Consumer Loan Inquiry

This is an Inquiry for a loan; not an application. A bank representative will contact you for more information to complete the process. The more information you provide below, the faster we can process your request.

Primary Applicant:

Full Name (Include Middle Initial) *

Last 4 Digits of SSN

Email Address

Physical Address *

City *

State *

Zip Code *

Mailing Address (if different than above)

City

State

Zip Code

Cell Number *

Other Phone Number

Other Phone Number Type

Joint Applicant:

Full Name (Include Middle Initial)

Last 4 Digits of SSN

Email Address

Physical Address

City

State

Zip Code

Mailing Address (if different from above)

City

State

Zip Code

Cell Number

Other Phone Number

Other Phone Number Type

Contact Information:

Choose the location you would like to complete your application

When is the best time for us to contact you? Monday-Friday 9am to 5pm

Preferred Method of Contact Phone Email

Loan Information:

Loan Amount Desired

Loan Purpose

Thank you for your application!

We will be in touch with you within 2 business days. Thank you for choosing Park State Bank.