Credit Obligations

List all loans, credit lines, charge accounts, rents, mortgages, payments for alimony, child support, judgements, liens, and bankruptcies

Asset Information

Applicant’s Agreement

By accepting applicant agreement, you authorize us to check your personal, business and employment history and/or have a credit reporting company prepare a credit report.

The above statements contained in the Loan Application and Financial Statements are submitted for the purpose of obtaining credit and are certified to be true and correct. The Lender, its agents, successors and assigns will rely on the information contained in the application and I/we have a continuing obligation to amend and/or supplement the information provided in this application in any of the material facts which I/we have represented herein should change prior to closing. I/we agree to usual credit inquiries may be made to verify statements. I/we agree that this application shall remain the property of the bank whether the loan is granted or not. If I requested assistance in the completion of this Credit Application, I/we indemnify and hold harmless the Bank and the Bank Representative against any errors or omissions.

Substitute W-9: The number(s) shown above are my/our correct tax identification numbers(s). I am a U.S. citizen.

Insurance Practices Disclosure: The Bank may not condition an extension of credit on: your purchase of an insurance product or annuity from us or an affiliate; or on your agreement not to obtain, or a prohibition on you from obtaining an insurance product or annuity from an unaffiliated entity.

USA Patriot Act, Important Applicant Information: Federal law required financial institutions to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement in some instances, we may use outside sources to confirm the information. The information you provide is protected by our Privacy Policy and federal law.

I acknowledge the receipt and agree to the terms of the Applicants Agreement, Substitute W-9, Insurance Practice Disclosure, USA Patriot Act Notice, and Privacy Notice/Disclosure.