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.
| 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 |
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| 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 |
|
| 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 |
Monthly |
Months |
| 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: ____________