

Amount Applying For

Date Required

Security Offered

Shares
Other

Institutions where debt is being paid off

Institution Name

Loan Balance

Deduction Amount

Payroll Information

Gross Pay

Note: This is your total salary before any deductions. This must be taken from your current pay slip which must also be uploaded for verification.

Net Pay

Note: This is your pay after all deductions. This must be taken from your current pay slip which must also be uploaded.

Job Letter / Pay Slip / Supporting Documents

Click or drag files to this area to upload. You can upload up to 10 files.

Credit Check

Credit Check Consent

I consent to have my credit score obtained by BLECCU for the purpose of qualifying for the loan

Account Debit

I also consent for my account to be debited the amount of $16.50 per report (VAT inclusive) at the time the report is generated.

Signature

Clear Signature