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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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Applicant's Information
First Name
Last Name
Date of Birth
Social Security Number
Phone Number
Alternate Phone Number
Email
Principal Address (required)
Own With Mortgage
Own Outright
Rent
Other
Years At Principal Address
Monthly Rent or Mortgage Payment
Previous Address (If years at Principal Address is less than 2 years)
Borrower's Employment and Income Information
Employed
Unemployed
Self-Employed
Retired
Student
Your Current Employer
Phone
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.
Other Monthly Income
Source of Other Income
Your Previous Employer (if less than 2 years with Current Employer
Previous Employer
Phone
Years There
Auto Loan Details
Amount Requested
Desired Monthly Payment
Desired term (in months)
If you have already selected the vehicle you would like to purchase, please provide the information below.
Year
Make
Model
Additional Information
Deposit Account(s)
Checking
Savings
CD's
IRA
Deposit Account Banks or other Financial Institutions
Institution Name
1.
2.
3.
Co Applicant Information (Optional)
First Name
Last Name
Date of Birth
Social Security Number
Co Applicant
Applicant(s) Statement
Applicant(s) Statement
I / we have completed this request for credit in consideration of Flanagan State Bank lending to me and/or others upon my guarantee. I certify that all information contained herein is accurate and complete to the best of my knowledge.
I authorize Flanagan State 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 Flanagan State Bank at any time. I acknowledge that this application is subject to approval of credit and acceptance by Flanagan State Bank. Should my request for credit and subsequent loan be approved, I agree to give Flanagan State Bank written notice immediately upon change of my name, address, employment or any other pertinent information contained herein.