Amboy Bank | Choice Equity Application

Apply for Choice Equity Credit by completing the online form below. Applications are usually processed within two business days. Required supporting information will be requested shortly after we contact you.

If you prefer, you may Click here to access a PDF version of the application which you may complete and mail to us.

Choice Equity Application
*Information required to complete this application
*Please select one: New Loan Increase Existing Loan
*Amount requested: .00 (include existing credit line if switching from another bank)
*Do you intend to apply for joint credit with a co-applicant?	Yes No
If yes, does the co-applicant intend to apply for joint credit?	Yes No

Applicant Information
*Name:
*Address:
*City:	State: ZIP:
*Birth Date:	// MM/DD/YY
*SSN:
	Married Unmarried (single, divorced, Widowed) Seperated
*Phone-Home:	() -
Phone-Business:	() -
*Best Time to Call:	AM PM
*E-mail Address:
Gross Monthly Income***:	.00 Other Income**: .00
Employer:	Yrs Emp:
Position:
Address:
City:	State: ZIP:
Co-Applicant Information
Name:
Address:
City:	State: ZIP:
Birth Date:	// MM/DD/YY
SSN:
	Married Unmarried (single, divorced, Widowed) Seperated
Phone-Home:	() -
Phone-Business:	() -
Gross Monthly Income**:	.00 Other Income***: .00
Employer:	Yrs Emp:
Position:
Address:
City:	State: ZIP:
About Your Home
*Property is:	Single Family 2-4 Family Condominium
Lot:	Block: Cur. Market Value: .00
*Date of Purchase:
*Current Mortgage Balance:	.00 Rate:
Mo. Mortgage Payment:	.00 Real Estate Taxes: .00
Property Taxes are:	Escrowed Not Escrowed
Other Monthly Expenses:
First Mortgage Held By:
Current Home Equity Line Held By:
Home Equity Account #:
Current Home Equity Balance:
*How did you hear about Amboy's Equity Line? Internet Radio Mail Newspaper Branch Friend Other
Enter Promo Code # (if available):

*Required information to complete this online form.

**To help us speed up processing, please have available your two most recent pay stubs. If self employed, copies of the last two years of your personal tax return (all schedules) should be provided.

***Alimony, child support or seperate maintenace income need not be revealed if you do not wish it considered as a basis for repaying this obligation.

Disclaimer: Please read and agree to the following before submitting the application

The rate I will be charged will be the rate effective on the date you receive my application. You are authorized to check my credit and employment history and to obtain answers about my credit experience with others. I hearby certify that all statements made herein are true and complete, are to be relied upon by the bank, and are made to induce it to make a loan. The bank is authorized to obtain and exchange any information it may require concerning the statements made in this application which shall remain the property of the bank. I acknowledge that I have access to and agree to electronically accept the disclosures titled Important Terms of Our Choice Equity Line and What you should know about Home Equity Lines of Credit.

Choose a payment option
Debit my account Bill me monthly

I have reviewed and agree to the terms and conditions of the above Disclosures.