Lollie Figeuroa  

Loan Approval Application

First Name__________________________________   Middle Initial _________
Last Name_______________________________________________________
Address ________________________________ City ____________________ State___________________________________ Zip Code ________________
Social Security #__________________________ Birth Date ________________
Current Employer__________________________________________________ Length/Time______________________________________________________
Position_____________________________Monthly Income________________

General Information

Home Phone_____________________ Cell Phone _______________________
Work Phone _____________________________________________________
Own ________  Rent ___________ Other______  Length/Time _____________
Current Housing $_________________________  Bank ___________________ Check/Savings__________________________Combined Amount____________

Co-Borrower Information

First Name______________________________________ Middle Initatial_____
Last Name_______________________________________________________
Address ________________________________ City_____________________ State___________________________________ Zip Code_________________
Social Security #__________________________ Birth Date ________________
Current Employer__________________________________________________ Length/Time______________________________________________________
Position____________________________ Monthly Income_________________