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Please complete the application on this page, click "Submit Application" on the bottom, and our Loan Department with get back to you as soon as they are able.

Please note that any application received after 1PM may not be reviewed until the next business day.

Consumer Loan Application

This is a secure application. Your information is protected using industry-standard security measures and will be handled with care.

First Name *

Last Name *

Email *

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I: Loan Information

Requested Loan Amount *

Requested Loan Term *

What is the purpose of the loan? *

Paying Account Type *

Payments from

Paying Account Routing Number *

Paying Account Number *

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II. Collateral Information

Collateral Type *

Amount of Collateral *

Collateral Balance

Collateral Owners *

First and Last name of Owners

Collateral Account Number *

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III. Borrower and Co-Borrower Information

Borrower Information

Borrower's Name *

First and last name

Borrower's Social Security Number *

Borrower Date of Birth *

Borrower Marital Status *

Borrower's ID Type *

ID Issuer *

ID Number *

ID Issue Date *

ID Expiration Date *

Borrower Phone Number *

Borrower Alternate Phone Number

If applicable

Borrower Present Address *

Street, City, State and Zip

Time at Address *

Enter years and months

Do you own or rent your current address?

Own

Rent

Mailing Address (If different than current address)

Street, City, State and Zip

Borrower's Previous Address

Street, City, State and Zip

Did you own or rent your previous address?

Own

Rent

Time at Previous Address

Enter years and months

Borrower's Current Employer Name *

Enter own information if self-employed

Current Employer's Address

Street, City, State, and Zip

Current Employer's Phone Number

Position or Title

Employed Since

Month and Year

Borrower's Second Employer's Name (If applicable)

Enter own information if self-employed

Second Employment Phone Number

Position or Title

Employed Since

Month and Year

Previous employer information is only required if you have been with your current employer for less than 2 years.

Borrower's Previous Employer Name

Enter own information if self-employed

Position or Title

Previous Employer's Phone Number

Time Employed

Example: Mar 2015- Dec 2020

Monthly Income from Previous Employer

Enter Current Monthly Income

Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower (B) or Co-Borrower (C) does not chose to have it considered for repaying this loan.

***For the following information, use gross income amounts.

Current Employment Income

Overtime Income

Bonus Income

Commissions Income

Second Employer's Monthly Income

Overtime Income

Bonus Income

Commissions Income

Social Security Income

Retirement or Pension Income

Dividends/Interest Income

Child Support/Alimony/Separate Maintenance

Rental Income

Other Income

Enter the current total value of all of the following assets.

Checking Accounts

Savings/ Money Market Accounts

Certificate of Deposits (CDs)

Stocks, Bonds and Mutual Funds

Retirement Accounts

Other Deposits

Real Estate Asset Value

Vehicle Assets Value

Other Assets Value

Enter all liabilities below.

Instructions:

In the Creditor fields, enter the Business Lender Name. (e.g. Capital One Auto; or PennyMac Mortgage)
In the Balance fields, enter the remain balance on your loan.
In the Payment fields, enter your monthly payment on your loan.

Creditor 1

Balance 1

Payment 1

Creditor 2

Balance 2

Payment 2

Creditor 3

Balance 3

Payment 3

Creditor 4

Balance 4

Payment 4

Are there any outstanding judgments against you? *

Do you have any open accounts that have been turned over to a collection agency? *

Have you declared bankruptcy within the past 7 years? *

Have you had property foreclosed upon in the last 7 years? *

Are you party to a lawsuit in which you potentially have any personal financial liability? *

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? *

Are you currently delinquent or in default on a Federal debt? *

Are you obligated to pay child support, alimony, or separate maintenance? *

Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application? *

Are you a U.S. citizen? *

Are you a permanent resident alien? *

By checking the box, the borrower authorizes PointBank to obtain credit report. *

Required to submit application.

By checking the box, the borrower intends to apply for joint credit.

Only check if adding a co-borrower.

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Co-Borrower Information

If you will not have a co-borrower, please skip this section and submit the application at the bottom of this page.

Co-Borrower's Name

First and last name

Co-Borrower's Social Security Number

Co-Borrower's Date of Birth

Co-Borrower's Marital Status

Co-Borrower's ID Type

ID Issuer

ID Number

ID Issue Date

ID Expiration Date

Co-Borrower's Phone Number

Co-Borrower's Email

Co-Borrower's Alternate Phone Number

Co-Borrower's Present Address

Street, City, State, and Zip

Time at Address

Enter years and months

Do you own or rent your current address?

Own

Rent

Mailing Address (If different than current address)

Street, City, State, and Zip

Co-Borrower's Previous Address

Street, City, State, and Zip

Time at Previous Address

Years and Months

Did you own or rent your previous address?

Own

Rent

Co-Borrower's Current Employer Name

Enter own information if self-employed

Current Employer's Address

Street, City, State, and Zip

Current Employer's Phone Number

Position or Title

Employed Since

Month and Year

Co-Borrower's Second Employer's Name (If applicable)

Enter own information if self-employed

Second Employment Phone Number

Position or Title

Employed Since

Month and Year

Previous employer information is only required if you have been with your current employer for less than 2 years.

Co-Borrower's Previous Employer Name

Enter own information if self-employed

Position or Title

Previous Employer's Phone Number

Time Employed

Example: Mar 2015- Dec 2020

Monthly Income from Previous Employer

Enter Current Monthly Income

Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower (B) or Co-Borrower (C) does not chose to have it considered for repaying this loan.

***For the following information, use gross income amounts.

Current Employment Income

Overtime Income

Bonus Income

Commissions Income

Second Employer's Monthly Income

Overtime Income

Bonus Income

Commissions Income

Social Security Income

Retirement or Pension Income

Dividends/Interest Income

Child Support/Alimony/Separate Maintenance

Rental Income

Other Income

Creditor 1

Balance 1

Payment 1

Creditor 2

Balance 2

Payment 2

Creditor 3

Balance 3

Payment 3

Creditor 4

Balance 4

Payment 4

Are there any outstanding judgments against you?

Do you have any open accounts that have been turned over to a collection agency?

Have you declared bankruptcy within the past 7 years?

Have you had property foreclosed upon in the last 7 years?

Are you party to a lawsuit in which you potentially have any personal financial liability?

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?

Are you currently delinquent or in default on a Federal debt?

Are you obligated to pay child support, alimony, or separate maintenance?

Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application?

Are you a U.S. citizen?

Are you a permanent resident alien?

By checking the box, the co-borrower authorizes PointBank to obtain credit report.

If applicable, this is required to submit.

By checking the box, the co-borrower intends to apply for joint credit.

Notes