Consumer Loan Application First National Bank of Monterey

All Loan Closings are finalized at The First National Bank of Monterey locations, and you will need to be present. In order for us to process your loan application, The First National Bank of Monterey may need the following documentation: – Copy of the last two months pay-stubs and/or most recent tax returns. – Copy of Purchase Agreement/Bill of Sale with complete description of asset (if applicable) – Proof of Insurance on collateral (if applicable) - Please provide copy of driver’s license or other photo I.D. (if new customer we will require two forms of ID) At this time, we are only accepting online applications from residents of Indiana. If you have any questions or need assistance, please feel free to contact your local branch.

Initials(Required)

Amount Requested(Required)

Purpose of Loan(Required)

Term of Loan(Required)

SECTION A - INDIVIDUAL APPLICANT INFORMATION

Date of Birth(Required)

Social Security Number(Required)

Primary Phone Number(Required)

E-mail Address(Required)

How Long(Required)

Employer Name(Required)

How Long(Required)

Salary Per Month (Gross)(Required)

SECTION A.2 - JOINT APPLICANT INFORMATION

Date of Birth(Required)

Co-Applicant

Social Security Number(Required)

Co-Applicant

Primary Phone Number(Required)

Co-Applicant

E-mail Address(Required)

Co-Applicant

How Long(Required)

Co-Applicant

Employer Name(Required)

Co-Applicant

How Long(Required)

Co-Applicant

Salary Per Month (Gross)(Required)

Co-Applicant

Initials(Required)

Co-Applicant Initials(Required)

SECTION B - OTHER INCOME SOURCES

Source

Amount per Month

Source

Amount per Month

Source

Amount per Month

Source

Amount per Month

Phone(Required)

Email

Please provide which branch and who was your loan officer:

SECTION C - SECURED CREDIT

Briefly describe the property to be given as security or write unsecured.

Year

Make

Model

VIN

SECTION D - FINANCIAL INFORMATION

CREDIT OBLIGATIONS

Name of Creditor

Collateral

Monthly Payments

Balance

Name of Creditor

Collateral

Monthly Payments

Balance

Name of Creditor

Collateral

Monthly Payments

Balance

Name of Creditor

Collateral

Monthly Payments

Balance

Monthly Payments

Collateral

Name of Creditor

OTHER OBLIGATIONS

If yes please explain

ASSET INFORMATION

Checking Bank Name

Average Balance

Checking Bank Name

Average Balance

Checking Bank Name

Average Balance

Savings Bank Name

Average Balance

Savings Bank Name

Average Balance

Savings Bank Name

Average Balance

OTHER ASSETS (ie: CDs, IRAs, Stocks, 401-K)

Description

Balance

Description

Balance

Description

Balance

Description

Balance

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.

Date(Required)

CAPTCHA

Online Banking

Consumer Loan Application

Serving our communities since 1910.