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Loan Application Use TAB Key to move from field to field, not ENTER                                                              Full Name of borrower    Full name of  Co-borrower (if any) Purpose of the loan desired Amount of  loan desired Street PO Box City,State,Zip Home Phone            Borrower Information               Co-Borrower Information Work Phone      Cell Phone      Fax number      Email Address      Date(s) of Birth      Mother's Maiden Name (for ID)      Driver's License Number      Employer      Social Security or Tax ID #      Date of Employment      Monthly Income      Please fax a copy of your most recent Check Stub to (432)264-2620 or (432)264-2631, or you may e-mail it to clangston@cosden.org.

For questions about the site contact the webmaster:  Lane Bond: lane@bondwebs.com