Purpose / Type of Loan Car Loan Recreational Vehicle Loan Line of Credit Other cONSUMER LOAN Collateral offered:
*Description of Collateral Offered:
*Type of Credit Requested (Required) BORROWER INFORMATION
(If borrower is married, he/she/ they may apply for individual credit
*Borrower’s Full Name: (Required)
Present Home address
Mailing Address (if different from above)
LENGTH AT RESIDENcE Rent/ Own BORROWER EMPLOYMENT INFORMATION Self Employed? TIME AT THIS JOB Employer’s Business Address
ABOUT YOUR EXISTING AccOUNTS 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.
QUESTIONS a. Are there any outstanding judgments against you? b. Have you ever been declared bankrupt? c. Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? d. Are you party to a lawsuit? e. Are you obligated on any loan resulting in judgment, foreclosure or title transfer? f. Are you delinquent, in default on any Federal debt, financial obligation, bond, or loan guarantee? g. Are you obligated to pay alimony, child support, or separated maintenance? h. Is any part of the down payment borrowed? i. Are you a co-maker or an endorser on a loan? j. Have you ever had merchandise repossessed? k. Have you ever been denied credit with us? l. Are you a U.S. Citizen? If no, are you a resident alien? If no, are you a non-resident alien?
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 Type of Joint credit Requested WANT TO REPAY PROcEEDS OF JOINT LOAN TO BE USED FOR: JOINT BORROWER INFORMATION JOINT APPLIcANT NAME
DOES JOINT APPLICANT OWN OR RENT JOINT APPLICANT ADDRESS
JOINT APPLICANT PREVIOUS ADDRESS
JOINT BORROWER EMPLOYMENT INFORMATION JOINT APPLICANT EMPLOYER ADDRESS
Creditor Account Number BORROWER AcKNOWLEDGEMENT
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.