Equal Housing Lender | Member FDIC
Privacy Statement
Privacy Policy:
Our privacy policy protects the privacy of your personally-identifying information that you provide us online.
The bank is required to provide adequate notice to new account customers, beneficial owners and the controlling person that the bank is requesting information to verify their identities. The notice describes the bank’s identification requirements and is posted in the lobby area to allow customers to view prior to opening an account. The following statement is the bank’s sign:
IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify and record information that on personal accounts identifies each person who opens an account. In addition, on legal entity accounts, we will require identification on beneficial owners and controlling person.
What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver’s license or other identifying documents
If you request to open an account or become a signatory on an account with the Bank and the Bank has not previously verified your identity under the new regulatory requirements, the Bank will request documentary verification of your identity, such as driver’s license or passport and/or it will verify your identity through other non-documentary methods. Similar identification requirements apply to business entities such as corporations, limited liability companies and partnerships.
In all cases, protection of our customers’ identity and confidentiality is the Bank’s pledge to you.
Security Notice:
You should ONLY fill out this form on-line if you are using a browser with the latest security enhancements. If you don't have the latest version, download a copy now. This form is NOT cached (saved in your computer's memory) when you QUIT your browser.
Instructions:
1. Print this loan application and gather the information you'll need.
2. Complete application on-line and click "Submit Application".
3. To safeguard your privacy, QUIT your browser and restart it again after using this form.
This loan application is for personal loans only and is NOT intended for commercial use. A valid social security number is required to apply. Please review and gather the information you will need before completing this form. Upon receipt of the application, we will send you the proper disclosures.
First Name | Middle Initial | Last Name | |
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Date of Birth | Social Security No. | No. of Dependents | |
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Driver's License No. | Driver's License State | Driver's License Expiration | Driver's License Date of Issue | |
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Home Phone | Best Time To Call | Work Phone | E-mail Address | |
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Years At Present Address | Your Monthly Rent or Mortgage Payment | |
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Years At Previous Address | Your Previous Address | |
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Collateral Property Address (If different from above) | Date Purchased | |
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Current Mortgage Holder | Mortgage Holder Phone | |
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Purchase Price | Market Value | Mortgage Balance | |
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Your Present Employer | Phone | |
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Gross Monthly Salary | Your Positon | Years There | |
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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.
Other Monthly Income | Source of Other Income | |
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Previous Employer (if less than 3 years at current employer) | Years at Previous Employer | |
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Your Checking Account Number | Institution Name | |
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Your Savings Account Number. | Institution Name | |
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Name of Creditor | Approx. Balance | Monthly Payment | Collateral, if any | |
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Assets | Value | Title Held Name | |
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First Name | Middle Initial | Last Name | |
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Date of Birth | Social Security No. | No. of Dependents | |
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Driver's License No. | Driver's License State | Driver's License Expiration | Driver's License Date of Issue | |
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Home Phone | Best Time To Call | Work Phone | E-mail Address | |
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Years At Present Address | Your Monthly Rent or Mortgage Payment | |
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Years At Previous Address | Your Previous Address | |
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Collateral Property Address (If different from above) | Date Purchased | |
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Current Mortgage Holder | Mortgage Holder Phone | |
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Purchase Price | Market Value | Mortgage Balance | |
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Your Present Employer | Phone | |
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Gross Monthly Salary | Your Positon | Years There | |
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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.
Other Monthly Income | Source of Other Income | |
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Previous Employer (if less than 3 years at current employer) | Years at Previous Employer | |
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Your Checking Account Number | Institution Name | |
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Your Savings Account Number. | Institution Name | |
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Name of Creditor | Approx. Balance | Monthly Payment | Collateral, if any | |
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Assets | Value | Title Held Name | |
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This section to be completed only for loans subject to reporting under the Home Mortgage Disclosure Act (HMDA).
HMDA loans are loans made for the following purposes: Home Purchase (secured), Home Improvement (secured or unsecured), or refinance of a loan secured by a 1-4 residential dwelling (regardless of purpose).
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 discriminate neither on the basis of this information, nor on whether you choose to furnish it.
If you choose to furnish the information, please provide both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this Lender is required to note the information on the basis of visual observation or surname.
If you do not wish to furnish the above information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the Lender is subject under applicable state law for the particular type of loan applied for.)
I/We have completed this request for credit in consideration of Carver State Bank lending to me and/or others upon my guarantee. I/We certify that all information contained herein is accurate and complete to the best of my knowledge.
I/We authorize Carver State Bank to retain property of this application, to rely on the foregoing, to check and verify my credit, employment and salary history, to secure follow up credit reports concerning my credit worthiness and to exchange information about my account with proper persons, creditors and credit bureaus.
I authorize my employer (present and future), bank and other references listed above to release and/or verify information to Carver State Bank at any time. I acknowledge that this application is subject to approval of credit and acceptance by Carver State Bank. Should my request for credit and subsequent loan be approved, I agree to give Carver State Bank written notice immediately upon change of my name, address, employment or any other pertinent information contained herein.