Refinance and Save!

We hope you find our application easy, but we're happy to help if needed—give us a call at 219-321-8947 or just email us at ask@autorefi.regionalfcu.org.

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First, the basics:

Optional promo code: If you've already received a promo code, enter it here.

First name:

Last name:

Phone number: Be sure to include area code (example: 555-555-5555).

Email address:

Date of birth:

Marital status:

Driver's license (or State ID) number:

License/ID state:

Driver's license issue date:

Driver's license expiration date:

Social Security number:

Confirm Social Security number: SSNs don't match.

Your Home Address:

Your street address:

Your apartment/unit #:

Your city:

Your state:

Your ZIP code: Your ZIP code is required.

Current address since:

Next, the specifics:

Your Income, Credit, and Expenses:

Monthly income:

Do you rent or own your home?

Monthly rent/mortgage payment:

Other monthly loan/credit expenses: Examples are credit card, student loan, second vehicle, etc.

Your Vehicle:

Make:

Model:

Year:

Mileage:

VIN (Vehicle Identification Number): What's this? VIN, or Vehicle Identification Number, is a 17-character code that uniquely identifies your vehicle. It can be found on your insurance card or vehicle registration, or on a panel on your vehicle—either under the driver's-side windshield, or a panel on a driver's side door.

Confirm VIN: VINs don't match.

Your Current Loan:

Monthly payment:

Remaining loan/payoff amount:

Remaining term:

Date of next payment:

Lien holder: What's this? The current lender (often a bank or credit union) who is financing this loan.

Your Employment:

Employment status:

Your job title:

Current employer since:

Employer's name:

Employer's phone number:

Employer's street address:

Employer's suite/unit #:

Employer's city:

Employer's state:

Employer's ZIP code:

And Finally:

How did you hear about us?

Is there any additional information you think we may need to help finance your loan?

By clicking "Submit my application!" below, I am certifing that everything I have stated in this application is correct. REGIONAL federal credit union may keep this application whether or not it is approved. By submitting this application I authorize REGIONAL federal credit union to verify the information I have submitted and obtain my credit report. I understand that I must update credit information at the request of REGIONAL federal credit union if my financial condition changes.