If you are co-applying, these questions apply to both you and your spouse.
This Statement of Financial Condition is presented for the purpose of procuring and maintaining credit in any form whatsoever with United Savings Bank (the "Bank"). Philadelphia, PA.
The undersigned hereby certify(ies) to United Savings Bank that this statement is a true statement of his/her/their financial condition.
The information contained in this statement is provided to induce United Savings Bank (the "Bank") to extend or to continue the extension of credit to the undersigned or to other upon
the surety of the undersigned. The undersigned acknowledge and understand that the Bank is relying on the information provided herein in deciding to grant or continue credit or to accept
a surety thereof. Each of the undersigned represents, warrants and certified that the information provided herein is true, correct and completed. Each of the undersigned agrees to notify the
Bank immediately and in writing of any change in name, address, or employment and of any material adverse change (1) in any of the information contained in this statement
or (2) in the financial condition of any of the undersigned or (3) in the ability of any of the undersigned to perform its (or their) obligations to the Bank in the absence of such
notice or a new and full written statement, this should be considered as a continuing statement and substantially correct. United Savings Bank is authorized to make all inquiries
the Bank deems necessary to verify the accuracy of the information contained herein, and to determine the credit-worthiness of the undersigned. Each of the undersigned authorizes
United Savings Bank to answer questions about United Saving Bank's credit experience with the undersigned. The undersigned understand that the Bank will retain this statement and
information contained therein whether or not credit is extended.
I/We fully understand that it is a FEDERAL CRIME, punishable by FINE or IMPRISONMENT, or both, to knowingly make any false statements concerning any of the above facts.
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