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1. Customer Information (questions?)

Loan Amount:

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*First Name

Please provide your first name

*Last Name

Please provide your last name

*Street Address

Please provide your street address

Apt. or Suite #

*Zip Code

Please provide your zip code

Home Owner

Please select home owner option

Time At Address

Please select time at address option

Active Military

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2. Contact Information (questions?)

*Email Address

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*Home Phone #

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3. Employment Information (questions?)

Type of Income

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Monthly Income

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*Employer Name

Please provide employer name

*Employer's Phone #

Please provide employer phone number (valid format xxx-xxx-xxxx)

Months Employed

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Direct Deposit

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Pay Frequency

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*Upcoming Paydate (must be no later than 60 days)

Please select month

Please select day

Please select year

4. Bank Information (questions?)

Account Type

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*Bank Name

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Months With Bank

Please select months with bank option

*Bank ABA #

Please provide a valid bank routing number

*Bank Account #

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5. Security Information (questions?)

*Date of Birth

Please select month of birth

Please select day of birth

Please select year of birth

*Driver's License #

Please provide a driver license

Driver's License State

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*Social Security #

Invalid social security number. (valid format XXX-XX-XXXX)

Credit Score

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Credit card debt?

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Easy Loans

Little Lake Lending operates under the sovereign laws of our Tribe and complies with applicable federal laws. Our mission is to provide accessible financial solutions while honoring the cultural heritage and values of our community.

1802 Chukka Hina Durant, OK 74701

844-546-4391

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