Jefferson Financial Services
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    *All fields are required for completion of application.

    APPLICANT: Please read the following before completing this form. You are applying for joint credit. Married applicants may apply for an individual account.


    Joint Credit Application

    Loan Information

    Personal Information

    How many years/months at residence?
    By providing my mobile and/or home number, including a number that I later convert to a mobile number, I consent to receive calls, text messages by or on behalf of Jefferson Financial Services, Inc. regarding the processing of my loan application and, if approved, for other transactional purposes, such as the collection and servicing of my account. I understand my consent for non-marketing calls and messages applies to each phone number that I voluntarily provide to Jefferson Financial Services, Inc. now or in the future or obtained by Jefferson Financial Services, Inc. through other lawful means.

    Employment Information

    How many years/months at employer?


    Co-Applicant Information

    Co-Applicant Employment Information

    How many years/months at employer?
    All loans are subject to our normal credit requirements and may be subject to the provision of acceptable collateral for the loan. All loans must be closed in the office located at 5618 Bardstown Road  Louisville, KY.  If you have an existing account with Jefferson Financial Services Inc., it will be refinanced and any unearned interest will be rebated in accordance with your original loan agreement.
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