Home Service

Loan Application Flow

Step 1

General Information

Capture the initial declarations with large tap targets and simple validation-ready fields.

Declarations

Do you agree to have your credit pulled?

Yes No

Are you currently serving in the armed forces, either on active duty, reserve duty, or as a dependent?

Yes No

Select the office nearest to you (optional)

Do you consent to receiving communication electronically via e-mail?

Yes No

If you do not consent, the online application cannot be processed.

Step 2

Purpose and Amount

What is the purpose of your application? Amount Requested Specific Reason

Step 3

Your Information

Please enter the applicant details in a mobile-friendly form layout.

First Name Middle Name (optional) Last Name SSN Phone Home Phone (optional) Email Address Date of Birth

Are you a U.S. Citizen?

Yes No

ID Type Driver's License or State ID # ID Issue Date ID Expiration Date ID Issuer

Step 4

Current Address

Current Address Street Address City State Zip Address Start Date Current Housing Status

Is your mailing address different from your current address?

Yes No

Mailing Address Mailing Zip Mailing City Mailing State

Step 5

Employment Details

Employer Name Job Title Employment Type Employment Start Date

Gross Employment Income Period Amount

Gross Bonus Period Amount (optional)

Other Income Period Amount (optional)

Monthly Housing Expense

Step 6

Co-Borrower / Cosigner

Add one or more co-borrowers or leave this section empty if the application is individual.

Step 7

Declarations

Sandra Joseph

Mother's Maiden Name?

In the last 7 years, have you declared bankruptcy?

Yes No

If yes, what year and chapter?

Are there any unsatisfied judgments against you?

Yes No

Step 8

Disclosures

Military Lending Act

Federal law provides important protections to members of the Armed Forces and their dependents relating to extensions of consumer credit. This prototype keeps the disclosure inside a scrollable area to match the reference layout.

The cost of consumer credit to a member of the Armed Forces or dependent may not exceed an annual percentage rate of 36 percent, including certain fees and ancillary products.

You can replace this placeholder text with your actual legal disclosures and acknowledgement copy.

Please read all disclosures and select the check box to acknowledge agreement.

Step 9

Terms & Conditions

In the following statement, the words "I", "me" and "my" mean anyone signing below. "You" and "your" refer to the lender. I understand that you will rely on the information provided in connection with any decision you make in providing credit or services to me.

I warrant that the financial information submitted pursuant to this application is correct and fully discloses my liabilities, cash income, and cash expenses.

Check here to indicate that you have read and agree to the above terms.

Step 10

Review Application

Credit Pulled: Yes
Military Service: No
Nearest Office: Main Office - 13 Elm Street
Email Consent: Yes

Name: Sandra Joseph
Phone: (508) 296-5531
Email: sandra2020joseph@gmail.com
ID Type: Driver's License

Employer: Dralic Inc
Type: Full Time
Gross Income: $8,000 / Monthly
Housing Expense: $3,000

Final Step

Results

Thank you for submitting your loan application. A Personal Banker will review your request and contact you with next steps.