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Loans & Home Equity Application

Type of Loan (select one)
Installment Loan
Personal Line of Credit
Automobile Loan
 Home Equity Loan
Home Equity Line of Credit

To Apply for a Credit Card, click here.
To Apply for a Home Mortgage, click here.

Loan Request

I would like to complete a Joint Application
Date: Purpose:
Amount: Term:
Type of Credit: Secured Unsecured    
Type of Collateral : Collateral Owner:
Collateral Description:
Loan Purpose:
 

Personal Information

Last Name: *Address:
First Name:  
Middle Initial: City:
SSN: State:
Birth Date: Zip:
** Check One: Married
Single
Separated
Phone:
Number of Dependents: Cell / Pager:
Years at present address: Email:
Driver's License State & No.: License Expiration Date:
My Mailing Address is the same as my Primary Address
Address: City:
  State:
    Zip:
 

Previous Address

Address: City:
  State:
Years There: Zip:
 

Previous Debt / Obligations

Are you obligated to make alimony, child support, or separate maintenance payments?
yes no
How Much: How Long:
In the past 10 years, have you been bankrupt or are you in the process of filing bankruptcy?
yes no
Have you made a settlement with Creditors, or do you have any suits, judgements or other legal proceedings against you?
yes no
Please Explain:
 

Landlord / Mortgage Holder

Name: Monthly Payment:
Address: Do you: Own Rent Other
City:
State:
Zip:
 

Employment Information
Employer: Employer Address:
Occupation:  
Years at Job : City:
Gross Monthly Income: State:
***Other Monthly Income: Zip:
Source of Other Income: Phone:
 

Previous Employer

Address: City:
  State:
Years There: Zip:
 

Property Information
Estimated Current Property Value: $
Amount of Current Mortgage: $
Amount of Subordinate Mortgage: $
Amount Existing Liens: $
 
Please complete the following sections for loans to purchase or improve any residential property, including mobile homes, or to refinance a loan that is secured by residential property.
Purpose: Purchase Improvements Refinance
Lien Position: 1st Lien
Subordinate / Junior Lien
Not Secured by R/E
Collateral: Residential (1-4 units, including condominiums / town homes or vacation homes)
Manufactured Home (with or without real estate, including mobile homes)
Multi-family residential property (with 5 or more units)
Occupancy: Owner Occupied
Non-owner Occupied (Includes 2nd home & vacation homes)
 
Address: Num. Units:
  Type of Improvement: Property Improvement
Additions
Energy Conservation
City:
State:
Zip:    
 

(Borrower) Information for Government Monitoring Purposes

Please complete the following sections for loans to purchase or improve any residential property, including mobile homes, or to refinance a loan that is secured by residential property.

The following information is requested by the federal government for certain types of loans related to a dwelling in order to monitor the lender's compliance with equal credit opportunity, fair housing laws, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for race. The law provides that a lender may not discriminate on the basis of this information, or whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under Federal regulations the lender is required to note ethnicity, race and sex on the basis of visual observation or surname.

I do not wish to furnish this information
Ethnicity:   Hispanic or Latino
  Not Hispanic or Latino
 Sex: Female Male

Race or National Origin: Choose any combination of the following, up to all five categories, which best describe your national origin.
  American Indian or Alaskan Native
  Asian
  Black or African American
  Native Hawaiian or Other Pacific Islander
  White
 
DISCLOSURE
The bank may not condition an extension of credit on either (a) the consumer's purchase of an insurance or annuity from the bank or from any of its affiliates, or (b) the consumer's agreement not to obtain, or prohibition on the consumer from obtaining, an insurance product or annuity from an entity that is unaffiliated with the bank.

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means for you: When you open an account, we will ask your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents.

The Federal Equal Credit Opportunity Act requires that all creditors including banks, savings and loan associations, small loan companies, and others make credit equally available to all credit worthy customers without regard to sex or marital status. The Federal Agency, which administers compliance with this law concerning this bank, is, Federal Deposit Insurance Corporation, 5100 Popular Avenue, Suite 1900, Memphis, TN 38137.

I (we) certify that the statements made in this application are true. The bank is authorized to obtain any information that it deems necessary in processing my loan request. I understand the bank is relying on this information in making a loan decision. I (we) hereby agree that this application shall be and remain your property whether or not any credit is granted relative thereto.

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

Identification Procedures Requirements: To help the government fight the funding of terrorism and money laundering activities, Federal Law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents.
I have read and agree to the terms and conditions outlined in this disclosure.

This form will be submitted over a secure connection.
* Must be a street address

** Do not complete the starred (*) section of this application unless you are: (a) a resident of a community property state (Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Texas or Wisconsin), (b) are relying on property located in a community property state as a basis for repayment of the credit requested or (c) are relying on income received from a non-applicant spouse or ex-spouse.

*** Amount of Alimony, Child Support and Separate Maintenance Payment Income: NOTE Alimony, child support and separate maintenance payment income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

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