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    This is a pre-qualification form. Upon submission we will call you to notify you of your pre-qualified amount. There is a $50 application fee that is due upon completion of the complete loan application that will take place after we pre-qualify you.
  • OK Loan Amount Requested is required
  • Membership Date

    OK Membership Date is required

Contact Info

  • OK First Name is required
  • OK Last Name is required
  • OK Driver’s License Number is required
  • OK Phone is required
  • OK Current Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • When did you move there?

    OK When did you move there? is required

Account Info

  • OK NorthPark Account # is required
  • Are you the primary on the account?

    OK Are you the primary on the account? is required
  • Account Open Date

    OK Account Open Date is required
  • Do you have direct deposit with NorthPark?

    OK Do you have direct deposit with NorthPark? is required
  • Is it greater than $150 per month?

    OK Is it greater than $150 per month? is required
  • Are you in or considering bankruptcy?

    OK Are you in or considering bankruptcy? is required

Employment

  • OK Employer Name is required
  • OK What is your net monthly income? is required
  • Start Date

    OK Start Date is required
  • End Date

    OK End Date is required
  • Currently Still Employed

    OK Currently Still Employed is required
  • Employer Phone

    - -
    OK Employer Phone is required
  • Self-employed

    Optional OK Self-employed is required

If less than 18 months please provide previous employer

  • Optional OK Employer Name is required
  • Optional OK What is your net monthly income? is required
  • Start Date

    Optional OK Start Date is required
  • End Date

    Optional OK End Date is required
  • Employer Phone

    - -
    Optional OK Employer Phone is required
  • Self Employed

    Optional OK Self Employed is required

References

  • OK Reference #1 Name is required
  • Phone

    - -
    OK Phone is required
  • OK Relationship is required
  • OK Reference #2 Name is required
  • Phone

    - -
    OK Phone is required
  • OK Relationship is required
  • OK Reference #3 Name is required
  • Phone

    - -
    OK Phone is required
  • OK Relationship is required
  • OK Comments is required
  • OK is required