Aircraft Loan Application




ATTENTION:
You have two choices for filling out this form: (1) You can simply fill in all of the blanks if you have a forms compatible web browser and click the submit button at the bottom of this form or (2) You can print this form out on your printer, fill in all the necessary information and then fax it to us at 1st National Bank of Pryor at 918-825-0519.

Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: [email protected].

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:        [email protected]
Attention:    Mike Jacobs
Address:      1st National Bank of Pryor
              PO Box 218
              Pryor, OK 74362

                          Name: 
            Your Email Address:

Current Residence: 

         Years at this address: 
                        County: 
                Street Address: 
                          City: 
                         State:   Zip Code: 
                    Home Phone: 
                  Office Phone:

Previous Residence: 

                Street Address: 
                          City: 
                         State:   Zip Code:

General: 

        Social Security Number: 
      Date of Birth (mm/dd/yy): 
                Place of Birth: 
       Are you a U.S. citizen?: Yes     No

Aircraft Information: 

What do you plan to do with your present aircraft?: 
                                Trade   Refinance
                                Sell    Continue to use
                                Don't Currently Own
  Will the aircraft be leased?: Yes     No
    Aircraft titled in name of: 
  Is the aircraft new or used?: New     Used
                 Aircraft Make: 
                Aircraft Model: 
                 Aircraft Year: 
           Registration Number: 
                 Serial Number:
Maintenance:
TIME: 
                      Airframe:  hours
                     Engine(s):  hours

TIME: Since... 

                Major Overhaul:  hours
                   Hot Section:  hours

DATE: Of last... 

             Annual (mm/dd/yy): 
  100 Hr Inspection (mm/dd/yy): 
Will the aircraft be hangared?: Yes     No
       Where is aircraft based: 
  List Avionics/Equip:

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

Other Income: 

               Applicant $:  per: 
                    Source:

Bank References
Bank Accounts Bank Name Phone
Account # Balance Contact
Checking 1
Checking 2
Savings 1
Savings 2
Money Market / CD
IRA / KEOGH
Mortgage 1
Mortgage 2
Vessel / Aircraft / RV
Vehicles Loan(s)
Other Loans
Credit Cards



What You Own
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:
Total Owned:



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 Mort.):
Margin Loan (securities):
Loans w/ Life Ins. Co.:
Other Liabilities 1:
Other Liabilities 2:
Other Liabilities 3:
Other Liabilities 4:
Total Debts:
Net Worth (Tot. Owned - Tot. Debts):
Tot. Debts & Net Worth (Tot. Debts + Net Worth:



Contingent Liabilities: 
Do you have any contingent liabilities?  If yes, give details: 

As endorser, co-maker or guarantor: 
           On leases and contracts: 
                      Legal claims: 
               Other specific debt: 
               Amount of tax liens:

General Information: 

Are any assets pledged?: Yes  No
Are you a defendant in ay suits or legal action?: Yes  No
Personal bank accounts carried at: 
Have you ever filed bankruptcy?  If so, 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.
                                    Yes  No


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