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Personal Loan Application
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Required Fields
Leave me blank for Loan Application.
Age Confirmation
*
Please check this box if all applicants are 18 years or older.
County of Residence Confirmation
*
Please check this box if all applicants live in one of the following counties: Cleveland, Garvin, Grady, McClain, Oklahoma, or Pottawatomie.
Purpose of Loan
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Amount Requested
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Type of collateral (if titled include make, model, year and VIN if available)
Will the loan collateral be real estate?
*
Select
Yes
No
IMPORTANT: Please read these directions before completing this application, and select the appropriate item below
*
Applying for individual credit in your own name, and are 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.
Applying for joint credit with another person.
Applying for individual credit in your own name, but are 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.
New Customer?
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Yes
No
Applicant Information Section I
First Name
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Last Name
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Best Contact Method
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Email
Phone
Email Address
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Phone Number
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Current Address
City
State
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Previous Address
Zip Code
Mailing Address
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Mailing Address Line 2
Mailing Address
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Mailing Address
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Mailing Address
Zip Code
*
Own or Rent?
Own
Rent
Years There
Current Value (if own)
Current Rent (if rent)
Social Security Number
*
Date of Birth
*
Employer
*
Years at Employment
Position
Annual Income
*
Previous Employer (if with current employer less than two years)
Co-Applicant Joint Credit Section II
Co-Applicant Joint Credit
Spouse Non-Applicant
First Name
Last Name
Best Contact Method
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Email
Phone
Email Address
Phone Number
Current Address
City
State
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MI
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MS
MO
MT
NE
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NH
NJ
NM
NY
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ND
OH
OK
OR
PA
RI
SC
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UT
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WI
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Zip Code
Previous Address (if less than two years)
Previous Address
City
Previous Address
State
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AK
AZ
AR
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CO
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DE
DC
FL
GA
HI
ID
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KY
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MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Previous Address
Zip Code
Mailing Address
Mailing Address Line 2
Mailing Address
City
Mailing Address
State
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AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Mailing Address
Zip Code
Own or Rent?
Own
Rent
Years There
Current Value (if own)
Current Rent (if rent)
Social Security Number
Date of Birth
Employer
Years at Employment
Position
Annual Income
Previous Employer (if with current employer less than two years)
Debts and Obligations
First Mortgage Lender Name
First Mortgage
Monthly Payment
First Mortgage
Interest Rate
First Mortgage
Unpaid Balance
Second Mortgage Lender Name
Second Mortgage
Monthly Payment
Second Mortgage
Interest Rate
Second Mortgage
Unpaid Balance
Applicant Completion Information
Please choose a preferred location for completion of application if needed
*
Select
Purcell
Purcell - Kelsey Harrel
Purcell - Charles Sherman
Purcell - Steve Sherman
Purcell - Kerry Wilhoit
Purcell - Jace Woodrow
Norman
Norman - Kelly Nemecek
Norman - Hal Stout
Noble
Noble - Margie Keely
Noble - Hal Stout
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