Please note that by selecting this link, you will be directed to Lea County State Bank’s Application site.  Certain portions of this site are maintained by a third party that has been selected and approved by Lea County State Bank.



Non-Real Estate Loan Application

Please provide all the requested information. When you have completed the form, press the Submit button to send your application. If necessary, we will contact you for additional information.

The items marked with (*) are required fields.

Important Information About Procedures for Opening a New Account:

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify and record information that identifies each person who opens an account.

What This Means to You:

When you open a new account, we will ask for your name, address, date of birth and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

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General Information

Will you be applying for Individual or Joint Credit? *

(If Joint, the co-applicant section has the same required fields as the primary applicant.)

Marital Status: Complete marital status if this loan is for: a. Joint or secured credit, or b. You reside in or rely on property located in a Community Property State. (AZ, CA, ID, LA, NM, NV, TX, WA, WI)

Marital Status
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Primary Applicant

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Home Address

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Time at Current Residence

Residence Type

Previous Address

Time at Previous Residence

Residence Type

Present Employer

Employment Status
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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.

Previous Employer

Employment Status

CoApplicant

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Home Address

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Time at Current Residence

Residence Type

Previous Address

Time at Previous Residence

Residence Type

Present Employer

Employment Status

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.

Previous Employer

Employment Status

References

Nearest Relative Not Living With You

Debts Monthly Payments

List all other debts (for example, auto loans, credit cards, second mortgage, home assoc. dues, alimony, child support, child care, medical, utilities, auto insurance, IRS liabilities, etc.) Please use a separate line for each credit card and auto loan.

Additional Information

How would you prefer to be contacted?

I certify the statements on this application are true and complete. I authorize any person, firm or corporation to furnish, on request of Lea County State Bank, information concerning me or my affairs. (Sec. 1014, Title 18, U.S. Code makes it a Federal Crime to knowingly make a false statement on this application.) Everything that I have stated in this application is correct to the best of my knowledge. I understand that Lea County State Bank will retain this application whether or not it is approved. I authorize Lea County State Bank to check my credit and employment history and to answer questions about your credit experience with me.

I agree to the terms and conditions *

Military Lending APR:

Effective October 1, 2017, Federal law provides important protections to members of the Armed Forces and their dependents relating to extensions of consumer credit. In general, the cost of consumer credit to a member of the Armed Forces and his or her dependent may not exceed an annual percentage rate of 36 percent. This rate must include, as applicable to the credit transaction or account: the cost associated with credit insurance premiums fees for ancillary products sold in connection with the credit transaction; any application fee charged (other than certain application fees for specified credit transactions or accounts); and any participation fee charged (other than certain participation fees for a credit card account).

 

IMPORTANT: Please only select "Submit" once. It may take a few moments for the confirmation to appear.