Bank Of Erath

Auto / Personal Loan Application

Required Field

Loan Information

Are you applying as an individual or with a co-applicant?

Is this a personal or auto loan?

Vehicle Information

Applicant

How would you prefer to be contacted?

Marital Status

Housing Status

Employment

Financial Information

Do you have a checking account?

Do you have a savings account?

Personal Reference

Add Another Reference

Co-Applicant

How would you prefer to be contacted?

Marital Status

Housing Status

Employment

Financial Information

Do you have a checking account?

Do you have a savings account?

Personal Reference

Add Another Reference

Endorsement

I certify that all information provided by me herein, including attachments (s) is true, correct and complete. I authorize Bank of Erath to make whatever inquiries about me you deem necessary and appropriate for the purpose of evaluating my credit, including obtaining credit reports and contacting my employer. I also authorize Bank of Erath to provide credit information about its credit experience with me to other creditors and credit reporting agencies. I authorize the Bank to obtain address information from the Department of Motor Vehicles and waive the address confidentiality requirements of Section XXXX.XX of the State Vehicle Code. I agree to provide any further information the Bank might require to process my application.

Insurance Disclosure

Purpose

You have submitted an application for a loan. In connection with your loan application, lender may be soliciting, offering to see, or will sell you an insurance product or annuity. Federal law requires Lender to provide you with the following disclosures.

Credit Disclosures

  1. Lender, as a condition of granting you a loan, cannot require that you purchase an insurance product or annuity from Lender or any of its affiliates.
  2. Lender, as a condition of granting you a loan, cannot require that your agreement not to obtain or prohibit you from obtaining an insurance product or annuity from an unaffiliated entity.

Acknowledgment

BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE READ, RECEIVED AND UNDERSTAND THIS INSURANCE DISCLOSURE.