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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.

Consumer Application

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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.

 

CONSUMER LOAN APPLICATION
The First in , Mississippi

Check 
Appropriate 
Box
Individual Credit - Applying for credit in your own name and relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested.  (Complete only Sections A and C.)
Joint Credit - Applying for joint credit with another person.  
(Relationship to co-applicant if any)

I/we intend to apply for Joint Credit.
Applicant Initials Co-Applicant Initials
Individual Credit - Applying for credit in your own name but relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as the basis for repayment of the credit requested.  (Complete Sections A and C to the extent possible.)

Loan Type:
Consumer
Installment Single Pay Other
The First Personal Credit Line
The First Home Equity Line
Overdraft Protection DDA Number: 

If for home improvement or otherwise needed, attach separate monitoring information sheet.  (Attach separate Financial Statement if needed.)

Date:    Amount Requested:    Pmt. Date Desired: 

Number of Months:     Proceeds of Credit to be used for: 

SECTION A - Information Regarding Applicants:
Secured  Unsecured  New Note  Renewed Note

Part 1 First Applicant

Name (Last, First, Middle):

Date of Birth:

Present Street Address:

Years There:

City, State, Zip:

Social Security #:

Drivers License #:

Home Phone:

No. Dependents (incl self):
Dependents Ages:

Please Check One of the Following: Rent   Own   Live with Relatives

Landlord or Mortgager:

Rent or Monthly Payment: $

Previous Address:

Years There:

City, State, Zip:

Name Nearest Relative:
(not living with you)

Relationship:

Relative's Address:

Relative's Phone Number:

Your Employer:

Years There:

City, State, Zip:

Business Phone:     Ext:

Gross Monthly Salary: $

Title/Position:

Previous Employer:

Years There:

City, State, Zip:

Your Bank(s):
Checking:
Savings:

Other Income:
$ per   
Source:

*Alimony, child support or separate maintenance income need not be revealed if you do not choose to have it considered as a basis for repaying this obligation.  Alimony, child support, or separate maintenance received under:
Court Order       Written Agreement     Oral Agreement

Part 2 Second Applicant or Other Party

Name (Last, First, Middle):

Date of Birth:

Present Street Address:

Years There:

City, State, Zip:

Social Security #:

Drivers License #:

Home Phone:

No. Dependents (incl self):
Dependents Ages:

Please Check One of the Following: Rent   Own   Live with Relatives  

Landlord or Mortgager:

Rent or Monthly Payment: $

Previous Address:

Years There:

City, State, Zip:

Name Nearest Relative:
(not living with you)

Relationship:

Relative's Address:

Relative's Phone Number:

Your Employer:

Years There:

City, State, Zip:

Business Phone:    Ext:

Gross Monthly Salary: $

Title/Position:

Previous Employer:

Years There:

City, State, Zip:

Your Bank(s):
 
Checking:
 
Savings:

Other Income:
$ per   
Source:

*Alimony, child support or separate maintenance income need not be revealed if you do not choose to have it considered as a basis for repaying this obligation.  Alimony, child support, or separate maintenance received under:
Court Order       Written Agreement     Oral Agreement
SECTION B - Marital Status (Do not complete if this is an Application for Individual unsecured credit.)
Applicant: Married Separated Unmarried (including single, divorced, and widowed)

Other Party: Married Separated Unmarried (including single, divorced, and widowed)

SECTION C - Credit References (Include charge accounts, installment contracts, credit cards, rent, mortgages, etc. Use separate sheet if necessary.)
Creditor 1:
Name:
Address:
Type of Debit:
Account #:
Name in which Account carried:
Collateral:
Unpaid Balance:
Monthly Payment:

Creditor 2:
Name:
Address:
Type of Debit:
Account #:
Name in which Account carried:
Collateral:
Unpaid Balance:
Monthly Payment:

Creditor 3:
Name:
Address:
Type of Debit:
Account #:
Name in which Account carried:
Collateral:
Unpaid Balance:
Monthly Payment:

Creditor 4:
Name:
Address:
Type of Debit:
Account #:
Name in which Account carried:
Collateral:
Unpaid Balance:
Monthly Payment:

OTHER OBLIGATIONS (Check if you have any of the following liabilities):
Child Support, Alimony, etc.?
Monthly Amount: $
Written Agreement  Court Order  Verbal Agreement

Declared bankrupt during last 10 years?
If yes, where?     Year:

Contingent liabilities?
To:  For:  Amount: $

Unsatisfied Judgments?
If yes, to whom?:     Amount: $

Everything that I have stated in the application is correct to the best of my knowledge. I understand that you will retain this application whether or not it is approved. You are authorized to check my credit and employment history and to answer questions about your credit experience with me.
_______________________________
Applicant's Signature
(To be signed at processing)
_______________
Date
_______________________________
Other Signature (where applicable)
(To be signed at processing)
_______________
Date

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