Loan Application

When you have completed the application, please click the Submit button to forward your information to the First National Bank via our Secure Server.

If you are outside of Beltrami, Cass, Clearwater, or Hubbard counties, please contact First National Bank Bemidji at 218-333-4320 to talk to a loan officer.

Loan Information

Please check one

Depending upon the type of loan you are applying for, additional information may be required.

Primary Applicant Information

Do you

If you've lived at your current address less than 2 years, please provide your previous home address

FNBB Loan Officer

Employment Information

Previous Employer

Joint Applicant Information

If you've lived at your current address less than 2 years, please provide your previous home address

Joint Applicant Employment Information

Previous Employer

Primary Applicant Income & Asset Information

Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Real Estate

Add Another Real Estate

Auto

Add Another Auto

Accounts with FNB Bemidji?

Joint applicant accounts with FNB Bemidji?

Accounts with other institution?

Accounts with other institution?

Primary Applicant Debt Information

List all debts and credit accounts, replacing "Other" with description. If those listed do not apply, please say "None" for balance & payment..

  • Rent or Mortgage
  • Credit Card
  • Auto Payments
Add Another Debt
  • Applicant
  • Joint
  • Do you have any other unlisted debt?
  • Have you ever filed bankruptcy?
  • Are you a co-signer, endorser, or guarantor for anyone?
  • Are there any claims, suit or judgments against you?

References

Please check which services you have with this financial institution.

Applicant Personal Reference

FEDERAL CREDIT APPLICATION INSURANCE DISCLOSURE

I have applied for an extension of credit with you. You are soliciting, offering, or selling me an insurance product or annuity in connection with this extension of credit. Federal law prohibits First National Bank of Bemidji from conditioning the extension of credit on either:

*My purchase of an insurance product or annuity from you or;
*My agreement not to obtain, or a prohibition on me from obtaining, an insurance product from an unaffiliated entity.

By signing, I acknowledge that First National Bank of Bemidji has given me the opportunity to receive a copy of this form on today's date. Unless this disclosure is provided electronically or I have applied for credit by mail, I also acknowledge that this disclosure was provided to me orally.

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.

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.

By signing or submitting this application, you understand and agree that:

  1. You have read all applicable credit disclosures;
  2. The information on this application is true and complete;
  3. The bank is authorized to check your credit and employment history; and
  4. The bank is authorized to inspect any collateral, after giving reasonable notice to you.

Applicant:
Type or Sign Name Here ____________________________________

Joint Applicant:
type or Sign name Here ____________________________________


If you prefer, you may print this form and fax or mail it to:

First National Bank Bemidji
PO Box 670
Bemidji, MN 56619-0670
Fax 218-333-4355

If you print this form to mail it to First National Bank Bemidji, you must sign the application.

If you do not print this out, please now submit your application to the First National Bank of Bemidji.


the application.

A First National Bank Bemidji employee will contact you within one business day, to discuss your application.