| To Apply for a loan from US Military Lending Corp.,
fill out the form below completely. |
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| MILITARY LOAN INFORMATION |
| Amount Requested: |
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| Term of the Loan: |
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| Reason for Loan: |
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| How did you hear about us? |
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| APPLICANT PERSONAL
INFORMATION |
| Title: |
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| First Name: |
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| Middle Initial: |
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| Last Name: |
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| Social Security #: |
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| Re-enter Social Security #: |
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| Date of Birth: |
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| E-mail Address: |
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| Re-enter E-mail: |
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| Home Address: |
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| City: |
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| State/Providence: |
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| Zip Code: |
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| Country: |
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Home Phone:
Include area code |
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OverSeas Applicants:
Please enter the country code |
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| Marital Status: |
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| Number of Dependents: |
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| Rent or Own: |
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Monthly Mortgage/Rent ($):
How much do you pay? |
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| ETS Date: |
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| SPOUSE/CO-APPLICANT
INFORMATION |
| Are you: |
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SPOUSE |
CO-APPLICANT |
| (Spouse/Co-Ap) First Name: |
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| (Spouse/Co-Ap) Last Name: |
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| (Spouse/Co-Ap) Address: |
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| City: |
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| State: |
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| Zip: |
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| Country: |
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(Spouse/Co-Ap)
Employer Name: |
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(Spouse/Co-Ap)
Monthly Income ($): |
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| HOME
OF RECORD |
| Home of Record: |
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| City: |
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| State: |
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| Zip Code: |
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| MILITARY/SERVICE
INFORMATION |
| Branch: |
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| Months Remaining in Your Enlistment: |
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Pending Deployment/
Pending Orders: |
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| If Yes, When and Where? |
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When?
Where?
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| Base: |
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| Deployed: |
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| Deployed Where? |
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| Pay Grade: |
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| Base Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Country: |
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Duty Phone:
(Citicode-Phonenumber) |
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OverSeas Applicants:
(Please
enter the country code) |
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| Enter Promo Code: |
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| ADDITIONAL
INFORMATION |
| 1. I give the US
MILITARY LENDING CORP the right to obtain and keep a confidental
copy of my credit report and any other information deemed
necessary. |
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YES |
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NO |
| 2. I have a bank account where
I am able to receive wire transfer, if approved. |
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YES |
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NO |
| 3. I understand that US MILITARY
LENDING CORP is a Nevada Corporation, that my loan application
will be evaluated in Nevada, that if I am approved
my loan will be funded from Nevada, and that conditions
and terms of my loan will be governed by the state of
Nevada. |
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YES |
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NO |
| By submitting this application
you give us the right to obtain your credit report. |
| IMPORTANT! |
| Make sure that you have
entered your email address correctly before submitting
your applications. Approvals are sent by e-mail. |
Click below to
submit military lending application
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Please
fax or email your end of month LES to: |
Write
your name, phone number, and email address on your
LES. |
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