1. Have you defaulted on a loan?
Yes
No
2. Have you previously filed for bankruptcy?
Yes
No
* If yes to No.2, was the bankruptcy more than 7 years ago?
Yes
No
* If yes to No.2, was the bankruptcy paid back in full?
Yes
No
3. Have you ever been a cosigner for someone's loan?
Yes
No
4. Do you have a record of on-time payments for the last three years?
Yes
No
5. How many loans were repaid on-time in the last three years?
0
1-2
3+
6. Do you have a good working relationship with your bank?
Yes
No
7. Has your bank responded well to other personal or business ventures?
Yes
No If no, please explain: