Apply For a Loan

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Your Employment Information

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Your Employment Information Place Of Employment

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Co-Applicant Information

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(Must be spouse or significant other living at same address)

Co-Applicant Info - If Applicable:

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Co-Applicant's Employment Info If Applicable

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Sources Of Other Verifiable Household Income

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Co-Applicant's Employment Info If Applicable

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lf Alimony or Child Support please advise:

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Co-Applicant's Employment Info If Applicable

US Citizen:
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lf a second employment please advise:

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lf Alimony or Child Support please advise:
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Note: Alimony or child support need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

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Any Other Income

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Current Automobile Information

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Automobile #1

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Automobile #2

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Have you ever had a repossession?
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Credit Information

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Bank References Checking

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Have you ever filed bankruptcy?
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Bank References Savings

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Open Accounts: (Credit Cards, Furniture, Loans, Jewelry, Tire Stores, Rentals, Etc)

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All loan approvals are based on our liberal loan policy and applicants should live within 25 miles of our office location. Some exceptions are made on Auto Loans. After your application is submitted, we will have a decision for you within the next few hours. If it is placed after 2:00 pm it may be the next day. If you do not hear from us in that time frame, please reach out to us at 704-932-3162, Also, please check your email for any correspondence from us requesting additional information.


IMPORTANT READING BEFORE SENDING APPLICATION: I/We certify I am at least 18 years of age. I have reviewed your privacy policy and security statement in full and by submitting the above information for the purpose of securing credit from you I/We certify all the statements in this application are true and correct to best of my/our knowledge. You are authorized to verify my/our residence and employment information as well as my/our credit history including but not limited to obtaining a consumer credit report from a consumer reporting agency. (Our vendor is Equifax)


lf credit is not approved, I authorize you to retain the application and credit agreement as your property.

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Bank References Checking *

Please check above to approve your application to be processed.

Loan Request Application

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***IMPORTANT: Please be sure to enter your FULL name (including your MIDDLE or MAIDEN name) as it appears on your NC ID or NC Driver's License**

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Enter an email Use an address with (@) and (.)
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US Citizen:
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Active Military:
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If yes, do not complete the application online. Please contact our office directly.

Dependent of a Military Personnel
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If yes, do not complete the application online. Please contact our office directly.

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Physical Residence Address:*

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Mailing Address (if different):

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If OWN enter 0's

Previous Address (If less than 3 years):

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