CONSUMER LOAN INFORMATION

Please complete all of the requested information. All information fields must be completed, including the narrative before submitting loan application.

If for any reason this form information transfer should fail please email beau1943@beauproductions.com or call 812-256-6291

Loan Officer

Loan Officer's Name

Loan Officer's email address

Loan Details

Loan Amount

Loan Purpose

Interest Rate

Term of Loan

Customer's Information

Customer's Name

Customer's Address - How Long

Employers

Years of Employment

Customer's Annual Income

Character - Credit

Are/Is Customer buying or renting home

List of all other Debt - Payments - Terms - How Paid

Customer's Total Debt - Amount

Credit Bureau Report - Score

Other Character or Credit Information

Was customer ever bankrupt

Does customer have any judgements/suits

Collateral Information

Collateral Type

Appraised Collateral Value

Loan Officer's Comments
and Recommendations

Narrative - Other Information - Your recommendation

Consumer Loan Information Form