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Personal Loan Application


Geographic Limitations

Our primary lending area is the Wichita MSA - which includes Butler, Harvey, Kingman, Sedgwick, and Sumner counties. If you reside outside of this area, please contact the Loan Department before submitting this application.

Type of Loans

This online application is only intended for individuals applying for consumer loans not secured by Real Estate. For commercial and real estate loan requests, please contact:

Commercial Loans 316-291-5240
Real Estate Loans 316-831-8258


Please complete all fields. Incomplete applications will cause a delay in the processing of your application. If you have any questions, please contact the Loan Department at 316-831-8258 for assistance. 

* Indicates a required field

Personal Loan Application

Property and Loan Info

Loan Type

If joint application, please initial here.

Primary Borrower Information

Co-Borrower Information

Marital Status

(Do not complete this section if this is an application for individual or unsecured credit)

Monthly Income


If no monthly income, enter value of "0".


If no monthly income, enter value of "0".

Note: Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered for repaying this loan.

Disclosures and Authorizations

USA Patriot Act Customer Identification Program Notice 

Important Applicant Information

To help the government fight the funding of terrorism and money laundering activities, Federal law requires financial institutions to obtain sufficient information to verify your identity. You may be asked questions and to provide one or more forms of identification to fulfill this requirement. The information you provide is protected by our privacy policy and federal law. 


I have applied for an extension of credit with you (the bank). You may solicit, offer, or sell me an insurance product or annuity in connection with the extension of credit. FEDERAL LAW PROHIBITS YOU FROM CONDITIONING THE EXTENSION OF CREDIT ON EITHER: 

  1. My purchase of an insurance product or annuity from you or from any of your affiliates; or
  2. My agreement not to obtain, or a prohibition on me from obtaining, an insurance product or annuity from an unaffiliated entity. 

By signing below, I acknowledge that I have received a copy of this form on today’s date. Unless this disclosure is provided electronically or I have applied for credit by mail, I also acknowledge that you provided this disclosure to me orally.

You certify that everything you have stated in this Credit Application and on any other documents submitted to us are true and correct to the best of your knowledge. You understand that you must update the information contained in this Credit Application if either your financial condition materially changes or we make a request to you orally or in writing. You understand that we will retain this Credit Application whether or not it is approved.

You authorize us to request one or more consumer reports, to check and verify your credit and employment history, and to answer questions others may ask us about our credit experience with you.

You authorize us to contact you using any of the telephone numbers listed on this Credit Application or any number you subsequently provide to us in connection with your credit account – regardless of whether the number we use is assigned to a paging service, cellular telephone service, specialized mobile radio service, other radio common carrier service, or any other service through which you may be charged for the call. You further authorize us to contact you through the use of voice, text, prerecorded/artificial voice messages or an automatic dialing service. You specifically consent to be contacted via email.

ELECTRONIC SIGNATURE: You further agree that you have signed this Credit Application with one or more electronic signatures. You intend your signature to have the effect of your written ink signature. If you do not wish to use electronic signatures in connection with your loan application, you should not agree to the terms of this disclosure. If you do not consent to the use of electronic signatures in connection with your loan application, we will not be able to proceed with the acceptance and processing of your application online. You viewed and read the entire Credit Application and notices before you signed it. You understand that this Credit Application is in the electronic form that we will keep. We may rely on, and enforce, this Credit Application in the electronic form or as a paper version of the electronic form.

Before you submit the application, we recommend that you print or save a copy for your records. 

Borrower's Electronic Signature

Co-Borrower's Electronic Signature

Notice: It is a federal crime punishable by fine, imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of Title 18, United States Code §1001, et seq

Information for Government Monitoring Purposes

The following information is requested by the federal government for certain types of loans related to a dwelling (residential real estate) in order to monitor the lender's compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations the lender is required to note ethnicity, race, and sex on the basis of visual observation or surname. If you not wish to furnish the information, please check below. 



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