Credit Builder 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.

Applicants must reside in County, 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.

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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
Amount Requested:
Type of Application:
Do you intend to apply for joint credit? (required)
Purpose of Loan:
Applicant
First NameMiddle InitialLast Name

 
Date of BirthSocial Security No.No. of Dependents

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

 
Home PhoneBest Time To CallWork Phone

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

 
Years At Previous AddressYour Previous Address

 
Address Information
Co-Applicant
First NameMiddle InitialLast Name

 
Date of BirthSocial Security No.No. of Dependents

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

 
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

 
Address Information
Applicant(s) Statement

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

I/We AGREE with the above statement