Our Family of Businesses: American-ThriftState-Farm AcceptanceLocations and Phone Numbers
Serving the public
since 1953
* No Credit Card Information Required
* No Social Security Number Needed
* Fast LIVE OPERATOR Call Backs!

By answering these questions we will be able to help you get your loan.
Submission of this application authorizes State-Farm Acceptance to obtain a credit bureau report in your name.
I certify that I am a Louisiana resident.

Contact Information
(Last Name)
(First Name)
(Middle Name)
Where do you live?:
Loan Application
Date of birth:

Marital Status:

Are you currently employed:
Time on job
Do you make at least $1,500 per month:
I am an existing American Thrift customer:
I have loan(s) with other companies:
I have checking account(s) &/or credit card (s)
How much do you want to borrow:
Purpose of Loan:
Best time of day to call you:
Will you refer a friend:

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