Personal & Auto Loan Application

Loan Information

Loan Type *

Auto Loan

Personal Loan

Checking Line of Credit

Loan Request Amount *

$ for months

Dealer Purchase

Private Purchase

Lease Buyout

Refinance

 

New

Used

 

Year

Insurance Co.

Phone

Type of Application

Individual credit

Joint credit with spouse

Joint credit with


who is not your spouse and must
complete a separate application.

Marital Status

Married
(you may apply for separate or joint credit)

Separated

Unmarried
(includes single, divorced, and widowed)

List the number of people dependent on you for financial support:

Applicant Information

Referred By

Name *

Social Security Number *

DOB *

Driver's License *

State *

Home Phone

Cell Phone *

Live with:

Own
Rent

Parents
Other

Name & Phone of friend/relative not living with you

Street Address *

City *

Country *

State *

Zip *

Time At Present Address
Yrs: Mos:

Previous Street Address (if less than 2 years current)

City

Country

State

Zip

Time At Previous Address
Yrs: Mos:

Employer's Name

Address

City

Type of Business

Position/Title

Work E-mail

Work Phone

Time There
Yrs: Mos:

Gross Monthly Income

Do you intend to rely on spouse's earnings to qualify for this loan? Yes No

If yes, your spouse also may be required to sign the promissory note

Other Income
$per month

Source

Note: Alimony, Child Support or Separate Maintenance Incomes do not have to be revealed unless you wish to have them considered in loan qualification.

Previous Employer (if less than 3 years at current)

Address

Phone

Position

Time There
Yrs: Mos:

Spouse Information (Complete even if spouse is not applying)

Name

Social Security Number

Date of Birth

Driver's License

State

Gross Monthly Income

Do you intend to rely on spouse's earnings to qualify for this loan? Yes No

If yes, your spouse also may be required to sign the promissory note

Other Income
$per month

Source

Note: Alimony, Child Support or Separate Maintenance Incomes do not have to be revealed unless you wish to have them considered in loan qualification.

Employer's Name

Address

City

Type of Business

Position/Title

E-mail

Work Phone

Time There
Yrs: Mos:

Previous Employer (if less than 3 years at current)

Address

Phone

Position

Time There
Yrs: Mos:


Bank References

Name

Branch/Address

Checking Acc't No.

Savings Acc't No

Name

Branch/Address

Checking Acc't No.

Savings Acc't No


Home Information

Housing Status *
Rent Own

First Mortgage Holder or Landlord

Address

Purchase Date/House

Purchase Price

Estimated Current Value

Balance Owing

Mortgage No.

Monthly Payment/Rent *


Credit Reference

List all debts, including second mortgage. Provide additional documentation if needed.

Name of Lender

Address

Account No.

Original Amount

Balance

Mo. Payment

 

Auto Loan (Open or Closed)


Have you or your Spouse ever:

Declared Bankruptcy?

Yes

No

Had a Judgment?

Yes

No

Had a repossession or foreclosure?

Yes

No

If yes to any of the above, please explain below


Automatic Loan Payment

Do you want your monthly payment automatically deducted from your Home Federal checking or savings account?

Yes, Account #

No

Automatically transferred funds will be applied as my monthly payment on each monthly due date so long as there are adequate funds on deposit or there is available credit in my account, until the loan is paid or the Bank receives written notice to cancel. I understand the Bank reserves the right to terminate the automatic repayment plan without notice.

Please initial your request:


Agreement/Signature

I certify that all information provided by me is true, correct and complete. I authorize Home Federal to make whatever inquires about me you deem necessary and appropriate for the purposes of evaluating my credit application. including credit reports and contacting my employer. I also authorize Home Federal to provide credit information about its credit experience with me to other creditors and credit reporting agencies.

X:

X:

 

Applicant Signature

Date

Spouse Signature
(Spouse should sign only if applying for joint credit)

Date