Document Preparation Fee - $75 at closing, other fees may also apply.
Note: Alimony, Child Support or Separate Maintenance Incomes do not have to be revealed unless you wish to have them considered in loan qualification.
List all debts, including second mortgage. Provide additional documentation if needed.
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.
IMPORTANT INFORMATION ABOUT THE PROCEDURES FOR OPENING A NEW ACCCOUNT
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify and record all 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 may also ask to see your driver's license or other identifying documents.
I certify that all information provided by me herein, including attachments (s) is true, correct and complete.
I authorize Independence Bank 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 Independence Bank to provide credit information about its credit experience with me to other creditors and credit reporting agencies.
I understand that this application will be kept whether or not it is approved.
I agree to provide any further information the Bank might require to process my application.