Personal Loan InFirst Bank

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Business
Convenience Services
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Fraud Prevention
About Us

A business man sitting at a desk in natural light using an inkwell pen to sign a document

Personal Loan

Application

Personal Loan

Application

**Please note that you may be required to stop in at one of our offices to complete the application process.

(Required)

I Agree

I Disagree

Loan Type Requested

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Secured

Unsecured

Credit Type Requested

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Individual Credit - relying solely on my income or assets

Individual Credit - relying on my income or assets as well as income or assets from other sources

Joint Credit

Amount Requested(Required)

For how long(Required)

Proceeds of loan to be used for(Required)

INDIVIDUAL APPLICANT INFORMATION

Name(Required)

First Middle Last

Birthdate(Required)

MM slash DD slash YYYY

Telephone Number(Required)

Email

Driver's License Number

State

Social Security Number(Required)

Number of Dependents

Ages of Dependents

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

County

Do you

Own?

Rent?

How Long?

Previous Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

(Complete if less than 2 yrs. at present address)

Previous County

Did you

Own?

Rent?

How Long?

Nearest Relative's Name

First Last

(living relative not living with you)

Nearest Relative's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Nearest Relative's Relationship to You

Nearest Relative's Telephone Number

JOINT APPLICANT OR OTHER PARTY INFORMATION

There will be a Co-Borrower on this loan.

Name

First Last

Birthdate

MM slash DD slash YYYY

Phone

Email

Driver's License Number

State

Social Security No.

Number of Dependents

Ages of Dependents

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

County

Do you

Own?

Rent?

How Long?

Previous Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous County

Did you

Own?

Rent?

How Long?

MARITAL STATUS

Complete only if: for joint or secured credit, or applicant resides in a community property state or is relying on property located in such a state as the basis for repayment of the credit requested.

Applicant

Married

Separated

Unmarried (including single, divorced, and widowed)

Other Party

Married

Separated

Unmarried (including single, divorced, and widowed)

EMPLOYMENT INFORMATION

Borrower

Employer Name

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Years Employed?

If employed in current position for less than two years, or if currently employed in more than one position, complete the following:

Other Employer Name

Other Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Years Employed?

Co-Borrower

Employer Name

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Years Employed?

If employed in current position for less than two years, or if currently employed in more than one position, complete the following:

Other Employer Name

Other Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Years Employed?

MONTHLY INCOME

Income Disclosure

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

Gross Monthly Income - Borrower

Gross Employment Income

Overtime

Bonuses

Commissions

Dividends/Interest

Net Rental Income

Other

Total Income

Gross Employment Income

Overtime

Bonuses

Commissions

Dividends/Interest

Net Rental Income

Other

Total Income

ASSET & DEBT INFORMATION

Assets:

Please list all assets such as checking accounts, savings accounts, money market funds, mutuals, bonds, certificates of deposit, stocks, life insurance, automobiles, real estate, retirement funds, etc. Include a balance, institution and account number for each.

Liabilities:

Please list all liabilities such as automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. Include a balance, institution and account number for each.

Are you obligated to make alimony, support or maintenance payments?

Yes

No

If yes, to

Are you a co-maker, endorser, or guarantor on any loan or contract?

Yes

No

If yes, for whom?

Are there any unsatisfied judgments against you?

Yes

No

If yes, to whom owed?

Have you been declared bankrupt in the last 10 years?

Yes

No

If yes, where?

SECURED CREDIT

Complete only if credit is to be secured. Briefly describe the property to be given as security:

*ACKNOWLEDGMENT AND AGREEMENT

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Each of the undersigned hereby acknowledges that InFirst Bank has a current need to review your creditworthiness. By signing below, you agree we may verify your credit record and/or employment history by any means necessary, including preparation of a credit report by a consumer reporting agency.

You are entitled to one free copy of your credit report every 12 months from each of the three nationwide credit reporting companies. Order online from annualcreditreport.com, the only authorized website for free credit reports, or call 1-877-322-8228. You will need to provide your name, address, social security number, and date of birth to verify your identity.

One of our Lending Professionals will contact you within 24 hours (Monday through Friday) to finalize the details of your loan request.

Phone: (800) 349-2814

CONTACT US | LOCATIONS & HOURS | CAREER OPPORTUNITIES | PRIVACY STATEMENT

REGULATORY NOTICES | NMLS# 447118 | ROUTING# 243373358

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