Loan Application
Effective January 2023

Recent information of New Shoshone Credit Loans are to be secured by Shoshone Tribal Individual Money (Welfare Benefit) 

MINOR CHILD PER CAPITA WILL NO LONGER BE OBLIGATED FOR NEW LOANS
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Apply for a tribal loan in the amount specified below.  
for the purpose specified below.

I will repay the loan on or before the dates below with interest and will execute a promissory note as evidence of the indebtedness. As security, I will obligate my Shoshone Tribal Individual Money (WELFARE BENEFIT) or Payroll Withholding.
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Only NEW Shoshone Tribal Credit Loans are to be secured by obligating Welfare Benefit Checks authorized by the Shoshone Business Council. 
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EMAIL ADDRESS *
FIRST NAME *
LAST NAME *
Do you currently have active loans? *
If Yes, What is your loan balance? (*Note: If you have a HIGH loan balance, it is likely you will NOT be eligible for additional Per Capita Emergency Loan*)
Tribal Loan Amount Specified *
Emergency Loans up to $500.00 are reviewed daily and can be processed the same day if eligible.  
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PURPOSE OF LOAN *
EXPLAIN PURPOSE OF THE LOAN *
DO YOU HAVE PROOF OF PURPOSE?
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HOW WILL YOU BE PAYING BACK THE LOAN? *
MAILING ADDRESS *
CITY *
STATE *
ZIP CODE *
PHYSICAL ADDRESS *
PHYSICAL CITY *
PHYSICAL STATE *
PHYSICAL ZIP *
CONTACT PHONE NUMBER
DATE OF BIRTH *
TRIBAL I.D. (282U0-)
Are you currently employed?
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EMPLOYERS NAME
HOW LONG HAVE YOU BEEN EMPLOYED?
CAN YOU SUBMIT THE MOST RECENT PAY STUB?
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