Loan Application

Apply for your home improvement loan

Please complete all the information below. Upon receipt, we will contact you by phone to confirm your request.

Type of credit applied for:

By selecting joint, your intent is to apply for joint credit and the co-applicant information must be completed.

Term

Applicant

Marital Status
Are you a US citizen?
If no: Permanent Resident Alien?
Have you ever filed bankruptcy or had a foreclosure/short sale?

Residence

Your Primary Residence:

You must have a current mortgage on your home.

Time At Present Address
Do you have an HOA fee?
Is your property in a flood zone?

Your Previous Residence:

Time At Previous Address

Home Information

2nd Mortgage?

Employment

How Long?

You do not have to list alimony, child support or separate maintenance income unless you want us to consider it for the purposes of granting and repayment of this credit request.

Years at Previous Employer

Banking Relationship


Co-Applicant

Marital Status
Are you a US citizen?
If no: Permanent Resident Alien?
Have you ever filed bankruptcy or had a foreclosure/short sale?

Co-Applicant Residence

Your Primary Residence:

Time At Present Address

Your Previous Residence:

Time At Previous Address

Co-Applicant Employment

How Long?

You do not have to list alimony, child support or separate maintenance income unless you want us to consider it for the purposes of granting and repayment of this credit request.

Years at Previous Employer

Information For Government Monitoring Purposes

This section to be completed only for loans subject to reporting under the Home Mortgage Disclosure Act (HMDA).

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 and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a Lender may not discriminate on the basis of this information, or on whether you choose to furnish it.

If you choose to furnish the information, please provide both ethnicity and race. You may choose more than one origin for Hispanic or Latino and more than one designation for race.

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.

If you do not wish to furnish any of the above information, please check the appropriate boxes below.

Applicant:

Ethnicity:

Race or National Origin:

May select one or more designations

Sex:

Coapplicant:

Ethnicity:

Race or National Origin:

May select one or more designations

Sex:


You must agree to the terms and conditions to continue.

By clicking the submit button, I acknowledge I have read and Agree with all statements above.