Vehicle Loan Payoff Form

For Insurance Agencies or Dealers:

Please use this form to obtain a 10-day loan payoff. We'll need to know ALL starred information listed below. We'll get back to you within two business days to help you process your transactions quickly and efficiently.

Thanks!

For Members:

Please contact DCU to request a payoff by:

calling either 508.263.6700 or 800.328.8797; or
stopping by a branch.

Either way, you'll get superior service from us!

* Denotes a Required Field

Member Info Needed:

Member Name:
A value is required. *

Member # or SSN#:
A value is required. *

Vehicle Make:
A value is required. *

Vehicle Model:
A value is required. *

Vehicle Year:
A value is required. *

Vehicle VIN:
A value is required. *

Insurance Agency or Dealer Info Needed:

Type of Business: Please select an item. *

Company Name:
A value is required. *

Contact Name:
A value is required. *

Contact Phone No.:
A value is required. *

Contact Fax No.:

I would like to be contacted to receive the above information:
verbally — please call me
in writing — please fax (please be sure fax number is entered)

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