Apply for Loan Oline

Pre-qualification Application

You may submit this application on-line by filling out the following form and clicking on the "submit" button. If you would prefer to fax this application, print it out and fax the completed form to 410-268-3755 . You will have an answer within 48 hours.
MINIMUM LOAN $25,000

* Required Field

* Individual
I am applying for an individual account in my own name, and am relying on my own income and assets, and not the income or assets of another person, as the basis for repayment of the credit requested.
 
or
  
* Joint
 We are applying for joint credit, and are relying on our joint income and assets as the basis for repayment for the credit requested.
Applicant Information
Social Security Number * Date of Birth
M/D/Y

* Name (First, Middle, Last)  

* Street Address		 * U.S. Citizen

Yes No

* City
* State
* Zip
* Years at Residence
Work Phone Cell Phone * Home Phone  
 
Mortgage Holder   * Mortgage/Rent
Payment		    
     
Employer   * Job Title/Position * Salary (Gross) Per:  
  $
Annually
Monthly
Weekly
 
* Length of
employment		   * E-Mail Fax  
   
           
     
Home Value      
$      



         
Other Income (alimony, child support, maintenance payments need not be revealed if you do not wish to rely upon such income for approval) Source of Other Income  
$
Annually
Monthly
Weekly
 
 
Co-Applicant (optional)
Date of Birth - M/D/Y      
     
Name (First, Middle, Last) * U.S. Citizen  
Yes No
Employer Job Title/Position    
   
Salary (Gross) Per: Length of employment Home Phone Work Phone

$

Annually
Monthly
Weekly
 
       
Other Income (alimony, child support, maintenance payments need not be revealed if you do not wish to rely upon such income for approval) Source of Other Income  
$
Annually
Monthly
Weekly
 
RV Information
* Manufacturer * Model * Year * Length
* Purchase
Refinance
New
Used
Chassis Mileage
#of Slide Outs Engine Make Use
Pleasure Principle Dwelling
Type
Motor Home 5th Wheel Travel Trailer Other    
Fuel HP * Purchase Price w/sales tax Down Payment

Gas Diesel

$ $
* Loan Amount Requested * Terms Requested    
$    
    
 
Financial Information
Assets
please do not use commas
when entering dollar amounts
    
* Cash, Investments, & Securities
     
* 401K, IRA, Retirement
     
* Real Estate Value - Primary Residence
     
* Real Estate Value - Second Home
     
* Real Estate Value - Rental Property
     
Current RV Value
     
* Other Assets including Automobiles & Boats
     
     
Total$
     
 
Liabilities
please do not use commas
when entering dollar amounts
 Lending Institution Monthly Payment
* Credit Cards
 
* Auto & Boat Loans
 
* Other Liabilities
 
* Primary Residence Loan
 
* Second Home Loan
 
* Rental Property Loan
 
* Current RV Loan
     
* Notes Payable
 
Total$
     
* Net Worth (Assets minus Liabilities) $
   


* How did you find out about us?

 

  
Additional Comments?

 
I/we acknowledge that I/we have made this application with the intent that you should rely upon the information contained herein in granting the credit requested. I/we understand that, if the requested credit is granted, you may report information concerning the credit to consumer reporting agencies and to others. I/we affirm that my/our answers are complete and true and authorize you to verify or obtain any information concerning them. Upon your request, I/we further authorize any firm or individual from whom I/we may have obtained or requested credit, to furnish you with the details of that transaction. I/we also agree to provide current financial information upon request, in a form acceptable to you.

* Signature of Applicant (please type your last name in the box):
Signature of Co-Applicant (if applicable) (please type your last name in the box):

If you wish to submit this information on-line, click the "submit" button at the bottom of the page. If you prefer to fax this form, click print and fax it to 410-268-3755.

Note to applicant: This prequalification is based purely on information provided to us by you. Verification of this information by us and additional information consisting of your last two years federal tax returns including schedules A-E may be required in order to issue an actual loan commitment. Please fax them to: 410-268-3755.

 

PATRIOT ACT CUSTOMER IDENTIFICATION

The U.S. government, in order to fight the funding of terrorism and money laundering, has issued a law requiring all financial institutions to obtain, verify and record information that identifies each person who opens an account. In addition to the information on our application, please also provide your drivers license number, issue and expiration date, and the state that it was issued. We thank you for your cooperation.

* Primary borrower's name:
*   License number:
*   Expiration date:
*   Issue date:
*   State:

*   Signature:


(please type your last name in the box)
If there is no co-borrower please place NA in the following fields.
*   Co-borrower's name:
*   License number:
*   Expiration date:
*   Issue date:
*   State:

*   Signature:
  (please type your last name in the box)

* Required Field