Consumer Loan Application

If you are working with a banker, please indicate who:

If none, please type "No Banker" or "N/A"

Application Type:

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Individual Credit – Applying for credit in your own name and relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested.

Joint Credit – Applying for joint credit with another person.

Individual Credit – Applying for credit in your own name but relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as the basis for repayment of the credit requested.

Payment Method:

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Installment

Single Pay

Other

Loan Type:

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Personal Line of Credit (min $5,000)

Auto Loan (min $5,000)

Overdraft Loan (must be tied to a personal checking account)

Date:

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Amount Requested:

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Payment Date Desired:

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Number of Months:

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Proceeds of Credit to be used for:

Collateral of the Loan:

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Consumer Loan Application

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