CONSUMER CREDIT APPLICATION

CONSUMER CREDIT APPLICATION
IMPORTANT APPLICANT INFORMATION: Federal law requires financial institutions to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. In some instances we may use outside sources to confirm the information. The information you provide is protected by our privacy policy and federal law.
What state are you located in? *
Sorry, we only utilize our online Consumer Credit 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 choose the Legends Bank nearest your home
Are you working with a Loan Officer?
What type of credit are you requesting?*

Secured (auto, or other collateral)Unsecured
Amount Requested*
Total loan amount you are requesting
What loan term are you requesting? (Months)*
example: 60 (for 5 year loan term)
Payment date desired?*
Please input the day of the month that would work best for your payment to occur
WANT TO REPAY

MONTHLY
Proceeds of loan to be used for:*
Example: Purchase auto
What is the collateral you wish to pledge?
example: 2015 Chevrolet Tahoe | If unknown or a pre-qual, please leave blank

Co-Borrower Information
Co-Borrower Full Name (as it appears on your ID):*
First, Middle, Last
Co-Borrower Date of Birth:*
MM/DD/YYYYFormat: 00/00/0000.
Co-Borrower Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Co-Borrower Social Security Number*
Format: 000-00-0000.
Co-Borrower Number of Dependents (if applicable):
Ages of Dependents (if applicable):
example: 2, 12, 15
What is the Co-Borrowers relationship to the Borrower?*
Co-Borrower Present Address (Street, City, State, Zip):*
How many years have you lived at this address?*
Example: 2 (for 2 years)
Co-Borrower Civil Status:*

MarriedSeparatedUnmarried (including single, divorced, and widowed)
Co-Borrower Employment Information
Co-Borrower Current Employer (Company Name and Address):*
How many years have you worked for this employer?*
Example: 2 (for 2 years)
Employer Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
What is your position or title?*
What is your monthly gross salary?*
Please input your income before taxes
Co-Borrower Previous Employer (Company Name and Address):*
How many years did you work for this employer?*
Example: 2 (for 2 years)
Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

If this does not apply to you, you may skip these questions.
Sources of all other income (if applicable):
example: Alimony, Child Support, etc.
What is the total amount you receive per month from these sources?
Please give a total of all the above sources
If Alimony, Child Support, or other separate maintenance, how is it received?

Court OrderWritten AgreementOral Understanding

CONSUMER CREDIT APPLICATION

Borrower Information

Co-Borrower Information

Asset and Debt Information