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Please read through everything carefully along with filling out all the required questions.

Loan Amount Request ($500.00 - $25,000.00) (required)

Loan Term Request

Reason for Borrowing

* 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)

Do you rent or own? RentOwn

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.

BY SIGNING BELOW, I AUTHORIZE CORNER FINANCIAL CORPORATION TO OBTAIN A CONSUMER REPORT ON MY BEHALF IN PROCESSING THIS LOAN APPLICATION.

Co-signer Full Name

Date

*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.

Loan Amount Request ($500.00 - $25,000.00) (required)

Loan Term Request

Reason for Borrowing

Business Information

Doing Business As

Legal / Corporate Name

Physical Address

City

State

Zip Code

Mailing Address

City

State

Zip Code

Phone

Fax

Cell / Alt. Number

Email

Business Start Date

State of Incorporation

Product of Service Sold

Type of Entity

Federal Tax ID

Business Category

Website Address

Ownership Information

Applicant #1

Full Name

Address

City

State

Zip Code

Date of Birth

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

Full Name

Address

City

State

Zip Code

Date of Birth

Social Security Number

Home Phone

Cell Phone

Driver License Number

Driver License State

Length of Ownership, Year and Month

Ownership %

Business Property Information

Rent or Own?

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

How did you hear about us?

* 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.

Loan Amount Request ($500.00 - $25,000.00) (required)

Loan Term Request

Reason for Borrowing

Business Information

Doing Business As

Legal / Corporate Name

Physical Address

City

State

Zip Code

Mailing Address

City

State

Zip Code

Phone

Fax

Cell / Alt. Number

Email

Business Start Date

State of Incorporation

Product of Service Sold

Type of Entity

Federal Tax ID

Business Category

Website Address

Ownership Information

Applicant #1

Full Name

Address

City

State

Zip Code

Date of Birth

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

Full Name

Address

City

State

Zip Code

Date of Birth

Social Security Number

Home Phone

Cell Phone

Driver License Number

Driver License State

Length of Ownership, Year and Month

Ownership %

Business Property Information

Rent or Own?

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

How did you hear about us?

* 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.

Loan Amount Request ($500.00 - $25,000.00) (required)

Loan Term Request

Reason for Borrowing

Business Information

Doing Business As

Legal / Corporate Name

Physical Address

City

State

Zip Code

Mailing Address

City

State

Zip Code

Phone

Fax

Cell / Alt. Number

Email

Business Start Date

State of Incorporation

Product of Service Sold

Type of Entity

Federal Tax ID

Business Category

Website Address

Ownership Information

Applicant #1

Full Name

Address

City

State

Zip Code

Date of Birth

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

Full Name

Address

City

State

Zip Code

Date of Birth

Social Security Number

Home Phone

Cell Phone

Driver License Number

Driver License State

Length of Ownership, Year and Month

Ownership %

Business Property Information

Rent or Own?

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

How did you hear about us?

* 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.

Loan Amount Request ($500.00 - $25,000.00) (required)

Loan Term Request

Reason for Borrowing

* 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.

VIN #

Actual Mileage

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)

Do you rent or own? RentOwn

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.

BY SIGNING BELOW, I AUTHORIZE CORNER FINANCIAL CORPORATION TO OBTAIN A CONSUMER REPORT ON MY BEHALF IN PROCESSING THIS LOAN APPLICATION.

Co-signer Full Name

Date

*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.