Loan Request Form

The first step to getting the personal financing you need is to fill out our online loan request form. Simply enter in the required information below and submit the form. You will receive a confirmation at the top of this page upon completion.  If you do not, verify that all fields are completed. A Peoples Bank loan officer will then be in contact with you to guide you through the next steps to obtaining a loan. If you are not contacted by a Peoples Bank representative by the next business day, please feel free to give us a call to verify that your request was received. You can contact us for any questions regarding the loan application process at any time by contacting Hayden Kelly at our Waynesboro Office 931-253-2370. 

Thank you for considering Peoples Bank for your financing needs!

Applicant's Information

Name

Present Address

Phone Number

Driver's License Information

Employment Information

Other Sources of Income

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.

Joint Applicant/Co-Borrower's Information

Joint Applicant Name

Joint Applicant's Present Address

Joint Applicant's Phone Number

Joint Applicant's Driver's License Information

Joint Applicant's Employment Information

Joint Applicant's Other Sources of Income

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.

I/We hereby request for a loan or credit described in this form. I/We certify that I/we made no misrepresentations in this loan request or in any related documents, that all information is true and complete, and that I/we did not omit any important information. I/We agree that any property securing the loan or credit will not be used for any illegal or restricted purpose. Lender is authorized to verify with other parties and to make investigation of my/our credit, either directly through any agency employed by Lender for that purpose. Lender may disclose to any other interested parties information as to Lender's experiences or transaction with my/our account. I/We understand that Lender will retain this form and any other credit information Lender receives, even if no loan or credit is granted.

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Thank you for your loan request!

Someone will be in touch with you soon to complete the loan application process.