Loan Application Security State Bank Scott City

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Step 1 of 5

20%

Type of Credit Requested
Type of Loan*
- Auto
- Personal
- Home
- Home Equity Line of Credit
Secured or Unsecured*
- Secured Loan
- Unsecured Loan
Individual or Joint*
- Individual Credit
- Joint Credit
Amount Requested:*
Term of Loan (in months):*
Please enter a number greater than or equal to 0.
Proceeds of Loan to Be Used For:*
Details of Loan (Address if property, Year, Make and Model if vehicle, etc.)*
Did you have a conversation with a loan officer prior to submitting your online application and if so, whom

Applicant Name*
First Middle Last
Social Security Number*
Date of Birth*
MM slash DD slash YYYY
Phone*
Email*
Enter Email Confirm Email
Driver's License Number*
Current Address:
Home Address (Not a P.O. Box)*
Street Address City State ZIP Code
Years At Home Address*
Please enter a number from 0 to 30.
Do You*
- Own
- Rent

Current Employer
Employer's Name*
Employer's Phone*
Employer's Address*
Street Address City State ZIP Code
Your Position*
Years at Company*
Gross Salary Per Month*
Previous Employer
Employer's Name
First Last
Employer Phone
Employer Address
Street Address City State ZIP Code
Years at Previous Company
Co-Applicant Information
Co-Applicant Name*
First Middle Last
Co-Applicant Social Security Number*
Co-Applicant Date of Birth*
MM slash DD slash YYYY
Co-Applicant Phone*
Co-Applicant Email*
Enter Email Confirm Email
Co-Applicant Driver’s License*
Relationship to Applicant*
Co-Applicant Current Address*
Street Address City State ZIP Code
Co-Applicant Current Employer*
Co-Applicant Employer Phone*
Co-Applicant Employer Address*
Street Address City State ZIP Code
Co-Applicant's Position*
Co-Applicant's Years at Company*
Co-Applicant's Gross Monthly Salary*
Co-Applicant's Previous Employer
Co-Applicant's Previous Employer Name*
Co-Applicant's Previous Employer's Phone*
Co-Applicant's Previous Employer's Address*
Street Address City State ZIP Code
Co-Applicant's Years at Previous Company*

Checking Account:
Checking Bank Name*
Savings Bank Name*
Co-Applicant Accounts:
Co-Applicant's Checking Bank Name*
Co-Applicant's Savings Bank Name*

CAPTCHA
By clicking Submit below, I certify that everything I have stated in this application is correct. Security State Bank may keep this application whether or not it is approved. By submitting this application I authorize Security State Bank to check my credit and employment history and to answer questions others may ask Security State Bank about my credit record with Security State Bank. I understand that I must update credit information at the request of Security State Bank if my financial condition changes.

Please fill out the fields in the form to the right. One of our representatives will contact you within one business day to complete the process.

Application Steps

Loan Application
Individual Applicant Information
Employment Information
Marital Status
Applicant Asset & Debt Information
Secured Credit
Form Complete

Request Info

Name^*

E-mail^*

Phone (Optional)

Questions^*

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*APY = Annual Percentage Yield

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