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940-691-0000

 

Consumer Loan Application

NOTE: This application is for a Consumer Loan. If you are interested in learning more about a First Bank Mortgage loan, please go to our mortgage loan page.

Upon receipt of the application, we will send you the proper disclosures.

Is this an individual or joint loan? Individual
Joint

Primary Borrower's Information

* Indicates a required field

* Full Name:
(First M. Last)
* Birthday (mm/dd/yyyy):
* SSN:
* Drivers License or ID#:
Number of Dependents:
Age of Dependents: #1 #2
#3 #4
#5 #6
* Home Phone Number: ()-
* Email Address:
* Email Address:

Present Address

* Street:
* City, State ,
* Zip-Plus4: -
* Have you lived at this address more then two years?

Former Address

* Street:
* City, State ,
* Zip-Plus4: -

Current Employer

* Employer:
Job Title:
* Street Address:
* City,State: ,
* Zip-Plus4: -
* Work Phone Number: ()-ext.
* Have you been employed here more then two years?

Former Employer (If at present job less than 2 years)

* Employer:
Job Title:
* Street Address:
* City,State: ,
* Zip-Plus4: -
* Work Phone Number: ()-ext.

Co-Borrower's Information

(Joint applicant or cosigner only)

* Full Name:
(First M. Last)
* Birthday (mm/dd/yyyy):
* SSN:
* Drivers License or ID#:
Number of Dependents:
Age of Dependents: #1 #2
#3 #4
#5 #6
* Home Phone Number: ()-
* Email Address:

Present Address

* Street:
* City, State ,
* Zip-Plus4: -
* Have you lived at this address more then two years?

Former Address (If at present address less than 2 years)

* Street:
* City, State ,
* Zip-Plus4: -

Current Employer

* Employer:
Job Title:
* Street Address:
* City,State: ,
* Zip-Plus4: -
* Work Phone Number: ()-ext.

Former Employer (If at present job less than 2 years)

* Employer:
Job Title:
* Street Address:
* City,State: ,
* Zip-Plus4: -
* Work Phone Number: ()-ext.

Note: Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered for repaying this loan.

Monthly Income

  Borrower Co-Borrower
* Base Employment Income:
Overtime/Bonus Pay:
Dividends/Interest:
Rental Property Income:
Other:
* Total:

Property and Loan Info

* Amount Requested: $
* Collateral: $
* Purpose of Loan: Purchase     Refinance
Other

Assets and Liabilities

  ACCOUNT NUMBER TOTAL AMOUNT
* Checking Accounts:
 
  ASSETS TOTAL AMOUNT
* Stock, Bonds, or Mutual Funds:
 
* Real Estate:
 
* Retirement accounts:
 
* Autos:
 
* Other:
 
  Total Values:
  LIABILITIES (debt) BALANCE YOU OWE
Real Estate:
 
 
Autos:
 
 
Credit Cards:
 
 
Other:
 
  Total Liabilities:
Net Worth (subtract liabilities from assets):

Other Questions

Borrower Co-Borrower  
* Are there any judgments against you?
* Have you been declared bankrupt within the past 7 years?
* Are you obligated to pay alimony, child support, or separate maintenance?
* Will any of the down payment for this loan be borrowed?
* Are you a co-maker or endorser on a note?