Auto/Personal Loan/Home Equity Form

The purpose of this questionnaire is to begin the application process. All applications are subject to approval.

Step 1: Complete this online form
Step 2: Meet with a RiverWood Bank Personal Banker to finalize documents
Step 3: Access and use your RiverWood Bank account through Online or Mobile Banking including setting up real-time alerts

Required Field

General

Which RiverWood Bank branch is most convenient for you to meet in person with a banker?

Are you a current RiverWood Bank customer?

Have you worked with a RiverWood Bank lender before?

Loan Information

What type of Loan?

Auto Loan
Personal Loan
Home Equity Loan

Loan Term Loan Term Loan Term Amount Requested

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

Individual
Co-Applicant

Vehicle Loan Information

Auto Purchase Type

Vehicle New or Used

New
Used

Year Make Model VIN or Serial Number Mileage Insurance Company Insurance Company Phone Number

Applicant

First Name Middle Initial Last Name Suffix Social Security Number Birth Date Mother's Maiden Name Driver's License Number State Issued Date of Expiration Current Residency Start Date Home Address City State Zip Code Previous Home Address City State Zip Code Previous Residency Start Date 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

Housing Status

Own
Rent
Other
Explain

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

Applicant Employment

Employed
Not Employed

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

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

Previous Employer (if less than three years at current)

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

Income Information

Number of Dependents Other Monthly Income Income 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.

Co-Applicant

Co-Applicant Information

First Name Middle Initial Last Name Suffix Social Security Number Birth Date Mother's Maiden Name Driver's License Number State Issued Date of Expiration Current Residency Start Date Home Address City State Zip Code Previous Residency Start Date Previous 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

Housing Status

Own
Rent
Other
Explain

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

Co-Applicant Employment

Employed
Not Employed

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

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

Previous Employer (if less than three years at current)

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

Income Information

Number of Dependents Other Monthly Income Income 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.

Bank Reference

Bank Name Branch Address City State Zip Code Checking Account Number Savings Account Number

 Add Another Bank Reference.

Credit Reference

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

Lender

Name of Lender Address City State Zip Code Account Number Original Loan Amount Loan Balance Monthly Payment

 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?

If yes to any of the above, please explain.

Automatic Loan Payment

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

Endorsement

I certify that all information provided by me herein, including attachments (s) is true, correct and complete. I agree to provide any further information the Bank might require to provide services. I authorize RiverWood Bank to make whatever inquiries about me deemed necessary and appropriate for the purpose of evaluating my credit, including obtaining credit reports and contacting my employer. I also authorize RiverWood Bank to provide credit information about its credit experience with me to other creditors and credit reporting agencies.

Applicant's Name Date Co-Applicant's Name Date

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