Auto / Personal Loan Application

Prospective loan applicants must be of legal age to apply for a loan.

Loan Information

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

Is this a personal or auto loan? Auto Loan Personal Loan

Loan Term Amount Requested Collateral Please Select a Loan Officer

Vehicle Information

Auto Loan Purpose Year Make Model VIN or Serial Number Mileage Give a detailed description of collector car or reason for personal loan.

Applicant

First Name Middle Initial Last Name Suffix Social Security Number Birth Date Mother's Maiden Name Home Address City State Zip Code Home Phone Number Work Phone Number E-mail Address Please do NOT email me important news and updates.

How would you prefer to be contacted? Home Phone Work Phone Email Other

Other Preference

Marital Status Married Not Married

Spouse Name

Housing Status

Housing Status Own Rent Other

Explain Estimated Property Value Mortgage Balance Residency Start Date Monthly Mortgage or Rent Payment

Employment

Employment Employed Not Employed

Employment Start Date Position or Title Annual Income 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. Name of Employer Employer's Address City State Zip Code Employer's Phone Number

Financial Information

Do you have a checking account? Yes No

Checking Account Number Financial Institution

Do you have a savings account? Yes No

Savings Account Number Financial Institution

Reference

First Name Last Name Contact Phone Number Mailing Address City State Zip Code Reference Type Relationship to Applicant

Co-Applicant

How would you prefer to be contacted? Home Phone Work Phone Email Other

Other Preference

Housing Status

Housing Status Own Rent Other

Explain Estimated Property Value Mortgage Balance Residency Start Date Monthly Mortgage or Rent Payment

Employment

Employment Employed Not Employed

Financial Information

Do you have a checking account? Yes No

Checking Account Number Financial Institution

Do you have a savings account? Yes No

Savings Account Number Financial Institution

Reference

First Name Last Name Contact Phone Number Mailing Address City State Zip Code Reference Type Relationship to Applicant

During the course of reviewing a loan application, we will request your credit report and credit score from the major credit bureaus. All three national credit bureaus have ‘event-based trigger’ programs, which identify you to be in the market for new credit in the near-term based on certain changes in your credit profile. In this case, the fact that you are applying for a mortgage may indicate that you are likely to be shopping for a mortgage. Other lenders purchase this information and will contact you quickly in an attempt to win your business before you close your loan. Do you wish to allow Peoples Bank to exercise the Opt-Out of lists supplied by Equifax, Experian, Innovis and TransUnion for firm offers of credit or insurance?

Yes No

Endorsement

I certify that all information provided by me herein, including attachments (s) is true, correct and complete. I authorize Peoples 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 Peoples Bank to provide credit information about its credit experience with me to other creditors and credit reporting agencies. I authorize the Bank to obtain address information from the Department of Motor Vehicles and waive the address confidentiality requirements of the State Vehicle Code. I agree to provide any further information the Bank might require to process my application.

Applicant's Signature Date Co-Applicant's Signature Date Type the numbers you see above: