WestStar Bank
Thank you for your interest in a consumer loan. You must be at least 18 years of age to fill out this loan application.

For any loan requests involving real estate/homestead (ex: home improvement, home equity, purchase or refinance of home), please contact WestStar Bank directly.

 
Is this your first loan with us? Yes   No
Loan Amount/Credit Requested:
Approximate Time to Repay:
Purpose of Loan:      Other:
Security Offered:
(For secured credit only)
Type of Credit:
Individual    Joint *We intend to apply for joint credit (initials)
 
Applicant
Name:
Social Security #:
 
Please indicate your marital status if you are applying for Joint Credit, secured credit or if you live in a community property state:
Married
Separated
Unmarried (Single - Divorced - Widowed)
 
Drivers License #:
State:
Birth Date:
Home Phone:
Business Phone:
Present Address:
City: State: Zip:
Years There:      Own   Rent
Monthly Payment:
 
Previous Address:
(Complete if less than 3 years at present address)
City: State: Zip:
(Complete if less than 3 years at present address)
 
Income
Employer: Years: 
Income: Gross
Annual   Monthly
Other Income: (Notice: Alimony/Child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.)
Source:
Amount:
Annual   Monthly
 
Co-Applicant
Name:
Social Security #:
 
Please indicate your marital status if you are applying for Joint Credit, secured credit or if you live in a community property state:
Married
Separated
Unmarried (Single - Divorced - Widowed)
 
Drivers License #:
State:
Birth Date:
Home Phone:
Business Phone:
Present Address:
City: State: Zip:
Years There:      Own   Rent
Monthly Payment:
 
Previous Address:
(Complete if less than 3 years at present address)
City: State: Zip:
(Complete if less than 3 years at present address)
 
Income
Employer: Years: 
Income: Gross
Annual   Monthly
Other Income: (Notice: Alimony/Child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.)
Source:
Amount:
Annual   Monthly
 

IMPORTANT APPLICANT INFORMATION: Federal law requires financial institutions to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. In some instances we may use outside sources to confirm the information. The information you provide is protected by our privacy policy and federal law.

By submitting this loan request, you agree that the information is correct to the best of your knowledge. You also agree to notify us of any changes to your name, address or employment.

You authorize the Bank to check your credit and employment history and to answer questions others may ask about your credit record with us. You understand that you must update credit information at our request if your financial condition changes.

We will contact you by phone or mail within 2 to 4 business days.