CHEROKEE NATION TRIBAL LOAN PROGRAM



Citizen Potawatomi Community Development Corporation

Employee Loan Program

**********Please do not return this page with this application.**********

Qualifications:

Loan applicants must be an employee of Citizen Potawatomi Nation (CPN) and at least 18 years of age. You are ineligible for this program if you are currently on a written warning, a probation period, or on any type of FMLA (including intermittent), or if FMLA is planned for the near future.

One-On-One Financial Session:

A credit report will be pulled for every application for the purpose of supply a one-on-one financial session with a certified credit counselor. Approval of this loan is based on your favorable employment status, but credit will be considered for the interest rate.

Terms and Loan Amount:

|Full-Time Years of Service |Maximum Amount |Term |

|1-2 years |$500.00 |12 months |

|2-3 years |$1000.00 |12-18 months |

|3-5 years |$1500.00 |12-18 months |

|5 years plus |$2000.00 |12-18 months |

|Part-time Years of Service |Maximum Amount |Term |

|3 years plus |$500.00 |12 months |

Payment for a $500.00 loan with 12-month term at 16%: $24.01 per pay period

Payment for a $1500.00 loan with 18-month term at 16%: $45.55 per pay period

1. Interest rate will be fixed between 10-16%.

2. A Loan Processing fee of $50.00 and a $25.00 Credit Report Fee will be charged. The fees are included in the loan and do not have to be paid up front.

3. A Renewal Fee of $10.00 will be charged if loan meets criteria as a renewal loan.

Loan Process:

1. Loan applicant must complete ALL of the boxes on the enclosed application.

2. Sign and date the application.

3. Return all information to the Citizen Potawatomi Community Development Corporation. (see below)

4. Typically completed applications received will be processed and reviewed by the Credit Committee within ten business days. It is typical to not receive any communication from the CPCDC until a date is known for your loan closing. If there is a problem with your application, you will be notified immediately.

For more information please contact:

employeeloan@

1545 Gordon Cooper Drive

Shawnee, OK 74801

Phone: 405/878-4697 Fax: 405/878-4665

|*Interest rates, fees, and loan terms are subject to change.Credit Application |

|Section A: Individual Application Information |

|First Name (please print) |Middle Name |Last Name |Employee Number |

|      |      |      |      |

|Loan Amount Requested: $      Previous loan paid off? Yes No If no, renewal assumed | Email: |

| |      |

|Term Requested: 12 months 18 months | |

|Ethnicity: Caucasian Hispanic/Latino |Purpose of Loan: Utility Bills Mortgage or Rent |

|African American Asian/Other Pacific Islander |Home Purchase Auto Repair/Purchase |

|Native American, If Native American what tribe?       |Other: Please Specify Reason       |

|Birth Date |Home Number |Cell Number |Driver’s License Number |Social Security Number |

|      |(     )       |(     )       |      |      |

|Are you married? |Spouses Name: | Number of Dependents: |Age(s) of Dependents: |

|Yes No |      |      |      |

|Current Street Address |City |State |Zip |County |

|      |      |      |      |      |

|Business Phone |Ext |Position or Title |Salary Per Month |

|(     )       |      |      | |

| | | |Gross $      |Net $      |

|Reference #1 NOT LIVING WITH YOU       |Relationship |Home Phone: |Cell Phone: |

| |      |(     )       |(     )       |

|Ref. #1 Street Address Do not leave blank |City |State |Zip |

|      |      |      |      |

|Reference #2 NOT LIVING WITH YOU       |Relationship |Home Phone: |Cell Phone: |

| |      |(     )       |(     )       |

|Ref. #2 Street Address Do not leave blank |City |State |Zip |

|      |      |      |      |

|Other Employer Name |Other Employer Address |Employer Phone |Monthly Net Income |

|      |      |(     )       |$      |

|Section B: Assets |

|DESCRIPTION OF ASSET |Do you have a co-signer? |Value of Asset |

|Do you have a checking or savings account? | | |

|Yes No | | |

|Do you own Real Estate? | Yes No | |

|Yes No | | |

|Do you own a vehicle? No Yes, if yes, please provide | Yes No | |

|Year, Make, & Model:       | | |

|Do you have any financial investments other than 401K? | Yes No | |

|Do you own any other assets? | Yes No | |

|Yes No | | |

|Total Assets |$      |

|Are you obligated to make any of the following: |

| |

|Alimony Spousal Support Child Support Maintenance Payments, if yes to whom and the monthly amount?       |

