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  

* Clayton Bank suggests that confidential information, such as account numbers or social security numbers, not be transmitted via email.    If you need to communicate confidential information, log in to Online Banking to ensure your account information is protected. If you do not have access to Online Banking, enroll today or call your local branch for assistance.

  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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