Clayton Bank     
Clayton Bank

Personal Banking

Prequalification Application
  Thank you for choosing to look for a loan with Clayton Bank.  
   Contact Information
* Fields in red are required   
First Name: Last Name:  
E-mail: Phone:  -   Ext.   
Cell Phone:  -  Best time to contact you:  
Address: City:  
State: Zipcode:  
   Employment Information
Employer Name: Occupation:  
Work Number:  -   Ext.   
Time at Job: Gross Monthly Income:  
   Basic Information
Social Security: - - Birthdate: - -
Declare bankruptcy in last 7 years:    Yes       No Co-signer available:    Yes       No (if needed)  
   Residential Information
Time in Residence: Rent/Mortgage Amount:  
Do you allow Clayton Bank and Trust to pull your Credit Report?:    Yes       No  
  Loans and Mortgages are subject to credit approval.
Please contact a loan officer for further information about applicable fees and terms.

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