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Loan Application

* = Required Field

This is an application for joint credit, Borrower and Co-Borrower each agree we intend to apply for joint credit.
 

Borrower


* Last Name
* First Name
Middle Initial
* Social Security No.
* Date of Birth
Email Address
Home Phone
Work Phone
* Cell Phone
Best Time to Contact
Method of Contact
 
 
Personal Reference
* Name
* Address
* Relationship
* Phone#
 
*Address Line 1
Address Line 2
* City
* State
* Zip
* County
 
Mailing Address Different from Address Line 1? Yes
 
*How Long at Residence?
6 mo or less 1 year 2 years 3 years 4 years 5 years More than 5 years
 
Previous address if less than 2 years
*How Long at Residence?
6 mo or less 1 year 2 years 3 years 4 years 5 years More than 5 years
 
* Present Employer
* Occupation
* Length of Time
with Current Employer
* Years Employed in this Profession
* Primary Gross Income (annually)
Other Sources
of Income
 

Co-Borrower


* Last Name
* First Name
Middle Initial
* Social Security No.
* Date of Birth
Email Address
Home Phone
Work Phone
Cell Phone
Best Time to Contact
Method of Contact
 
     
*Address Line 1
Address Line 2
* City
* State
* Zip
* County
 
Mailing Address Different from Address Line 1? Yes
 
*How Long at Residence?
6 mo or less 1 year 2 years 3 years 4 years 5 years More than 5 years
 
Previous address if less than 2 years
*How Long at Residence?
6 mo or less 1 year 2 years 3 years 4 years 5 years More than 5 years
 
* Present Employer
* Occupation
* Length of Time
with Current Employer
* Years Employed in this Profession
* Primary Gross Income (annually)
Other Sources
of Income
 

Type of Loan


*Please Select:    Auto   Consumer  Commercial/Agricultural

At this time we can't accept mortgage loan applications online,please call 580-933-4201 if you would like to have one of our loan officers speak with you about completing a home loan application.

 

*Amount to Borrow
*Purpose
*Collateral
*Narrative   
 

Loan Disclosures


*Please check the box here if you have read the loan disclosures below.
 
INSURANCE DISCLOSURE FOR CREDIT APPLICATION
Electronic Disclosure, Electronic Signature and Electronic Statements Agreement
 

Credit Disclosures


An insurance product or annuity may be offered to you. If you purchase an insurance product or an annuity: (1) The insurance product or annuity is not a deposit or other obligation of, or guaranteed by, this institution or our affiliate(s); (2) With exception of Federal Flood Insurance or Federal Crop Insurance, the insurance product or annuity is not insured by the Federal Deposit Insurance Corporation or any other agency of the United States, this institution, or our affilate(s); and (3) In the case of an insurance product or annuity that invloves an investment risk, there is investment risk associated with the insurance product, including the possible loss of value. If an insurance product or annuity is offered we cannot condition an extension of credit on either of the following: (1) Your purchase of an insurance product or annuity from us or any of our affilates; or, (2) Your agreement not to obtain, or a prohibition on you from obtaining, an insurance product or annuity from an unaffiliated entity.

By clicking Submit I certify that everything I have stated in this Application is correct to the best of my knowledge. I understand that you will retain this Application whether or not it is approved. You are authorized to check my credit and employment history and answer questions about your credit experience with me.

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