Loan Application — Legacy Capital Group

1 Applicant Info

2 Financial Snapshot

3 Collateral

4 Loan Details

5 Acknowledgment

Section 1 — Applicant Information

This section collects identifying and employment information necessary to evaluate income stability, repayment capacity, and overall financial profile. All information must be complete and accurate. Incomplete or misleading disclosures may result in denial or immediate default if discovered after funding.

Legal Name *

Citizen Serial Number *

Phone Number *

Bank Account Number *

Current Occupation *

Employer Name *

Length of Employment *

Income Type *

Average Monthly Income (USD) *

Average Monthly Expenses (USD) *

Add a Co-signer · A co-signer agrees to be equally responsible for repayment of this loan.

Co-signer — Applicant Information

Legal Name *

Citizen Serial Number *

Phone Number *

Bank Account Number *

Current Occupation *

Employer Name *

Length of Employment *

Income Type *

Average Monthly Income (USD) *

Average Monthly Expenses (USD) *

Co-signer — Financial Snapshot

Total Bank Balance (USD) *

Total Monthly Debt Obligations (USD) *

Accounts overdrawn in past 60 days? *

Yes No

Defaulted on private loans (past 6 months)? *

Yes No

Asset repossessed by state? *

Yes No

Bank Documents Required on Next Step

On the next step you will be asked to upload two files for the co-signer:
① Balance screenshot — a screenshot of the co-signer's bank balance screen.
② CSV export — the co-signer's transaction history exported as a CSV from the banking app.

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