Resolve the errors marked in red before submitting again.
Date of Application
Sample Date: 00/00/0000 (required)
UBank requires applicants to be residents of Tennessee or Kentucky. If you are located outside of these areas, an online application will not be accepted.
Please contact us (423-784-9446) if you have questions regarding your financial needs.
Privacy Policy:
Our privacy policy protects the privacy of your personally-identifying information that you provide us online.
USA Patriot Act Important Information about Procedures for Opening or Changing an New Account with UBank
Section 326 of the USA PATRIOT ACT requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. This federal requirement applies to all new customers. This information is used to assist the United States government in the fight against the funding of terrorism and money-laundering activities.
What this means to you: When you open an account, we will ask each person for their name, physical address, mailing address, date of birth, and other information that will allow us to identify them.
Additionally, FinCEN has adopted what they describe as a “two pronged” approach to beneficial ownership.
The ownership prong includes all natural persons with 25% or more direct or indirect equity interest in a legal entity while the control prong is a single individual with significant managerial responsibility (the Rule says “control, manage or direct”) over the legal entity.
We will ask to see each person’s driver’s license and other identifying documents, and copy or record information from each of them.
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" 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)
Personal Loan Request
Amount Requested: (required)
Purpose of Loan (required)
Type of Application: (required)
Joint Applicant Status: (if any) (required)
Loan Type
Term Requested
Applicant
First Name
Middle Initial
Last Name
Date of Birth
Social Security No.
Driver's License No.
Driver's License State
Your E-mail Address
Home/Cell Phone
Best 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 Address
Your Monthly Rent or Mortgage Payment
Years At Previous Address
Your Previous Address
Employment
(required)
Your Present Employer
Employer Phone
Present Employer Address
Gross Monthly Salary
Your Position
Years 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 Income
Source 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/Savings Account Number
Routing Number
Financial Institution Name
Any Current Loans Elsewhere?
Name of Creditor
Approx. Balance
Monthly Payment
Collateral, if any
Co-Applicant or Co-Signer
First Name
Middle Initial
Last Name
Date of Birth
Social Security No.
Driver's License No
Driver's License State
Your E-mail Address
Home/Cell Phone
Best Time To Call
Co-Applicant or Co-Signer Residence
Present Home Address
If different than Applicant...
Years At Present Address
Your Monthly Rent or Mortgage Payment
Years At Previous Address
Your Previous Address
Co-Applicant or Co-Signer Employment
Your Present Employer
Employer Phone
Present Employer Address
Gross Monthly Salary
Your Position
Years 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 or Co-Signer Other Income
Other Monthly Income
Source of Other Income
Previous Employer (if less than 3 years at current employer)
Years at Previous Employer
Previous Employer Address
Co-Applicant or Co-Signer Additional Information
Any Current Loans Elsewhere?
Name of Creditor
Approx. Balance
Monthly Payment
Collateral, 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.
Purpose
You are submitting an application for a loan. In connection with your loan application, Lender may be soliciting, offering to sell, or will sell you an insurance product or annuity. Federal law requires Lender to provide you with the following disclosures.
Credit Disclosures
1. Lender, as a condition of granting you a loan, cannot require that you purchase an insurance product or annuity from Lender or any of its affiliates.
2. Lender, as a condition of granting you a loan, cannot require your agreement not to obtain or prohibit you from obtaining an insurance product or annunity from an un affiliated entity.
Acknowledgment
BY SIGNING DIGITALLY BELOW, I ACKNOWLEDGE THAT I HAVE READ, RECEIVED AND UNDERSTAND THIS INSURANCE DISCLOSURE.
