180 N Stetson Ave
#3500, Chicago,
IL 60601, United States
(312) 544-0665
www.oneloanplace.com PERSONAL LOAN APPLICATION FORM
SURNAME...................................................................
MIDDLE NAME............................................................
FIRST NAME................................................................
SEX............................................................................
D/O/ B...........................................................................
PHONE NUMBER..........................................................
ADDRESS.....................................................................
STATE.........................................................................
CITY...........................................................................
COUNTRY...................................................................
ZIP CODE....................................................................
OCCUPATION.............................................................
CATEGORY OF LOAN..................................................
LOAN AMOUNT...........................................................
LOAN DURATION.........................................................
SECURITY(COLLATERAL)...........................................
LOAN PURPOSE..........................................................
DATE OF APPLICATION..............................................
NOTE- All secured loans are given at the rate of 4.5% and unsecured loans at the rate of 5.5%.Opening hours are from 9:00am to 6:00pm
SIGNATURE.............................