Loan Inquiry

* Required Field

Loan Information

*
*
 
*

Personal Information

Birthdate (Month/Day/Year) *

Housing Information

Length of Residence *
 years  months

Employment Information

 
Length of Employment *
 years  months

Financial Information

Do you have a Checking Account?   
Do you have a Checking Account?  
Do you have a Savings Account?   
Do you have a Savings Account?  

References



Access the Co-Applicant section or Click "Submit" to finish!

*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 Forreston State Bank to verify information provided herein,
including but not limited to employment credit history.