Consumer Loan Application
What state are you located in?
*
Please Select
Missouri
Other
Sorry, we only utilize our online consumer application for Missouri residences in our service area.
PLEASE CONTACT ONE OF OUR LOCATIONS FOR MORE INFORMATION
Which of our locations would you like to work with?
*
(Please Select)
Belle
Jefferson City
Linn
Loose Creek
Owensville
Rolla
Taos
Union
Westphalia
Choose the Legends Bank nearest your home.
Application Date
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Month
-
Day
Year
Date Picker Icon
Borrower Details
Borrower Name
*
First Name
Last Name
Borrower Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Borrower SSN
*
xxx-xx-xxxx
Borrower Phone
*
-
Area Code
Phone Number
Borrower Email
*
example@example.com
Preferred method of contact
Phone
Email
Borrower Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you pay rent at this address?
*
Yes
No, I live with family or friend
Monthly Rent Payment ($)
*
Will you have a Co-Borrower?
*
Yes
No
Borrower Civil Status
Single
Married
Divorced
Widowed
Co-Borrower Name
*
First Name
Last Name
Co-Borrower Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Co-Borrower SSN
*
xxx-xx-xxxx
Co-Borrower Phone
*
-
Area Code
Phone Number
Co-Borrower Email
*
example@example.com
Co-Borrower Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Co-Borrower Civil Status
Single
Married
Divorced
Widowed
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Employment Details
Borrower Employment
*
Employed
Self-Employed
Company Name
*
Job Position/Title
*
How many years have you been working with this company?
Monthly Gross Income ($)
*
Other source(s) of income
Other income amount ($)
Co-Borrower Employment
*
Employed
Self-Employed
Company Name
*
Job Position/Title
*
How many years have you been working with this company?
Monthly Gross Income ($)
*
Other source(s) of income
Other income amount ($)
Loan Details
Requested loan amount?
Loan Terms
1 year
2 years
3 years
4 years
5 years
Purpose of Loan
Declarations
Complete the following information about both the Applicant and Joint Applicant (if applicable)
Are you obligated to make Alimony, Support, or Maintenance Payments?
*
Yes
No
If YES, name and amount per month
Are you a co-maker, endorser, or guarantor on any loan or contract?
*
Yes
No
Are there any unsatisfied judgments agains you?
*
Yes
No
Have you been declared bankrupt in the last 10 years?
*
Yes
No
Terms and Conditions
Borrower - Please upload an image of your ID
*
Browse Files
PLEASE UPLOAD A PICTURE OF YOUR ID
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of
Borrower Signature
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Co-Borrower - Please upload an image of your ID
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PLEASE UPLOAD A PICTURE OF YOUR ID
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of
Co-Borrower Signature
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