Mercer County State Bank Auto or Recreational Vehicle Loan Application
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Preferred branch you would like to handle your loan request:
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 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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Instructions:
1. Gather the documents needed to apply for the loan online.
Valid Drivers License & Current Paystubs for all applicants
2. Complete application online and click "Submit Application"
3. To safeguard your privacy, QUIT your browser and restart it again after using this form.
This loan application 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.
Loan Information
Amount Requested:
Purpose of Loan Request:
Description of Collateral Offered:
Loans available for vehicles 2015 or newer. For loan inquiries on collateral older than 2015, please contact a branch.
Year:
Make:
Model:
Term Requested: (required)
*Terms available depend on the type and age of collateral*
Are you applying as an individual or with a co-applicant as a joint application? (required)
Applicant Information
First Name:
Middle Initial:
Last Name:
Suffix:
Date of Birth:
Social Security No.:
Email Address:
Primary Phone:
Secondary Phone:
Best Time to Call:
Driver's License No.:
State Issued:
Issued Date:
Expiration Date:
Driver's License Information:
Upload front & back of license (required)
0 Files uploaded:
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Citizenship: (required)
Applicant Housing Information
Do you currently: (required)
If own:
Estimated Property Value:
Annual Property Tax Amount:
Annual Homeowner Insurance Amount:
Years at Current Address:
Monthly Rent or Mortgage Payment:
Applicant Employment Information
Current Employment Status: (required)
Current Employer Name:
Phone:
Address Information (required)
Gross Monthly Salary:
Your Position:
Years at Current Employer:
Upload most recent pay stubs or proof of income documentation here (required)
0 Files uploaded:
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Applicant Other Income
You do not have to list alimony, child support or separate maintenance income unless you want us to consider it for the purpose of granting and repayment of this credit request.
Other Income
If completing this section, include proof of income in upload sections.
Monthly Amount:
Source of Other Income:
Additional income (second job)
If completing this section, include pay stubs in upload section.
Name of Employer:
Position:
Gross Monthly Income:
Years at this job:
Co-Applicant Information (if applicable)
First Name:
Middle Initial:
Last Name:
Suffix:
Date of Birth:
Social Security Number:
Email Address:
Primary Phone:
Secondary Phone:
Best Time to Call:
Driver's License No:
State Issued:
Issued Date:
Expiration Date:
Driver's License Information:
Upload front & back of license
0 Files uploaded:
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Citizenship:
Co-Applicant Housing Information (if different from applicant)
Do you currently:
If own:
Estimated Property Value:
Annual Property Tax Amount:
Annual Homeowner Insurance Amount:
Years at Current Address:
Monthly Rent or Mortgage Payment:
Co-Applicant Employment Information
Current Employment Status:
Current Employer Name:
Phone:
Address Information
Gross Monthly Salary:
Your Position:
Years at Current Employer:
Upload most recent pay stubs or proof of income documentation here
0 Files uploaded:
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Co-Applicant Other Income
You do not have to list alimony, child support or separate maintenance income unless you want us to consider it for the purpose of granting and repayment of this credit request.
Other Income
If completing this section, include proof of income in upload sections.
Monthly Amount:
Source of Other Income:
Additional Income (second job)
If completing this section, include pay stubs in upload section.
Name of Employer:
Position:
Gross Monthly Income:
Years at this Job:
Deposit Accounts
Last 4 digits of your Primary Checking account number:
Name of Bank:
Approx. Balance:
Last 4 digits of your Primary Savings account number:
Name of Bank:
Approx. Balance:
Automatic Loan Payment
A 0.25% interest rate reduction is available when the loan is setup to automatically deduct payments from a Mercer County State Bank checking or savings account.
Automatically transferred funds will be applied as my monthly payment on each monthly due date. This will occur until I cancel, or the loan is paid in full. I understand the Bank reserves the right to terminate the automatic repayment plan without notice.
If Automatic Loan Payments are cancelled or the deposit account is closed, the interest rate will increase 0.25%
Do you want your monthly payment automatically deducted from your Mercer County State Bank deposit account? (required)
If yes, please provide deposit account number:
Applicant(s) Statement
I certify that all information provided by me herein, including any attachement(s) is true, correct and complete. I authorize Mercer County State Bank ("Bank") to make whatever inquiries about me deemed necessary and appropriate for the purpose of evaluating my credit, including obtaining my credit reports and contacting my employer. I also authorize the Bank to provide credit information about its credit experience with me to other creditors and credit reporting agencies. I agree to provide any further information the Bank may require to process my application.
(required)
Thank you for your loan request. Please click "Submit Form" below to start the loan process. A loan officer from Mercer County State Bank will reach out within two business days with a decision or to review any additional information needed for your request. If you have any questions regarding your application, please reach out to your preferred local branch.
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