Personal Loan Application

Type of Credit Requested:

Minimum Line: $500

Minimum line: $1,000

 

Section A - Individual Applicant Information

Housing Arrangement: (please select one)

How Long at Physical Address?

Is your mailing address different than your physical address?

Separate values with a comma.

(if less than 2 years at present address)

How Long at Previous Address?

Housing Arrangement: (please select one)

Self Employed borrower(s) may be required to provide additional documentation such as tax returns and financial statements.

How Long with Current Employer?

(number and street name)

 

Other Employment Income
Do you have Income from other employment?

How Long with Employer?

(if less than 2 years at current employment)

How Long with Previous Employer?

 

Additional Income

Additional Income Disclosure: You need not list income from alimony, child support or separate maintenance if you do not want it considered in determining your ability to repay this obligation.

Is there any additional income you would like to include?

(Social Security, VA, Pensions, Alimony, or Child Support)

 

Section B - Joint Applicant or Other Party Information

Complete only if for joint credit, for individual credit relying on income or assets from other sources, or applicant is married and resides in a community property state.

Housing Arrangement: (please select one)

(number and street name)

How Long at Physical Address?

Separate values with a comma.

(if less than 3 years at present address)

How Long at Previous Address?

Self Employed borrower(s) may be required to provide additional documentation such as tax returns and financial statements.

How Long with Current Employer?

(number and street name)

Other Employment Income

Do you have income from other employment?

How Long with Employer?

(if less than 2 years at current employment)

How Long with Previous Employer?

Additional Income

Additional Income Disclosure: You need not list income from alimony, child support or separate maintenance if you do not want it considered in determining your ability to repay this obligation.

Is there any additional income you would like to include?

(Social Security, VA, Pensions, Alimony, or Child Support)

 

Section C - Marital Status

Complete only if for joint or secured credit or applicant resides in a community property state or is relying on property located in such a state as a basis for repayment of the credit requested.

 

Section D - Assets & Debt Information

If section B has been completed, please fill out both the Applicant and Joint Applicant Sections below. If Section B was not completed, only fill out the Applicant section.

 

Applicant Asset Information
Checking Account

 

Checking Account #2 (if applicable)

 

Savings Account

 

Real Estate Owned

 

Other Real Estate Owned (if applicable)

 

Automobiles

 

Automobiles #2 (if applicable)

 

Other (i.e. Marketable Securities, Stocks, 401k)

 

Applicant Debt Information
Mortgage

 

Second Mortgage

 

Automobiles

 

Other Debt (credit card, department store, or credit union)

 

Section E - Declarations

 

Applicant
1. Are you a Co-Signer or Co-Maker on a Loan?
2. Are there any Outstanding Judgments Against You?
3. Have you been Declared Bankrupt in the past 7 Years?
4. Have you had a Foreclosure/Given Deed in Lieu in the Last 7 Years?
5. Are you a party to a Law Suit?
6. Are you a U.S. Citizen?
7. Are you required to pay alimony or child support?

If so, please include amount and to whom payable:

Co-Applicant

1. Are you a Co-Signer or Co-Maker on a Loan?
2. Are there any Outstanding Judgments Against You?
3. Have you been Declared Bankrupt in the past 7 Years?
4. Have you had a Foreclosure/Given Deed in Lieu in the Last 7 Years?
5. Are you a party to a Law Suit?
6. Are you a U.S. Citizen?
7. Are you required to pay alimony or child support?

If so, please include amount and to whom payable:

 

Section F - Secured Credit

Complete only if credit is to be secured. Briefly describe the collateral to be given as a security.

Names & Addresses of All Co-Owners of the Collateral:

 

Signature

I certify that everything I have stated in this application is correct. You may keep this application whether or not it is approved. By signing below I authorize you to check on my credit and employment history and to answer questions others may ask you about my credit record with you. I understand that I must update credit information at your request if my financial condition changes. I also understand that I am executing this request for credit by electronic signature as defined by law, and I further understand that my electronic signature has the same force as a handwritten signature.

New York Residents Only: A consumer report may be requested in connection with this application or in connection with updates, renewals or extensions of any credit granted as a result of this application. Upon my request I will be informed whether or not a consumer credit report was requested, and if so, the name and address of the agency that furnished the report.

Ohio Residents Only: The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers and that credit reporting agencies maintain separate credit histories on each individual request. The Ohio Civil Rights Commission administers compliance with this law.

If this is an application for joint credit, first applicant and joint applicant each agree that we intend to apply for joint credit by signing below.

Please only click Submit button once. You will receive a Thank you screen once application has been successfully submitted.

 

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