OKLAHOMA HORSESHOEING SCHOOL, INC.
Application For Oklahoma Horseshoeing School Tuition Assistance Loan

    Borrower Information
    Full Name:
      Last:
      First:
      MI:


    Social Security Number:
    Street Address:
    Apt#/Rural Route:
    Date of Birth:

    City:
    State:
    Zip:
    How long: have you
    Home PHone:
    Email Address:
    Mailing Address (If different from above):
    Landlord/Mortgage Holder Name & Phone #:
    Monthly Mortgage/Rent Amount:
    Approximate Balance (Mortgage Only):
    Approximate Home Value (if you own):

    Work Phone:
    Employer Name and Telephone Number:
    Position/Title:
    How Long: years months:
    Emploryer Address:
    State:
    Zip:
    Gross Anual Salary:

    Previous Employment Information:
    Employer:
    How Long: years months:

    Nearest Relative (not living with you):
    Permanent Address:
    Home Phone:
    Relationship:

    Reference Name (Do not use co-borrower):
    Reference Permanent Address:
    Reference Home Phone:
    Relationship:

    Reference Name (Do not use co-borrower):
    Reference Permanent Address:
    Reference Home Phone:
    Relationship:

    Co-Borrower Information

    Co-Borrower Information:
    Relationship to Borrower:
    Last:
    First:
    MI:
    Social Security Number:
    Driver's License Number:
    Street Address:
    Apt#/Rural Route
    Date of Birth:

    City:
    State:
    Zip:
    How Long have you

    Home Phone:
    Email Address:
    Mailing Address (if different from Street Address above):
    Landlord/Mortgage Holder Name & Phone #:
    Monthly Mortgage/Rent Amount:
    Approximate Balance (Mortgage Only):
    Approximate Home Value (if you own):
    Work Phone:
    Employer Name and Telephone Number:
    Position/Title:
    How Long: years months:
    Emploryer Address:
    State:
    Zip:
    Gross Anual Salary:
    Previous Employment Information:
    Employer:
    How Long: years months

    All information set forth in this application is declared to be a true representation as to the facts, made for the purposes of obtaining the loan requested. As a condition to obtaining this loan, I/we authorize and consent for the lender to share and release information pertinent to this application or loan. I/we authorize lender to check my credit and employment history and to answer questions about their credit experience with me. I/we understand that lender will retain this application whether or not it is approved.
    Borrower's Signature

    ___________________________

    Date

    __________

    Co-Borrower's Signature

    ___________________________

    Date

    __________

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