Application: Let's Get Started

STEP ONE

STEP TWO

STEP THREE

Please enter the required information below and click Step Two.

Loan Amount and Funding Type Requested

LOAN AMOUNT

Funding Type

Step Two >>>

Application: Step Two

STEP ONE

STEP TWO

STEP THREE

Please enter the required information below and click Step Three.

Personal
Information

Please enter your name as it should appear on the loan documents.

FIRST NAME

MIDDLE NAME

LAST NAME

SUFFIX

EMAIL ADDRESS

Confirm Email Address

SOCIAL SECURITY NUMBER

Confirm Social Security Number

DATE OF BIRTH (MM/DD/YYYY)

GENDER

DRIVER'S LICENSE OR STATE ID NUMBER

DRIVERS LICENSE STATE

PRIMARY PHONE

PHONE TYPE

SECONDARY PHONE

PHONE TYPE

BEST TIME TO CALL

ADDRESS

APT NUMBER

CITY

STATE

ZIP

TIME AT ADDRESS

RESIDENTIAL STATUS Rent Own

MONTHLY RENT/MORTGAGE AMOUNT

Military

Federal law provides important protections to active duty members of the Armed Forces and their dependents. To ensure that these protections are provided to eligible applicants, we require you to sign one of the following statements as applicable:

YES: I AM a regular or reserve member of the Army, Navy, Marine Corps, AirForce, or Coast Guard, serving on active duty under a call or order that does not specify a period of 30 days or fewer. -or- I AM a dependent of a member of the Armed Forces on active duty as described above, because I am the member's spouse, the member's child under the age of eighteen years old, or I am an individual for whom the member provided more than one-half of my financial support for 180 days immediately preceding today's date.

NO: I AM NOT a regular or reserve member of the Army, Navy, Marine Corps, serving on active duty under a call or order that does not specify a period of 30 days or fewer (or a dependent of such a member)

Text Message
Communication

NOTE: Message and data rates may apply

YES: I agree to receive notification regarding my account via text message.

NO: I do not want to receive notifications regarding my account via text message

Advertising

HOW DID YOU HEAR ABOUT US?

Your User Name will need to be unique

Your password must be at least 8 characters in length and contain:

At least one upper case letter
At least one lower case letter
At least one non-alphabetic character: 0-9 ! @ # $ % ^ & * ( )

USERNAME

PASSWORD

Confirm Password

<< Step One

Step Three >>

Application: Step Three

STEP ONE

STEP TWO

STEP THREE

Please enter the required information below and click Submit.

Bank Information

ABA OR ROUTING NUMBER

BANK NAME

CHECKING ACCOUNT NUMBER

Confirm Checking Account Number

Income and Employment Information

INCOME TYPE

MONTHLY TAKE HOME PAY

PAYMENT METHOD

EMPLOYER

WORK PHONE

PAY FREQUENCY

I am paid on the

and

of the month.

I am paid on the

DAY OF THE WEEK

NEXT PAY DATE

Next paydate in one week.
Next paydate in two weeks.

and

of the month.

OTHER INCOME

INCOME TYPE

MONTHLY TAKE HOME PAY

PAYMENT METHOD

EMPLOYER

WORK PHONE

PAY FREQUENCY

I am paid on the

and

of the month.

I am paid on the

DAY OF THE WEEK

NEXT PAY DATE

Next paydate in one week.
Next paydate in two weeks.

and

of the month.

By checking this box, you agree to receive electronic disclosures via email.

I acknowledge and understand Plain Green, LLC, is a wholly owned company of the Chippewa Cree Tribe of Rocky Boy’s Reservation, Montana; a Native American Tribe federally recognized by the government of the United States of America, and we operate within the boundaries of the reservation. You may reside in a state that does not recognize the sovereign lending authority of the Chippewa Cree Tribal Government and may consider the products and services offered by Plain Green as void under state law. By entering into an agreement with Plain Green, you are availing yourself upon the jurisdiction of the Tribe and fully understand and consent that any agreement entered into is subject to the laws and lending codes enacted by the Tribe’s federally recognized sovereign government.

I understand that by clicking Submit below, I am providing “written instructions” to PG under the Fair Credit Reporting Act authorizing PG to obtain information from my personal credit profile or other information from credit reporting agencies in connection with this loan application.

<< Step Two

Take a picture of the Front and Back of your license.

Make sure to:

Watch for glare
Use a dark background
Make sure image is in focus

You applied for , but have a credit limit of

Please select the amount you would like to apply for. If you feel this is in error, please call our Customer Service at (866) 420-7157

Change Loan Amount to

Please only apply for the loan amount you need. Consider your ability to repay before applying for a loan. You can prepay your loan at any time without incurring any penalties.

You applied for , but have a credit limit of

Would you like to change your loan amount?

Change Loan Amount to

Please only apply for the loan amount you need. Consider your ability to repay before applying for a loan. You can prepay your loan at any time without incurring any penalties.

Options

Application: Let's Get Started

Application: Step Two

Application: Step Three