Share Loan Application

Loan Purpose
Collateral Information
Requested Amount

Borrwoer Information

Name
Social Security
Address

Co-Borrwoer Information

 Yes No
Name
Social Security
Address
Telephone Number
 

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NOTE: The collateral is to be kept by Monroe Savings Bank. The customer will receive a receipt until paid in full. If there are more than one customer on collateral being held, both customers must sign the promissory note before the loan is disbursed.

** 24 HOUR NOTICE REQUIRED **