Renance Information Form
220 Donald Lynch Blvd. | PO Box 9130 | Marlborough, MA 01752-9130
dcu.org | dcu@dcu.org | 800.328.8797
© DCU 06.01.2021 Insured by NCUA
1
The information you provide below will be used to complete your request to renance your
current vehicle loan. Incomplete, incorrect, or illegible information may delay the processing of
your loan request.
Please upload this document using the link provided in our email about your pending application. This is the most
secure delivery option and will ensure your document is routed correctly. If you no longer have that email you may
fax this form to 508.263.6392.
Note: Email communication may not be secure. Please do not include personally identifying information such as
your account or membership numbers in emails you send to us.
Borrower(s)
Payoff Address:
Account Number:
Institution Name:
Vehicle Identication Number (VIN):
Vehicle Mileage:
10-Day Payoff Amount:* Payoff Good Through:†
Daily Interest:‡
*This is the amount requ
ired to completely payoff and satisfy the loan. The amount must include the principal, accrued interest, and fees through today,
plus the interest that will accrue over the next 10 days.
†The date the payoff amount is valid through.
‡The dollar amount of interest that accrues on the loan daily.