Auto / Personal Loan Application

Required Field

Loan Information

What is the proposed collateral?

Are you applying as an individual or with a co-applicant?

Vehicle Loan Information

Applicant

How would you prefer to be contacted?

Housing Status

Have you lived here for two or more years?

Applicant Employment

Have you worked here for more than three years? (No if unemployed)

Previous Employer (if less than three years at current)

Income Information

Do you intend to rely on the co-applicant's earnings to qualify for this loan?

If yes, your co-applicant also may be required to sign the promissory note

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

Co-Applicant

Co-Applicant Information

How would you prefer to be contacted?

Housing Status

Have you lived here for two or more years?

Co-Applicant Employment

Have you worked here for more than three years? (No if unemployed)

Previous Employer (if less than three years at current)

Income Information

Do you intend to rely on the applicant's earnings to qualify for this loan?

If yes, your co-applicant also may be required to sign the promissory note

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

Personal Reference

Personal Reference

Add Another Personal Reference.

Bank Reference

Bank Reference

Add Another Bank Reference.

Credit Reference

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

Lender

Add Another Lender

Credit Information

Have you or your co-applicant ever declared bankruptcy?

Have you or your co-applicant ever had a judgment?

Have you or your co-applicant ever had a repossession or foreclosure?

Endorsement

Important Credit Disclosure

You as a consumer, have submitted an application for credit. You should know that the Bank may not condition the extension of credit either.

  • You purchase of an insurance product or annuity from the Bank or any of its affiliates; or
  • Your agreement not to obtain, or a prohibition on you from obtaining, an insurance product or annuity from an unaffiliated entity

I certify that all information provided by me herein, including attachments (s) is true, correct and complete. I authorize Liberty National 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 Liberty National Bank to provide credit information about its credit experience with me to other creditors and credit reporting agencies. I agree to provide any further information the Bank might require to process my application.





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