Auto/Personal Loan Application
* Required Field
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You have submitted an application for a loan. In connection with your loan application, Lender may be soliciting, offering to sell, or will sell you an insurance product or annuity. Federal law requires Lender to provide you with the following disclosures.
- Lender, as a condition of granting you a loan, connot require that you purchase an insurance product or annuity from Lender or any of its affiliates.
- Lender, as a condition of granting you a loan, cannot require your agreement not to obtain or prohibit you from obtaining an insurance product or annuity from an unaffilated entity.
By signing below, I acknowledge that I have read, received and understsand this insurance disclosure.
Joint Credit Disclosure (if applicable)
We intend to apply for joint credit.
I agree to the above disclosures *
*Please Note: Alimony, child support, or maintenance income need not be revealed if you do not wish it to be
considered as a basis for repaying this obligation.
Submission of this form authorizes First National Bank in Carlyle to verify information provided herein,
including but not limited to employment credit history.