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UBank Auto Loan Application
Submitter Information (Required)
First Name
(required)
Last Name
(required)
Resolve the errors marked in red before submitting again.
Date of Application
Sample Date: 00/00/0000 (required)
Important Information

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)
Auto Loan Request
Amount Requested: (required)
Type of Application: (required)
Purchase or Non-Purchase? (required)
Term Requested: (required)
Vehicle Description
Year of VehicleMakeModel

 
VIN Number

 
Purchase PriceDown PaymentFinance Amount

 
Purchasing from Dealer (required)
Dealer Name
Trade-In
Creditor of Trade-In
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)
Applicant Residence
Your Primary Residence:
Present Home Address (required)
Years At Present AddressYour Monthly Rent or Mortgage Payment

 
Years At Previous AddressYour Previous Address

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

 
Home/Cell PhoneBest Time To Call

 
Co-Applicant Residence
Your Primary Residence:
Present Home Address
If different from 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 Loans Elsewhere?
Name of CreditorApprox. BalanceMonthly PaymentCollateral, if any

 

 

 

 
Applicant(s) Statement

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)