NOTICE: Please, do not use this application for a Mobile Home Loan. For Mobile Home Loans, please, go to any of the Mobile Home pages and submit an application through there.
How did you hear about us?
I'm a current/previous customer
Referred by friend / relative
Ad On Other Company's Website
Choose below ONE branch to which you would like this application to be sent. Depending on how busy your office of choice is and if we feel that your application will be processed faster at a different office, we reserve the right to refer your application to a different office for processing.:
West Jefferson, OH
What type of loan are you applying for? (If you mention the offer to our loan officers, you may have up to 45 days before your 1st payment is due.*)
Unsecured Personal Loan (Loans $500 to $3,000)
Secured Personal Loan (Loans $500 to $15,000)
Car Loan (Financing)
Mobile Home Loan
We are only able to help customers who reside in the state of Ohio, U.S.A. NOTE: Enter "N/A" in fields that don't apply to you.
Name: First, Middle & Last Name
(note: OHIO RESIDENT'S ONLY)
In which county do you reside?
Your E-Mail Address:
Enter your Home Phone:
Enter your Cellphone
Are you a U.S. Citizen?
Date of Birth:
Your Social Security Number:
Your Spouse: First, Middle & Last Name
If you share expenses with spouse or significant other, what is the other person's take home MONTHLY income?
(We only ask for this information to help us understand how you are meeting your regular expenses)
Your Living Arrangements:
Own Single Home, Condo, or Town Home
Own Mobile Home and rent lot
Own Mobile Home and own lot
Number Of Months That You Have Owned Your Current Checking Account:
If you don't own a checking account, enter "N/A"
If you are completing this application as a co-applicant for another person, then please enter below the full name of that person. If you are not a cosigner put "N/A":
TELL US ABOUT HOW YOU MAKE YOUR LIVING.
The more details you give us the faster we can process your application.
Indicate Your type of income:
Social Security Income For Self
Social Security Income As Guardian For Minor
Cash Assistance Income
Full-Time Income - Not at Temp
Full-Time Income - As A Temp
Part-Time Income - Less Than 30 Hours per week
Part-Time Income - 30 or More Hours per week
PLEASE, GIVE US DETAILS ABOUT YOUR INCOME BELOW: (Leave Non-Applicable fields as "0")
Gross Income Per Pay Period
Take Home Income Per Pay Period
Number Of Months At Current Employer
State how often you get paid, please:
Your Current Employer's Name, and Address, If Any:
(If receiving Social Security or Pension, write "Pension" or "Social Security")
What is your position with this company? If not employed put "N/A".
HERE WE ASK ABOUT YOUR REGULAR MONTHLY EXPENSES
Indicate Your Regular Monthly Expenses:
Indicate Your Regular Monthly Debts
BANKRUPTCY RELATED QUESTIONS
We can not give you a loan if you are in the middle of a bankruptcy. However, if your bankruptcy has been discharged, then, that by itself will not cause your application to be declined.
Are you in the process of filing for bankruptcy OR are you applying for this loan with the intent of filing for bankruptcy during the term of this loan?
I'm thinking about it.
Are you a member of the armed forces on active duty, or are you a dependent of a member of the armed forces on active duty, or have you received financial support, within the last 6 months, from a member of the armed forces on active duty?
Indicate The Loan Amount Desired?
Please, use this space to let us know any comments or questions that you may have:
(IF YOU ARE COMPLETING THIS APPLICATION IN RESPONSE TO AN OFFER, PLEASE, STATE THE OFFER ABOVE.)
Please, put today's date:
By printing and signing my name below, I, hereby authorize America’s Loan Company, to process my information through any number of credit reporting agencies to obtain credit reports that will be used to determine my eligibility for a loan and as needed by the company. I indemnify America's Loan Company from any damages that may occur due to my credit report being processed by America's Loan Company.
Signature (You may use your mouse to sign. If you have a touch screen, you may use your finger to sign.)
(You may use your mouse to sign. If you have a touch screen, you may use your finger to sign.)