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BANKING RELATIONSHIP
(required)
Completing Your Application
Loan Amounts from $3,000.00 to $50,000.00
Please have the following ready before applying:
Social Security Number or Tax ID Number
Current Paystubs for the most recent 30-day period
Verification of Employment
IRS Form W2 for last 2-Years
Federal Personal Tax Returns for last 2-years (or business tax returns if you are self employed)
Mandatory Requirements for all applicants:
18 years or older
Resident of Guam, NMI, and Palau
MyPersonal Loan Request
Amount Requested: (required)
LOAN TERM (required)
Loan Type (required)
Loan Purpose (required)
For 'Other' List Detail Below
Indicate 'Other' Purpose Below
Promotion Code (If Applicable)
Type of Application:
WHERE DID YOU HEAR ABOUT US?
(required)
*REFERRAL NAME
Privacy Policy:
Our Privacy Policy protects the privacy of your personally-identifying information that you provide us online.
Applicants must reside in Guam, NMI, and Palau.
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 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. Complete application on-line and click "Submit Application" or fax it to 671-477-4767
2. 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 Consolidation Section
LOAN CONSOLIDATION
LIST OBLIGATIONS TO BE PAID OFF OR PAID DOWN (FOR MORE UPLOAD AS ATTACHMENT)
LENDER NAME
ACCOUNT NUMBER
ESTIMATED BALANCE
1
2
3
Applicant
First Name
Middle Initial
Last Name
Date of Birth (MMDDYYYY)
Social Security No.
Driver's License No.
Driver's License State
Driver's License Issued Date
Driver's License Expiry Date
Cell Phone
Home Phone
Work Phone
Email Address
Citizenship (required)
Polictically Exposed Persons
No
Yes
Are you a close associate, related to, or are a Senior Foreign Official or Politically Exposed Person (PEP)?
Applicant Residence
Your Primary Residence: (required)
Physical Address (required)
Years At Present Address
Your Monthly Rent/Mortgage Payment or Household Contribution
Mailing Address (if different from Physical Address) (required)
Applicant Employment
Your Present Employer
Phone
Gross Monthly Salary
Your Position
Years There
Employment (If less than 2 years)
Name of Employer
Number of Years at previous employer
Other Income
Source
Monthly Income
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 Additional Information
Name of Creditor
Approx. Balance
Monthly Payment
Total Amount of Other Monthly Payments not listed above:
Co-Applicant
First Name
Middle Initial
Last Name
Date of Birth (MMDDYYYY)
Social Security No.
Driver's License No
Driver's License State
Driver's License Issued Date
Driver's License Expiry Date
Cell Phone
Home Phone
Work Phone
Email Address
Citizenship
Politically Exposed Persons
No
Yes
Are you a close associate, related to, or are a Senior Foreign Official or Politically Exposed Person (PEP)?
Co-Applicant Residence
Your Primary Residence:
Present Address
Years At Present Address
Your Monthly Rent/Mortgage Payment or Household Contribution
Mailing Address (If different from Physical Address)
Co-Applicant Employment
Your Present Employer
Phone
Gross Monthly Salary
Your Position
Years There
Employment (If less than 2 years)
Name of Employer
Number of years at previous employer
Other Income
Source
Monthly Income
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 Additional Information
Name of Creditor
Approx. Balance
Monthly Payment
Collateral, if any
Total Amount of Other Monthly Payments not listed above:
Applicant(s) Statement
If you are applying for Joint Credit with another person, both the primary and joint applicants sections must be completed. In addition, be advised that both the Applicant and Co-Applicant are equally contractually liable for the loan.
The Applicant and Co-applicant (if applicable) are asking BANKPACIFIC for MyPersonalLoan in the name of the Applicant and co-applicant (if applicable). By submitting this application, you represent that all the information you have provided on this application is true and correct. You authorize BANKPACIFIC to verify the information you have given and receive and exchange credit information about all Applicants now and in the future. We may disclose nonpublic personal information about you with our corporate affiliates and other nonaffiliated third parties under certain circumstances to provide account services. Any nonpublic personal information shared is conducted in strict adherence to our Privacy Protection Policy. We do not disclose any nonpublic personal information about you to anyone, except as permitted under law.
You further understand and agree that the act of submitting this application constitutes your electronic signature, and your electronic submission of this application shall be legally binding, such transaction shall be considered authorized by you, and the same terms that apply to a signed paper application will apply to this electronically submitted application.
You understand that any approval granted as a result of this application is subject to your eligibility and further review by BankPacific. You understand that you will receive additional agreements and disclosures that are applicable to the type of credit requested if approved.
By submitting this loan request, you agree that the information is correct to the best of your knowledge. You also agree to notify us of any changes to your name, address, or employment.
DECLARATIONS
About Your Finances
NO
YES
Are you a co-signer or guarantor on any debt or loan that is not disclosed on this application?
Are there any outstanding judgments against you?
Are you currently delinquent or in default on a Federal debt?
Are you a party to a lawsuit in which you potentially have any personal financial liability?
Have you had property foreclosed upon in the last 7 years?
Have you declared bankruptcy within the past 7 years?
(required)
Identification Card (Drivers License, Passport, or Government ID) (required)
Upload ID
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Income Documents (2 latest paystubs and/or Verification of Employment) (required)
Upload Income Documents
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Promotional Letter (If Applicable)
Upload Loan Offer Letter
0 Files uploaded:
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Personal Financial Statement (Required for Requests over $25,000)
Assets
Assets (Input in Whole Dollars)
Cash
Accounts & Notes Receivable
Marketable Securities
Life Insurance - CSV
Residence
Non-Residence Properties
Automobiles
Other Personal Property
Liabilities (Input in whole Dollars)
Liabilities
Secured
Unsecured
Accounts Payable
Unpaid Taxes
Residence Mortgage
Other Real Estate Mortgage
Installment Accounts
Loan on Life Insurance
Other Liabilities
PERSONAL REFERENCES
NEAREST RELATIVE NOT LIVING WITH YOU OR PERSONAL REFERENCES
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