|Are you a co-signor, endorser, or guarantor on any loan or contract? |

|Yes No, if yes, to whom and the amount of the monthly payment?       |

|Have you ever declared bankruptcy or had any judgments recorded against you? |

| |

|Yes No, if yes, please explain circumstance and provide date of discharge:       |

| Are you in the process of declaring bankruptcy? |

| |

|Yes No, if yes, please explain circumstance:       |

|Section C: Liabilities |

|Creditor |Whose Name is on the account? |Original |Present |Monthly |

| | |Amount |Balance |Payments |

| | |Financed | | |

|Landlord’s Name or Mortgage Holder |      |(Omit if Renting) |(Omit if Renting) |      |

|      | | | | |

| | |      |      | |

|Automobile (Year, make, Model) |      |      |      |      |

|      | | | | |

|Automobile (Year, make, Model) |      |      |      |      |

|      | | | | |

|Credit Card Company |      |      |      |      |

|      | | | | |

|Credit Card Company |      |      |      |      |

|      | | | | |

|Loan Company |      |      |      |      |

|      | | | | |

|Loan Company |      |      |      |      |

|      | | | | |

|Other liability (Please Specify) |      |      |      |      |

|      | | | | |

|Total Liabilities |      |      |      |

Signatures: I certify everything I have stated in this application and on any attachment is correct. You may keep this application whether or not my loan is approved. By signing below I authorize you to check my credit, employment history, and to answer questions others may ask you about my credit record with you. I understand that I must update credit information at your request if my financial condition changes.

All parties understand and agree that the Citizen Potawatomi Nation Tribal Court has jurisdiction to resolve any dispute under the Employee Loan Program of the Citizen Potawatomi Nation and the parties do herby submit to the personal jurisdiction of, and waive any objection to venue in, the Citizen Potawatomi Nation Tribal Court for the resolution of any dispute arising out of the employee loan program.

All costs, fees, and expenses of collection and/or litigation will be charged to the “Employee”, added to the balance of the loan, and withheld from the “Employee’s” final check.

___________________________________ __________________

Applicant’s Signature Date

* Citizen Potawatomi Employee Loan Fund

Financial wellness Checkup

Employee Name:       Date:      _______________________

|Complete the following: Mark [A] for Always, [S] for Sometimes, and [N] for Never. |

|As a rule, do you: |A |S |N |

|Pay your rent/mortgage payment on time? | | | |

|Pay your utilities payment on time? | | | |

|Save 10 percent of your take home pay? | | | |

|Balance your checkbook every month? | | | |

|Plan ahead for large expenses such as buying a car or moving? | | | |

|Please answer Yes or No |Yes |No |

|Do you have a checking account? | | |

|Do you have a savings account? | | |

|Do you follow a monthly budget? | | |

|Do you contribute to your 401K plan? | | |

|Do you borrow from payday lenders? | | |

|Do you borrow from signature loan companies? | | |

|Please share your goals with us by marking all of the items below you are planning in the next 2 years. |

| |Be debt free | |Purchase a vehicle |

| |Go on vacation | |Reduce existing debt |

| |Purchase a home | |Attend school |

| |Open a checking account | |Open a savings account |

| |Begin contributing to your 401K | |Retire financially secure |

| |Start a business | |Increase credit score for future savings |

| |Other: | |Other: |

* The information shared on this page is not in any way used to determine approval of your Employee Loan.

REQUEST FOR VERIFICATION OF EMPLOYMENT

Please Return To:

Citizen Potawatomi Community Development Corporation

1545 Gordon Cooper Drive

Shawnee, OK 74801

I have applied for a loan through the Citizen Potawatomi Nation Employee Loan Program. My signature below authorizes verification and release of the information requested.

|Name: |      |Employee ID Number: |      |

|Street Address: |      |Social Security Number: |      |

|City, State, Zip: |City |State |Zip code |Date of Birth: |      |

| |      |OK |      | | |

|Cell Phone: |(     )       |Home Phone: |(     )       |

|SIGNATURE: | |

For Office Use Only:

Approved by Credit Committee:

Loan Approved

Loan Declined: (Specify Reason) ___________________________________________________________

_____________________________________________ ____________________

Approved Declined Date

_____________________________________________ ____________________

Approved Declined Date

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