Member FDIC | Equal Housing Lender

Privacy Statement

UBank 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.

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.

USA Patriot Act

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.

UBank requires applicants to be residents of Tennessee or Ketucky. If you are located outside of these areas, an online application will not be accepted. Please contact us if you have questions regarding your financial needs.

423-784-9446


Instructions:
1. Print this loan application and gather the information you'll need.
2. Complete application on-line and click "Submit Application" or fax it to 423-784-7686.
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.

Loan Officer
(required)
Loan Type
Personal Loan Request
Amount Requested: (required)
Type of Application: (required)
Purpose of Loan: (required)
Term Requested:
Applicant
First NameMiddle InitialLast Name

 
Date of BirthSocial Security No.

 
Driver's License No.Driver's License StateYour E-mail Address

 
Home/Cell PhoneBest Time To Call

 
Are there any unsatisfied Judgments against you? (required)
Have you been declared bankrupt in the last 7 years? (required)
Residence
Present Home Address (required)
Years At Present AddressYour Monthly Rent or Mortgage Payment

 
Years At Previous AddressYour Previous Address

 
Employment
(required)
Your Present EmployerEmployer Phone

 
Present Employer Address
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.

Applicant Other Income
Other Monthly IncomeSource of Other Income

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

 
Previous Employer Address
Additional Information
Automatic Payment Information
Checking Account NumberRouting NumberFinancial Institution Name

 
Any Current Loans Elsewhere?
Name of CreditorApprox. BalanceMonthly PaymentCollateral, if any

 

 

 

 
Co-Applicant
First NameMiddle InitialLast Name

 
Date of BirthSocial Security No.

 
Driver's License NoDriver's License StateYour E-mail Address

 
Home/Cell PhoneBest Time To Call

 
Co-Applicant Residence
Present Home Address
If different than Applicant...
Years At Present AddressYour Monthly Rent or Mortgage Payment

 
Years At Previous AddressYour Previous Address

 
Co-Applicant Employment
Your Present EmployerEmployer Phone

 
Present Employer Address
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.

Co-Applicant Other Income
Other Monthly IncomeSource of Other Income

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

 
Previous Employer Address
Co-Applicant Additional Information
Any Current Loans Elsewhere?
Name of CreditorApprox. BalanceMonthly PaymentCollateral, if any

 

 

 

 
Applicant(s) Statement

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

 

(required)