Personal Loan Application
Submitter Information (Required)
First Name (required)
Last Name (required)
Resolve the errors marked in red before submitting again.

Privacy Policy:
Our privacy policy protects the privacy of your personally-identifying information that you provide us online.

Account Holders must reside in New York state.

Important Information about Procedures for Opening a New Account

Identification Procedures Requirements: 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 identifies each person who opens an account.

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.

Security Notice:
You should ONLY fill out this Application online if you are using a browser with the latest security enhancements. If you don't have the latest version, download a copy now.

Instructions:
1. Complete Application and click "Submit Application" or fax it to 315-638-9871.
2. To safeguard your privacy, QUIT your browser and restart it again after using this form. This form is NOT saved in your computer's memory when you quit your browser.
3. We will contact you with the location of our closest office and any other documentary requests we may have. You may also be requested to provide photocopies of your Driver's License or other identification.


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.

Personal Loan Request
If you are applying for a joint account or an account that you and another person will use, complete all sections, providing information about the Joint Applicant or user.
Amount Requested: (required)
Purpose of Loan: (required)
Applicant
First NameMiddle InitialLast Name
(required) (required) (required)
Date of BirthSocial Security No.No. of Dependents
(required) (required) (required)
Driver's License No.Driver's License StateIssue DateExpiration Date
(required) (required) (required) (required)
Home PhoneWork PhoneBest Time To Call
(required)
 

 
Are there any unsatisfied judgments against you? (required)
Have you been declared bankrupt in the last 7 years? (required)
Email address
Residence
Your Primary Residence:
Present Address
Years At Present AddressYour Monthly Rent or Mortgage Payment

 

 
Years At Previous AddressYour Previous Address

 

 
Home Information
Collateral Property Address (If different from above)Date Purchased

 

 
Current Mortgage HolderMortgage Holder Phone

 

 
Purchase PriceMarket ValueMortgage Balance

 

 

 
Employment
Your Present EmployerPhone

 

 
Address Information
Gross Monthly SalaryYour PositionYears There

 

 

 

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 IncomeSource of Other Income

 

 
Previous Employer (if less than 3 years at current employer)Years at Previous Employer

 

 
Address Information
Additional Information
Your Checking Account NumberInstitution Name

 

 
Your Savings Account NumberInstitution Name

 

 
Name of CreditorApprox. BalanceMonthly PaymentCollateral, if any

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
Total Amount of Other Monthly Payments not listed above:
AssetsValueTitle Held Name

 

 

 
Co-Applicant
First NameMiddle InitialLast Name

 

 

 
Date of BirthSocial Security No.No. of Dependents

 

 

 
Driver's License NoDriver's License StateIssue DateExpiration Date

 

 

 

 
Home PhoneBest Time To CallWork Phone

 

 

 
Co-Applicant Residence
Your Primary Residence:
Present Address
Years At Present AddressYour Monthly Rent or Mortgage Payment

 

 
Years At Previous AddressYour Previous Address

 

 
Email address
Co-Applicant Home Information
Collateral Property Address (If different from above)Date Purchased

 

 
Current Mortgage HolderMortgage Holder Phone

 

 
Purchase PriceMarket ValueMortgage Balance

 

 

 
Co-Applicant Employment
Your Present EmployerPhone

 

 
Address Information
Gross Monthly SalaryYour PositionYears There

 

 

 

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 IncomeSource of Other Income

 

 
Previous Employer (if less than 3 years at current employer)Years at Previous Employer

 

 
Address Information
Co-Applicant Additional Information
Your Checking Account NumberInstitution Name

 

 
Your Savings Account Number.Institution Name

 

 
Name of CreditorApprox. BalanceMonthly PaymentCollateral, if any

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
Total Amount of Other Monthly Payments not listed above:
AssetsValueTitle Held Name

 

 

 
Applicant(s) Statement

I/We have completed this request for credit in consideration of Seneca Savings 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 Seneca Savings 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 Seneca Savings at any time. I acknowledge that this application is subject to approval of credit and acceptance by Seneca Savings. Should my request for credit and subsequent loan be approved, I agree to give Seneca Savings written notice immediately upon change of my name, address, employment or any other pertinent information contained herein.

Federal law requires that we obtain your consent before providing required disclosures electronically.  Your consent will apply only to this transaction.  If you prefer to recieve paper copies free of charge after consenting to recieve electronic disclosures please call (315) 638-0233 and request them.  Because we may provide certain disclosures to you as soon as you consent, but prior to submitting your online application, you will not be able to withdraw your consent to recieve those disclosures electronically.  However, you may withdraw your consent to recieve future disclosures electronically at any time.  Such withdrawal will not affect the validity of the disclosures already given.

I/We AGREE with the above statement.  By clicking submit below I/WE wish to proceed with the application and acknowledge receipt of the above disclosures electronically.  Submit is considered my/our electronic signature.

Signatures
Electronic Signature (required)
Joint Applicant Electronic Signature (required)
Date and Time of Application (required)