Loan Amount Request ($500.00 - $25,000.00) (required)
Loan Term Request —Please choose an option—6 Months12 Months24 Months36 Months45 Months48 Months60 Months
Reason for Borrowing —Please choose an option—Auto RepairDebt ConsolidationDentalFuneralFurniture or ApplianceMedicalTaxesTravel or VacationOther
* Corner Financial personal loans proceeds cannot be used for college, university or vocational expenses including tuition, fees, and required equipment and supplies; for any business or commercial purpose; to purchase securities; or for gambling or illegal activities.
Your Full Name (required)
Address (required)
City (required)
State (required)
Zip Code (required)
If you have a different mailing address, please add that address below.
Address
City
State
Zip Code
Telephone Number (required)
1. Your application is very important and we want to be able to contact you. With regard to this application only, I consent to receive calls and/or pre-recorded messages from an automated dialer to the cell and home numbers provided, including numbers that are converted to a cell phone. Check here if you accept these terms.
Your Email
2 Yes, please keep me informed via email and/or social media of new features, services or special offers from Corner Financial and its affiliates. Check here if you accept these terms.
Date of Birth
Social Security Number (required)
* Your Social Security Number/ Individual Tax Payer Identification Number is required so we can access your credit report and shorten the approval process. We care about your privacy and security, which is why we protect the information you supply online.
Driver License Number (required)
Driver License State (required)
Date of Hire
Monthly Net Income (required)
* Monthly Net Income is your income each month after taxes and deductions, which may include your salary, social security, pension or other sources of income. Alimony, child support, or separate maintenance income need not be revealed if the applicant does not wish to have it considered as a basis for repaying this obligation.
Monthly Expenses (required)
Do you rent or own? RentOwn
Monthly Mortgage or Rent (required)
Employer Name (required)
Employer Phone (required)
Employer Address (required)
Job Position (required)
Please list six (6) references in the space below.
BY SIGNING BELOW, I AUTHORIZE CORNER FINANCIAL CORPORATION TO OBTAIN A CONSUMER REPORT ON MY BEHALF IN PROCESSING THIS LOAN APPLICATION.
Full Name (required)
Date
Are you using a co-signer? YesNo
*If yes, please fill out the co-signer form below.
Co-signer Full Name
Co-signer Address
Co-signer City
Co-signer State
Co-signer Zip Code
Co-signer Telephone Number
Co-signer Email
Co-signer Date of Birth
Co-signer Social Security Number
Co-signer Driver License Number
Co-signer Driver License State
Co-signer Date of Hire
Co-signer Monthly Net Income
Co-signer Monthly Expenses (required)
Co-signer Monthly Mortgage or Rent
Co-signer Employer Name
Co-signer Employer Phone
Co-signer Employer Address
Co-signer Job Position
Co-signer, Please list six (6) references in the space below.
*END OF CO-SIGNER INFORMATION
How did you hear about us?
* Alimony, child support or any other income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.You may include income from any source as you see fit. * Please note, if you provide Corner Financial with an email address, it will be used to contact you about your account or send you information concerning other products and services. * You understand and agree that each and any phone number that you provide on this application whether landline or cell phone, you consent that Corner Financial, its affiliates, our agents may contact at any number you have provided on this application, and during your business relationship with Corner Financial through phone calls, texting, emails from time to time, for any reasons about your loan account with Corner Financial and its affiliates, including but not limited to collections and payment purposes. Furthermore, you understand and agree that automated dialing equipment or prerecorded voice messages may be used for any of these purposes.
2 + 2 = ?
Business Information
Doing Business As
Legal / Corporate Name
Physical Address
Mailing Address
Phone
Fax
Cell / Alt. Number
Email
Business Start Date
State of Incorporation
Product of Service Sold
Type of Entity —Please choose an option—Sole ProprietorshipPartnershipS-CorpLLCOther
Federal Tax ID
Business Category —Please choose an option—RetailWholesaleManufacturingServicesRestaurant/BarLodgingOther
Website Address
Ownership Information
Applicant #1
Full Name
Social Security Number
Home Phone
Cell Phone
Driver License Number
Driver License State
Length of Ownership, Year and Month
Ownership %
If you have a second applicant, please fill out the form below.
Applicant #2
Business Property Information
Rent or Own? —Please choose an option—RentOwn
Length of Ownership, year and month
Monthly Rent / Mortgage
Landlord / Mortgage Company
Lease Start Date
Term Remaining on Lease
Contact Name / Account No.
Telephone Number
Business Trade References
Business Name / Contact Person / Phone / Fax
Other Information
Average Sale Price Largest Sale Amount
Avg. Monthly Credit Card Sales
Ave. Monthly Gross Sales
No. of Terminals
Terminal Type/Model
Processing Methods: (must equal 100%) Card Present Mail Order Internet
Current Cash Advance Company
Cash Advance Balance
Bank Name
Bank Phone
Bank City
Bank State
Account Number
Routing Number
Any State/Federal Tax Liens Against Business or Owner? Tax Lien Details
Have you ever filed for bankruptcy? Bankruptcy Details
Is this business seasonal? YesNo
Applicant #1 Signature
* These products can be either business loans or merchant cash advances. Business loans may be provided by third parties and are subject to lender approval. Not all products offered by Corner financial and affiliates are consumer loans. Funding subject to processing time by merchant’s bank.
2 + 8 = ?
VIN #
Actual Mileage
