Equal Housing Lender | Member FDIC
Privacy Statement

Personal Loan Application
Submitter Information (Required)
First Name
(required)
Last Name
(required)
Resolve the errors marked in red before submitting again.

Currently, we are only accepting online applications from the following Georgia counties: Chatham, Bryan, Effingham, Bulloch and Liberty; as well as the South Carolina counties of Jasper and Beaufort.

Privacy Policy:
Our privacy policy protects the privacy of your personally-identifying information that you provide us online.

The bank is required to provide adequate notice to new account customers, beneficial owners and the controlling person that the bank is requesting information to verify their identities.  The notice describes the bank’s identification requirements and is posted in the lobby area to allow customers to view prior to opening an account.  The following statement is the bank’s sign:

IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT

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 on personal accounts identifies each person who opens an account.  In addition, on legal entity accounts, we will require identification on beneficial owners and controlling person.

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

 

If you request to open an account or become a signatory on an account with the Bank and the Bank has not previously verified your identity under the new regulatory requirements, the Bank will request documentary verification of your identity, such as driver’s license or passport and/or it will verify your identity through other non-documentary methods.  Similar identification requirements apply to business entities such as corporations, limited liability companies and partnerships.

In all cases, protection of our customers’ identity and confidentiality is the Bank’s pledge to you.

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".
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.

County of Residence
APPLICANTS MUST RESIDE IN ONE OF THE FOLLOWING COUNTIES. In which of the following counties do you currently reside? (required)
Personal Loan Request
Amount Requested:
Type of Application:
Purpose of Loan:
Applicant
First NameMiddle InitialLast Name

 
Date of BirthSocial Security No.No. of Dependents

 
Driver's License No.Driver's License StateDriver's License Expiration

 
Home PhoneBest Time To CallWork PhoneE-mail Address

 
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

 
Home Information
Collateral Property Address (If different from above)Date Purchased

 
Current Mortgage HolderMortgage Holder Phone

 
Purchase PriceMarket ValueMortgage Balance

 
Employment
Your Present EmployerPhone

 
Address Information
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.

Other Monthly IncomeSource of Other Income

 
Previous Employer (if less than 3 years at current employer)Years at Previous Employer

 
Address Information
Additional Information
Your Checking Account NumberInstitution Name

 
Your Savings Account Number.Institution Name

 
Name of CreditorApprox. BalanceMonthly PaymentCollateral, if any

 

 

 

 
Total Amount of Other Monthly Payments not listed above:
AssetsValueTitle Held Name

 
Co-Applicant
First NameMiddle InitialLast Name

 
Date of BirthSocial Security No.No. of Dependents

 
Driver's License NoDriver's License StateDriver's License Expiration

 
Home PhoneBest Time To CallWork PhoneEmail Address

 
Co-Applicant Residence
Your Primary Residence:
Present Address
Years At Present AddressYour Monthly Rent or Mortgage Payment

 
Years At Previous AddressYour Previous Address

 
Co-Applicant Home Information
Collateral Property Address (If different from above)Date Purchased

 
Current Mortgage HolderMortgage Holder Phone

 
Purchase PriceMarket ValueMortgage Balance

 
Co-Applicant Employment
Your Present EmployerPhone

 
Address Information
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.

Other Monthly IncomeSource of Other Income

 
Previous Employer (if less than 3 years at current employer)Years at Previous Employer

 
Address Information
Co-Applicant Additional Information
Your Checking Account NumberInstitution Name

 
Your Savings Account Number.Institution Name

 
Name of CreditorApprox. BalanceMonthly PaymentCollateral, if any

 

 

 

 
Total Amount of Other Monthly Payments not listed above:
AssetsValueTitle Held Name

 
Applicant(s) Statement

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

 

(required)