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Fraud Alert: Please remember that the bank will never call and ask for your debit or credit card number or any information about your accounts. Never confirm or provide any personal or financial information to a caller and contact your local banker if you receive any call of this nature.

Commercial Credit Application

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. An account includes: Investments, Safe Deposit, Loans and Deposit Accounts.

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 will also ask to see your driver's license or other identifying documents. In some cases, identification will be requested for those banking with The First prior to October 1, 2003 because original documentation was not obtained with the opening of the account. In all cases, protection of our customer's identity and confidentiality is the Bank's pledge to you.

The identity information is not being obtained for credit decision purposes.

 

APPLICATION INFORMATION
Application for: Amount Requested:
Appling for:  Individual Credit           Joint Credit  (Initials)       Individual Credit relying on other sources of Income
Purpose of Loan:
Borrower
Name D.O.B. School Yrs Attended:
Present
Address
Address

State

 Zip
 
Number of Years at this address
Years:   Own   Rent
Former
Address
Address

State

 Zip
 
(if less than 2 years at present address)
Number of Years at this address
Years:   Own   Rent
Driver's License Number Phone
Social Security Number Business Phone
E-mail Address

Dependents other than listed by Co-Borrower

No.    Ages
Marital Status
Married
Unmarried (including single, divorced, widowed)
Separated
Do not complete if this is an application for individual unsecured credit.
Name of Employer

Address

State

 Zip
 
Years employed in this line of work or profession? 

Years on this job 

Self-employed
Position/Title Type of Business
Co-Borrower
Name D.O.B. School Yrs Attended:
Present
Address
Address

State

 Zip
 
Number of Years at this address
Years:   Own   Rent
Former
Address
Address

State

 Zip
 
(if less than 2 years at present address)
Number of Years at this address
Years:   Own   Rent
Driver's License Number Phone
Social Security Number Business Phone
E-mail Address

Dependents other than listed by Co-Borrower

No.    Ages
Marital Status
Married
Unmarried (including single, divorced, widowed)
Separated
Do not complete if this is an application for individual unsecured credit.
Name of Employer

Address

State

 Zip
 
Years employed in this line of work or profession? 

Years on this job 

Self-employed
Position/Title Type of Business
INCOME
NOTICE - Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered as a basis for repaying this obligation.
GROSS MONTHLY INCOME MONTHLY HOUSING EXPENSE
Item Borrower Co-Borrower Total Item Total
Base Empl. Income Rent
Overtime First Mortgage (P&L)
Bonuses Other Financing
Commissions Hazard Insurance
Dividends/Interest Real Estate Taxes
Net Rental Income Mortgage Insur.
Other+ (Before completing, see notice under Describe Other Income below) Homeowner Assn. Dues
Total   
DESCRIBE OTHER INCOME
NOTICE - Alimony, child support, or separate maintenance income need not be revealed if the Borrower or Co-Borrower does not choose to have it considered as a basis for repaying this obligation.
Item Monthly Amount
IF EMPLOYED IN CURRENT POSITION LESS THAN 2 YEARS COMPLETE THE FOLLOWING
B/C Previous Emplr./School City/State Type of Bus. Position/Title Dates Monthly Incomes
THESE QUESTIONS APPLY TO BOTH BORROWERS
If a yes answer is given to a question in this column, explain on an attached sheet. B
Y/N
C
Y/N
B
Y/N
C
Y/N
Have you any outstanding judgments? Are you a co-maker or endorser on a note?
In the last 14 years, have you been bankrupt? Are you a party in a law suit?
Have you had property foreclosed upon or given title or deed in lieu of? Are you obligated to pay alimony, child support, or separate maintenance?
Assets (Description) Cash or Market Value
Name and address of Bank, S&L, or Credit Union (List checking and savings accounts)
Acct. No. $
Name and address of Bank, S&L, or Credit Union (List checking and savings accounts)
Acct. No. $
Name and address of Bank, S&L, or Credit Union (List checking and savings accounts)
Acct. No. $
Name and address of Bank, S&L, or Credit Union (List checking and savings accounts)
Acct. No. $
Stocks & Bonds (Company name/number & description)
$
Life Insurance net cash value:      Face amount: $
Subtotal Liquid Assets $
Real Estate owned (enter market value from schedule of real estate owned) $
Vested interest in retirement fund $
Net worth of business(es) owned (attach financial statement) $
Automobiles owned (make and year)

$
$
Other Assets (itemize)
$
Total Assets a. $

Liabilities and Pledged Assets. List the creditor's name, address and account number for all outstanding debts, including automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. Use continuation sheet, if necessary.

Liabilities Monthly Payment Unpaid Balance
Name and address of Company
$ $
Acct. No.
Name and address of Company
$ $
Acct. No.
Name and address of Company
$ $
Acct. No.
Name and address of Company
$ $
Acct. No.
Name and address of Company
$ $
Acct. No.
Name and address of Company
$ $
Acct. No.
Alimony/Child Support/Separate Maintenance Payments Owed to: $
Job Related Expense (child care, union dates, etc.) $
Total Monthly Payments $
Total Liabilities b. $
SCHEDULE OF REAL ESTATE OWNED
(If Additional Properties Owned Attach Separate Schedule)
Address of Property
Type of Property
Indicate S if Sold,
PS if Pending Sale or
R if Rental being held for income
Present Market Value Amt. of Mortgages & Liens Gross Rental Income Mortgage Paymts. Taxes, Ins., Maint. and Misc. Net Rental Income
Totals
LIST PREVIOUS CREDIT REFERENCES
Borrower or CoBorrower Creditor's Name and Address Account Number Purpose Highest Balance Date Paid
List any additional names under which credit has previously been received.

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Disclosure

By clicking below, I hereby certify that everything I have stated above is correct. You may keep this application whether or not it is approved. By clicking below, I authorize you to check my credit and employment history and verify other information which I have provided to you.

 

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