Credit Requested:

Required items are marked by an asterisk. *

(a) If you are applying for joint credit, complete the Co-Applicant Information. (b) Alimony, child support, or separate maintenance income need not be revealed unless you wish to have it considered as a basis for repaying this obligation. If you do complete the Other Income section. Note: Proof of income will be required prior to closing.

Applicant Information:

Applicant Information (contd.):

Applicant Information (contd.):

Questions for the Applicant:

Questions for the Applicant:

Questions for the Applicant:

Co-Applicant Information:

Co-Applicant Information (contd.):

Co-Applicant Information (contd.):

Questions for the Co-Applicant:

Questions for the Co-Applicant:

Questions for the Co-Applicant:

Application Terms and Disclosures

By clicking the "Submit" button, you are consenting to the use of electronic records and signatures in this application, and you expressly authorize NBKC Bank to contact you at the email address and phone numbers you have provided in this application. You agree that NBKC Bank may use an automatic telephone dialing system in connection with calls made to any telephone number you provided, even if the telephone number is assigned to a cellular telephone service for which the called party is charged for the call. Your authorization overrides any "Do Not Call" restrictions you may have registered with any federal or state "Do Not Call" list or any internal NBKC Bank privacy or solicitation preference you have previously expressed but only for the purposes of fulfilling this application.

 

In order to complete the processing of your application, we may obtain information necessary to evaluate your income, collateral value (if applicable), and credit history, which may include a consumer credit report. Upon request, we will tell you if a consumer credit report was ordered and the name and address of the consumer credit reporting agency that furnished the report. You understand that a subsequent consumer credit report may be requested and/or used in connection with an update, renewal, extension, review or for other legitimate purposes associated with your account.

 

In order to qualify for a consumer loan, the minimum requirements are that you be a U.S. resident, be at least 18 years of age, and have a consistent source of income. To help the government fight the funding of terrorism and money laundering activities, U.S. Federal law requires NBKC Bank to obtain, verify, and record information that identifies each person (individuals and businesses) who open an account. Therefore, when you open an account we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your drivers license or other identifying documents.

 

This financial statement is made with the intent that the bank rely thereon in extending credit to me. I represent that this statement is complete and accurate and sets forth all my obligations. I agree to give the bank immediate notice of any unfavorable change in my financial condition. Any contingent liabilities I have are fully explained above.

 

IMPORTANT: Before you click submit, be sure to review the information you entered above, understand the application terms and disclosures, and check mark the box below or type the displayed text in the box below.

Non-Real Estate Secured
Business Loan Application

To begin the application process, please complete the form, and submit or mail it to:


NBKC Bank
Attention: Consumer Loan Processing
8320 Ward Parkway
Kansas City, MO 64114
(913) 253-0150

For additional information regarding the loan process, please contact Andy Friscia at (913) 383-6425.

**NOTE: We accept loan applications from consumers in the following counties in Kansas: Douglas, Johnson, Leavenworth, Miami, Shawnee and Wyandotte. We accept loan applications from consumers in the following counties in Missouri: Buchanon, Cass, Clay, Jackson, Platte, and Ray.

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