Loan Application

Amount Requested*

Purpose

Credit Applied for
IndividualJoint

First Name*

Middle Initial

Last Name*

Co-Borrower First Name

Co-Borrower Middle Initial

Co-Borrower Last Name*

Email*

Phone*

Preferred Contact
EmailPhone

Best Time to Call*

Address

Address 2

City

State
KentuckyOhioTennesseeVirginiaWest Virginia

Zip

How long have you lived at the address provided?

Residency requirements:

Unfortunately, if you live outside Kentucky, we are not able to serve your loan needs. Our policy requires an in-person visit to one of our Kentucky offices to finalize a loan.

The only exceptions to the in-state residency requirement are counties in Ohio, West Virginia, and Tennessee that are within 50 miles of one of our Kentucky offices.