Loan Application & Salary Deduction Form

Form Template

This Loan Application & Salary Deduction Form Mobile App has four sections that need to be filled out: applicant to complete, employer payroll department to complete, for internal (blp) use only, and promissory note.

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In the applicant to complete section, amount to be deducted each pay period and number of payments are covered, as well as the terms for the transactions. In the employer payroll department to complete, deduction, borrower address, name and phone number is covered. Necessary signatures are also included on this page. In the for internal (blp) use only section, terms and authorization is covered. In the promissory note section, salary deductions, payment schedule, and authorizations are covered. Terms and the appropriate signatures are also included on this page.

Use this loan application template to confirm monthly payments for a personal loan, auto loan, or business loan repayment through payroll deduction. Use this form type to make monthly payments from your employer as part of the income that will repay the loan with a financial institution or lender.

  • Signature Capture
  • Image Capture
  • Submission Editing
  • Reference Data
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  • iPhone
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  • Android
  • Windows
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  • Quickbooks
  • Salesforce
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