Vehicle Loan Payoff Request Form
Visit our Online Application Center to refinance your loan at www.firstcomcu.org.
To expedite the application process, you will need the information below. Once you have submitted your
application, click HOME and then you will have the option to scan and upload this information into our Online
Application Center (choose “Upload a document”). You can also return this form to us at First Commonwealth
FCU, Attn: Consumer Lending, PO Box 20450, Lehigh Valley, PA 18002 or by fax at 610.807.3036.
Member Name
ACCOUNT NUMBER
CURRENT LOAN HOLDER INFORMATION
(obtain by calling your current financial institution/lender)
NAME OF CURRENT FINANCIAL INSTITUTION/LENDER
CURRENT FINANCIAL INSTITUTION/LENDER PHONE
NUMBER
PAYOFF MAILING ADDRESS
$
PAYOFF AMOUNT (ALLOW 10
DAYS)
$
YEAR
MAKE
MODEL
BODY TYPE
MILEAGE
VIN
LOAN NUMBER
DAILY PER DIEM
VEHICLE INFORMATION
6/2015