Loan Application

Ohio Residents Only Please

(No Payments For Up To 45 Days)

Enter Your Full Legal Name *

If Applicable, Enter The Name Of The Person For Whom You Are Cosigning

You DO NOT need to come to our offices to get loan. The whole process can be done online and with direct deposit of funds. But, choose below the branch that you prefer to process this application. *

West Jefferson, OH Office

Logan, OH Office

Enter Promo Code If Any

How Did You Hear About Us? *

I. Tell Us About The Loan You Want

Loan Applied for *

Personal Loan ($100 to $2000)

Car Loan

Debt Consolidation Loan

Refinancing

How Much Do You Want To Borrow *

How Many Months Would You Like To Pay This Debt?

II. Tell Us About You

Are You A U.S. Citizen? *

Yes

No

Enter Your Date Of Birth (MM/DD/YYYY) * +

Enter Your Social Security Number *

Do Own or Rent? *

Own	Rent
Other Other

Enter Your Home Address *

Enter Your Apartment Number or N/A if none *

City *

State *

ZIP *

Enter Your Primary Phone Number *

Enter Your E-Mail Address *

III. How Do You Make Your Living?

Select Your Income Type (May Choose More Than One) *

Name of Employer (Enter N/A If Not Applicable) *

Employer's Phone (Enter N/A If Not Applicable)

What Is Your Position With This Company? (Enter N/A If Not Applicable) *

How Often Do You Get Paid? *

Number of Months With Current Employer (Put N/A if not applicable) *

What is Your Gross Monthly Income *

What Is Your Net Or Take Home Monthly Income *

Have Your Work Hours Been Recently Reduced? *

How Many Months Did You Work For Your Previous Employer? (Enter N/A If Not Applicable) *

IV. Other Questions

Enter The Monthly Total That You Pay For Rent, Electric, water, & Gas (Put N/A if none) *

Enter The Monthly Total That You Pay On Credit Cards, Car Loans, Mortgages, & Other Loans (Put N/A if none) *

Are You In The Process Of Filing For Bankruptcy OR Are Your Applying For This Loan With The Intent Of Filing For Bankruptcy During The Term Of This Loan? *

Are You A Member Of the Armed Forces On Active Duty, Or Are Your A Dependent Of A Member Of The Armed Forces On Active Duty, Or Have your Received Financial Support, Within The last 6 Months, From A Member Of The Armed Forces On Active Duty? *

V. Signature Section

By printing and signing my name below, I, hereby authorize America’s Loan Company (Lender), to process my information through any number of credit reporting agencies to obtain credit reports that will be used to determine my eligibility for a loan and as needed by the company. I indemnify America's Loan Company from any damages that may occur due to my credit report being processed by America's Loan Company. I also authorize Lender to communicate with me via phone or e-mail or text. By signing below I understand that any false statement indicated in this application may disqualify me from being approved for a loan.

Signature (You may use your mouse to sign. If you have a touch screen, you may use your finger to sign.) *

clear

Borrower's Name *

Today's Date (MM/DD/YYYY) * +