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IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

APPLICATION INFORMATION


 

Borrower


 

Co-Borrower


 
INCOME
NOTICE
+ Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered as a basis for repaying this obligation.
GROSS MONTHLY INCOME MONTHLY HOUSING EXPENSE
              
              

 
DESCRIBE OTHER INCOME
NOTICE
+ Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered as a basis for repaying this obligation.
Item Monthly Amount
  
     
     
     
     

 
IF EMPLOYED IN CURRENT POSITION LESS THAN 2 YEARS COMPLETE THE FOLLOWING
Previous Emplr./School City/State  Type of Bus. Position/Title Dates

 
THESE QUESTIONS APPLY TO BOTH BORROWERS

 
Assets (Description) Cash or Market Value

Liabilities and Pledged Assets. List the creditor's name, address and account number for all outstanding debts, including automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. Use continuation sheet, if necessary.

Liabilities Monthly Payment Unpaid Balance

 

SCHEDULE OF REAL ESTATE OWNED
(If Additional Properties Owned Attach Separate Schedule)

Address of Property

Totals


 

LIST PREVIOUS CREDIT REFERENCES

Borrower  or   CoBorrower Creditor's Name and Address Account Number Purpose Highest Balance Date Paid
List any additional names under which credit has previously been received.

 

Disclosure

By clicking below, I hereby certify that everything I have stated above is correct. You may keep this application whether or not it is approved. By clicking below, I authorize you to check my credit and employment history and verify other information which I have provided to you.


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