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Red River Credit Loan Application

Location*
Requested Amount/Payment Plan*
Prefix
Name*
First Last
Sufix
Date of Birth*
MM
DD
YYYY
Primary Phone*
Secondary Phone
Email*
Time at Current Residence*
Residence Type*
Marital Status*
Address*
Street Address Address Line 2 City State ZIP Code
Current Income
Time at Current Employer*
Income Frequency
Employer/Source of Income*
Work Phone*
Rent (If Applicable)
Do you have a savings account?*
Do you have any additional income?*
Do you possess any vehicles?*
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