1st Pryority Bank

Aircraft Loan Application

"We have tremendous concerns about identity theft and your privacy being violated over the internet. Therefore, we have decided to no longer have an e-mailable online application. We apologize for any inconvenience relating to asking you to fax us a hard copy of your completed application along with the top two pages of your last two years tax returns."

You can print this form out on your printer, fill in all the necessary information and then fax it to us at 1st Pryority Bank of Pryor at 918-825-0519.

Remember, in order to process your application, you must fax (for fastest response) or mail us copies of your last two years tax returns, pilots license and drivers license.

Contact Information
Fax:  (918) 825-0519
Voice:  (800) 462-7032
Email:  jacobsat1st-of-pryor.com "replace at with @"
Attention: 

Mike Jacobs
Address:  1st Pryority Bank of Pryor
P.O. Box 218
Pryor, OK 74362

General Info

Applicants Information
First Name:   Last Name:  
Social Security Number:   Date of Birth  (mm/dd/yy):  
Place of Birth:   Are you a U.S. citizen?: YES  NO  (Circle One)
Home Phone:   Office Phone:  
Email Address:  

Current Residence
Years at this address:  
Street Address:  
City:  
State:   Zip Code:  
Country:  

Previous Residence
Street Address:  
City:  
State:   Zip Code:  
Country:  

Aircraft Information

Supply Information on Aircraft you are purchasing
Aircraft Make:  
Aircraft Model:  
Aircraft Year:  
Registration Number:  
Serial Number:  
Aircraft titled in name of:  
Is the aircraft new or used? NEW    USED  (Circle One)
Will the aircraft be leased? YES   NO  (Circle One)
Where is aircraft based?  
Will the aircraft be hangared? YES   NO  (Circle One)
Rate Interior (1 worse - 10 best):  
Rate Exterior (1 worse - 10 best):  
List Avionics/Equipment Below:

Supply Aircraft Maintenance Information

--TOTAL TIME--
Airframe:  
Engine(s):  

--TIME SINCE--
Major Overhaul:  
Hot Section:  

--DATE OF LAST--
Annual (mm/dd/yy):  
100 Hour inspection (mm/dd/yy):  

Employment History

Present Employer
Employer:  
Position:  
Phone:  
Street Address:  
City:  
State:  
Zip Code:  
Salary: $                       per:
Years There:   

Previous Employer
Previous Employer:  
Position:  
Phone:  
Street Address:  
City:  
State:  
Zip Code:  
Salary: $                   per:
Years There:   

Other Income

List Any Other Income
Alimony,child support, or separate maintenance income need not be revealed if you do not wish to have it considered s a basis for repaying this obligation.
Applicant Amount: $:                      per:
Source:  

Relative Contacts

List Nearest Relative
Nearest Relative's Name:  
Phone:  
Street Address:  
City:  
State:  
Zip Code:  

What You Own

Supply the $ Amount for each item
in which you have assets.
Checking: $
Savings: $
IRA / KEOGH: $
Real Estate: $

Securities, Marketable:

 $
Securities: $
Vessel / Aircraft: $
Recreational Vehicles: $
Vehicles: $
Personal Property: $
Other Assets 1: $
Other Assets 2: $
Other Assets 3: $

What You Owe

List What You Owe

Debt Type

Unpaid
Balance

Monthly
Payment

Months
Remaining
Accounts Payable / Credit Cards: $ $

 
Notes Payable Vessel / Aircraft / RV: $ $

 
Mortgage Balance - Income Property: $ $

 
Mortgage Balance - Residence(s): $ $

 
Home Equity Loan (2nd Mortgage): $ $

 
Margin Loan (securities): $ $

 
Loans w/ Life Insurance Companies: $ $

 
Other Liabilities 1: $ $

 
Other Liabilities 2: $ $

 
Other Liabilities 3: $ $

 
Other Liabilities 4: $ $

 
Bank Information
Personal bank accounts carried at:  

Contingent Liabilities

Please choose all that apply below: 

Are you the endorser, co-maker or guarantor
of anyone's debt or loans?		 YES  NO  (Circle One)
Are you financially liable on any leases and/or contracts? YES  NO  (Circle One)

Are there any Legal Claims you are financially liable for?

 YES  NO  (Circle One)
Do you have any unpaid tax liabilities? YES  NO  (Circle One)
Amount of any tax liens: $
Are you a defendant in any suits or legal action? YES  NO  (Circle One)
Have you ever filed bankruptcy? YES  NO  (Circle One)

If you answered yes to any questions, please explain:


I acknowledge that I have made this application with the intent that you should rely upon the information contained herein in granting the credit requested. I understand that, if the requested information is granted, you may report information concerning the credit to consumer reporting agencies and to others. I affirm that my answers are complete and true and authorize you to verify or obtain any information concerning them. Upon your request, I further authorize any firm or individual from whom I may have obtained or requested credit, to furnish you with the details of that transaction. I also agree to provide current financial information upon request, in a form that is acceptable to you.

Signature: _______________________________________________ Date: ____________