Online Banking

Military Loan Application

Please fill out this secure form
Important: Please read these directions before completing this Application, and check the appropriate box below.

If you are applying for individual credit in your own name, and are relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested. If the requested credit is to be secured, identify the collateral in Section F.
 
If you are applying for joint credit with another person, complete all Sections, providing information in Section B about the joint applicant. If the requested credit is to be secured, identify collateral in Section F.

WE INTEND TO APPLY FOR JOINT CREDIT:
Applicant Co-Applicant
 
If you are applying for individual credit, but are relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as the basis for repayment of the credit requested, complete all Sections, providing information in Section C about the person whose alimony, support, or maintenance payments or income or assets you are relying. If the requested credit is to be secured, identify collateral in Section F.

Important Information About Procedures for Opening a New Account
To help the government fight the funding of terrorism and money laundering activities, the USA Patriot Act requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will ask for your name, physical address, date of birth, taxpayer identification number and other information that will allow us to identify you. We may also ask to see your driver's license or other identifying documents. We will let you know if additional information is required.
 
 
INFORMATION REGARDING APPLICANT
Full Name (Last, First, Middle): 
Rank: 
Years of Service: 
SSN: 
Duty Email: 
Residential or Physical Address: 
City: 
Zip Code: 
Permanent Address: 
City: 
Zip Code: 
Duty Phone: 
 
INFORMATION REGARDING JOINT APPLICANT OR OTHER PARTY
Full Name (Last, First, Middle): 
Mailing Address: 
(if different from above) 
City: 
Zip Code: 
Date of Birth: 
SSN: 
Relationship to Applicant: 
Email Address: 
Employer: 
Employer Address: 
Position or Title: 
How Long with Present Employer? 
   
APPLICANT(S) MONTHLY INCOME STATEMENT
*Note: Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this debt. (Applies to Applicant & Co-Applicant)
*Alimony, child support or separate maintenance received under: 




   
INCOME TYPE
Military Pay   
Amount:  $
   
Military Retired Pay   
Amount:  $
   
Disability   
Amount: 
   
Civilian Job Income   
Employer: 
Amount:  $
   
Joint Applicant Income   
Employer: 
Amount:  $
   
Rental Income   
Amount: 

$

   
Child Support, Etc.*   
Amount:  $
   
DESCRIPTION OF ASSETS
Checking Account At: 
Checking Account Balance:  $
   
Savings Account at: 
Savings Account Balance:  $
   
Real Estate
   
Real Estate 1   
Location (Street/City/State): 
Mortgage Held By: 
Recorded by Name of: 
Current Market Value:  $
Balance Owed:  $
   
Real Estate 2   
Location (Street/City/State): 
Mortgage Held By: 
Recorded by Name of: 
Current Market Value:  $
Balance Owed:  $
   
COLLATERAL (Complete if credit is to be secured.)
   
Collateral Description: 
VIN#: 
Title State: 
New/Used:    
   
MARITAL STATUS (Complete ONLY IF loan is secured by collateral.)
Applicant: 

(including single, divorced or widowed)
Other Party: 

(including single, divorced or widowed)
   
DISCLOSURES
FEDERAL CREDIT APPLICATION DISCLOSURE: I applied for an extension of credit with you. You are soliciting, offering, or selling me an insurance product or annuity in connection with this extension of credit. FEDERAL LAW PROHIBITS YOU FROM CONDITIONING THE EXTENSION OF CREDIT ON EITHER: 1) My purchase of an insurance product or annuity from you or from any of your affiliates; or 2) My agreement not to obtain, or prohibition on me from obtaining, an insurance product or annuity from an unaffiliated entity.
   
SIGNATURES

Everything that I have stated in this Application is correct to the best of my knowledge. I understand that you will retain this Application whether or not it is approved. You are authorized to check my credit and employment history and answer questions about your credit experience with me.

Unless I have purchased the insurance product(s) by mail or if the Credit Disclosures are provided electronically, by signing below, I acknowledge that I have received the Credit Disclosures orally at the time I have applied for credit and fully understand the disclosures noted above. I am also being provided with a copy of these disclosures and I acknowledge receipt by my signature.

Applicant Signature:   
Date: 
   
Other Signature:   
Date: