HTML Preview Printable Loan Application page number 1.
Date:
Member FDIC
I wish to borrow $ fo
r
months
Branch Reason for Loan:
We intend to apply for joint credit.
Applicant's Signature Co-applicant's Signature
A. APPLICANT INFORMATION
A
pplicant's Name Date of Birth Drivers License # Social Security #
E-Mail Address Home Telephone Number Cell Phone Number
Mailing Address Street Address City, State, Zip How Long?
Previous Address City, State, Zip How Long?
Years there Employe
r
Phone #
A
ddress
Gross Pa
y
Former Employe
r
$ per
$_________________ Amount of Income You Want Considered Other Income Source of other income
$ per
Yes No
Yes No
If "yes", for whom? To whom?
Name Phone #
Balance of 1st Mortgage Balance of 2nd Mortgage Equit
y
Landlord or 1st Mortgage Holde
r
2nd Mortgage Holder
Payment Amount
Vehicle Informatio
n
Year
IMPORTANT! Read these directions before completing this Application.
INDIVIDUAL CREDIT- relying on my income or assets. Complete only section A. [Applicant Information].
JOINT CREDIT Complete section A. [Applicant Information] and complete section B.[Information Regarding Joint Applicant or Other
Party] about the joint applicant.
INDIVIDUAL CREDIT- relying on my income or assets as well as income or asset from other sources. Complete section A. [Applicant
Information] and, to the extent possible provide information in section B. [Information Regarding Joint Applicant or Other Party] about the
person on whose alimony, support, or maintenance payments or income or assets you are relying.
Check
Appropriate
Box
Make Model Financed by
Occupation
$$
Other
$
PERSONAL LOAN APPLICATION
House Payment
Rent
Home Insurance Carrier - Agent/Phone
Explain:
A
re you a Co-Maker, Endorser, or Guarantor on any loan or contract?
$
Name and Address of TWO Nearest Relatives and ONE Friend Not living With You (Not Present or Former Spouse)
A
ddress Relationship
Vehicle Insurance (Company, Agent, Name, & Phone)
Years there
Is your income likely to be reduced before this loan is paid off?
Name of Current Bank Checking Accoun
t
Savings Accoun
t
Certificate of Deposit
"You need not disclose alimony, child support, or separate maintenance
payments if you do not want us to consider such income in determining the
repayment of this obligation".