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Welcome to our secure online loan application.
Once you submit your information it will receive immediate attention by Gary Lange staff.
Borrower Information (Required information fields appear in bold)
*Self Employed Borrower(s) may be required to provide additional documentation such as tax returns and financial statements.
Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower(B) or Co- Borrower(C) does not choose to have it considered for repaying this loan.
Total Monthly Debt Payments (including Alimony & Child Support)
Credit Check Authorization
Do you authorize us to pull you and your co-borrower’s credit reports in order to pre-qualify you for a loan? (If so, please provide social security numbers and date of births).