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Loan Application

At Citizens First Bank, it's simple to apply for a consumer loan. Completing our secure online application will help us minimize the time you spend at the bank and provide the best experience possible.

After we receive your application, a lender will contact you. Thank you for your interest in a personal loan account with Citizens First Bank. If you have any questions, please contact us at 877-902-1442 or 563-243-6000.


Please provide the following information: all fields marked with a "*" are required



CREDIT/LOAN REQUESTED

CONSUMER LOAN

Collateral offered:

*Type of Credit Requested:

BORROWER INFORMATION

(IF BORROWER IS MARRIED, HE OR SHE MAY APPLY FOR INDIVIDUAL CREDIT.)

*Borrower's Full Name:

Present Home Address
Mailing Address (if different from above)

*Length at Residence

If at current residence for less than 2 years, complete the following:


Length at Residence


BORROWER EMPLOYMENT INFORMATION

*Time on this Job

If employed in current position for less than two years or if currently employed in a second job, complete the following:

Time on this Job

ABOUT YOUR EXISTING ACCOUNTS

Bank/S&L/Credit Union Name:
Checking Account #:
Savings Account #:

BORROWER OTHER INCOME (IF ANY)

NOTICE: Alimony, child support, or separate maintenance income need not be revealed by you if you do not wish to have it considered as a basis of repayment. You may reveal this type of income if you do wish to have it considered as source of repayment.

Source:
Description:
Amount:
Frequency:

QUESTIONS

a. Are there any outstanding judgments against you?

Borrower

Outstanding Judgements - Borrower
b. Have you ever been declared bankrupt?

Borrower

Have you ever been declared bankrupt? - Borrower
c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?

Borrower

Propery Foreclosed Upon - Borrower
d. Are you party to a lawsuit?

Borrower

Party to Lawsuit - Borrower
e. Are you obligated on any loan resulting in judgment, foreclosure or title transfer?

Borrower

Loan obligation - Borrower
f. Are you delinquent, in default on any Federal debt, financial obligation, bond, or loan guarantee?

Borrower

Delinquent Debt - Borrower
g. Are you obligated to pay alimony, child support, or separated maintenance?

Borrower

Alimony or child support obligation - Borrower
h. Is any part of the down payment borrowed?

Borrower

Borrowed Down payment - Borrower
i. Are you a co-maker or an endorser on a loan?

Borrower

Co-maker or endorser - Borrower
j. Have you ever had merchandise repossessed?

Borrower

Had merchandise repossessed - Borrower
k. Have you ever been denied credit with us?

Borrower

Been denied credit with us- Borrower
l. Are you a U.S. Citizen?

Borrower

US Citizen - Borrower
If no, are you a resident alien?

Borrower

Resident Alien - Borrower
If no, are you a non-resident alien?

Borrower

Non-Resident Alien - Borrower

ACKNOWLEDGEMENT AND SIGNATURES

I/We hereby apply for the loan or credit described in this application. I/We certify that I/we made no misrepresentations in this loan application or in any related documents, that all information is true and complete, and that I/we did not omit any important information. I/We agree that any property securing the loan or credit will not be used for any illegal or restricted purpose. Lender is authorized to verify with other parties and to make any investigation of my/our credit, either directly or through any agency employed by Lender for that purpose. Lender may disclose to any other interested parties information as to Lender's experiences or transactions with my/our account. I/We understand that Lender will retain this application and any other credit information Lender receives, even if no loan or credit is granted. These representations and authorizations extend not only to Lender, but also to any insurer of the loan and to any investor to whom Lender may sell all or any part of the loan. I/We further authorize Lender to provide to any such insurer or investor any information and documentation that they may request with respect to my/our application, credit or loan.


We intend to apply for joint credit:

Borrower

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING AN ACCOUNT WITH CITIZENS FIRST BANK.

Section 326 of the USA PATRIOT ACT requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. This federal requirement applies to all new customers. This information is used to assist the United States government in the fight against the funding of terrorism and money-laundering activities.

What this means to you: when you open an account, we will ask each person for their name, physical address, mailing address, date of birth, and other information that will allow us to identify them. We will ask to see each person’s driver's license and other identifying documents and copy or record information from each of them.

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* Required

Thank you for your submission! 

We will process your application and reach out to you soon!