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L'loyds Plan Inc.

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Loan Application

Loan Application

Loan Information

Nearest Location

Loan Amount Requested *

What type of Loan are you applying for? *

What is the Purpose of Loan? *

Contact Information

First Name *

Middle Initial *

Last Name *

Home Address *

City *

State *

Zipcode/Postcode *

Country *

Home Phone Number *

Cell Phone Number

Work Phone Number

Preferred Phone Number

Home

Cell

Work

Email Address *

Date of Birth *

Social Security Number *

Number of Dependants *

Do you own/rent your home?

Rent

Own

Buying

Other

If other, please explain:

How long have you been at you current residence? *

What is your current Mortgage/Rent Payment? *

Work Information

Employer Name *

Position *

Work Phone Number *

Work Start Date *

Amount of Net Monthly Income *

Amount of Other Income Sources *

Co-Applicant Information

Co-Applicant First Name

Co-Applicant Middle Initial

Co-Applicant Last Name

Co-Applicant Phone Number

Co-Applicant Date of Birth

Co-Applicant Social Security Number

Same Address as borrower? Yes No

Co-Applicant Street Address

Co-Applicant City

Co-Applicant State

Co-Applicant Zipcode

Co-Applicant Employer Name

Co-Applicant Position

Co-Applicant Work Phone Number

Co-Applicant Work Start Date

Co-Applicant Amount of Net Monthly Income

Co-Applicant Amount of Other Income Sources

Bankruptcy Information

Have you ever filed bankruptcy? * Yes No

When?

Reason Filed

Application Agreement

Comments

How did you hear about us?

I authorize Lloyd's Plan, Inc to verify my credit and employment history. *

I have read the terms of use and privacy policy. *

Please fill out all required fields.

^*By submitting this application you are giving LPI Loans permission to verify your employment history and credit.

Thanks for everything. You guys have been great!
Sam R. IA

Our Services

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Now serving you at 7 locations.

Main Office

3717 Brady Street
Davenport, IA 52806
(563) 391-3600 Open Monday - Friday: 9am - 5pm

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