Night Vision Equipment Financing Application

* Required Field

Applicant

: *
: *
*
*
: *
: $ *            : * months
: *
Home Phone: * - -
Cell Phone: - -
: *
Social Security Number: * - -
Birth Date *
: *
: *
: *
: *
: *
: *       :
: *       : *
:$*
:$       :


Examples of approximate monthly payments at 11.95% interest. This reference is provided for example only, actual loan amount will vary in accordance with amount of purchase.

Amount

Payments on 24 Month Loan

Payments on 36 Month Loan

$2,000

$94

$66

$3,000

$141

$100

$4,000

$188

$133

$5,000

$235

$166

$6,000

$282

$199

$7,000

$329

$232

$8,000

$376

$266

$9,000

$423

$299

$10,000

$471

$332

$11,000

$518

$365

$12,000

$565

$398

$13,000

$612

$431

$14,000

$659

$465

$15,000

$706

$498

$16,000

$753

$531

$17,000

$800

$564

$18,000

$847

$597

$19,000

$894

$631

$20,000

$941

$664

Everything that I have stated on this credit 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 employement history and to answer questions about your credit experience with me/us. I fully understand that it is a federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the facts as applicable under the provisions of Title 18, United States Code, Section 101.

I understand that attaching my e-signature is the legal equivalent of submitting a document signed by hand, and that clicking on the Submit button manifests my desire and intent to open a loan through First National Bank of North Arkansas to purchase night vision equipment.

*

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