Personal Loan Application

Important information about procedures for opening a new account

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record 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/We hereby make application for credit:

Individually
Jointly

We intend to apply for Joint Credit

Applicant Co-Applicant

Type of Loan Requested:

Personal Loan
Auto

Please provide a brief description of the use of the funds to be borrowed

Please Describe Auto, Boat, Appliance, etc.

Year Make Model Mileage Sale Price Down Payment Please List your Insurance Broker's Name & Address VIN Vehicle Options

Amount Requested $ Term Direct Payment Option Account Number (WSB Account Only)

APPLICANT

Name Residential Address Years There Mailing Address City / State / ZIP Phone Email Mortgage Bank / Landlord Mtg. Payment / Rent $ Previous Address (if less than 2 yrs. at current address) Years There Date of Birth Social Security No. Current Employer Business Address Phone Position Years There Monthly Pay $ Previous Employer (if less than 2 yrs. at current employer) Years There Other Income Source Amount $

(You are not required to reveal income from child support, alimony or separate maintenance payments)

Bank Name

Account Type	ACCOUNT #	BALANCE
Checking Account	Checking Account Number	Checking Account Balance
Savings Account	Savings Account Number	Savings Account Balance
Other Account	Other Account Number	Other Account Balance

Co-Applicant

(You are not required to reveal income from child support, alimony or separate maintenance payments)

Bank Name

Account Type	ACCOUNT #	BALANCE
Checking Account	Checking Account Number	Checking Account Balance
Savings Account	Savings Account Number	Savings Account Balance
Other Account	Other Account Number	Other Account Balance

CREDIT INFORMATION (APPLICANT & CO-APPLICANT)

Show all auto loans, charge accounts, installment debts, education loans, or any other obligations for which you are singly or jointly liable or which you are authorized to use. Attach separate sheet if necessary. Failure to list open loans could disqualify this application.

Account

Indicate name(s) in which debts or accounts appear. Creditor name and address Account Number Original AMT Credit Line Unpaid Balance Monthly Payment

 Add Another Account Number Other fixed monthly obligations (including alimony and child support) description: Notes:

The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all of part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The Federal Agency that administers compliance with this law concerning this creditor is: Federal Reserve Consumer Help, P.O. Box 1200, Minneapolis, MN 55480.

I/We certify that all statements made in this application are true and correct to the best of my/our knowledge. I/We authorize you to obtain such information as you may require concerning the statements made in this application and agree that this application shall remain the property of the lender whether or not the loan is granted. I/We authorize the Bank to provide information with respect to the loan being applied for to any person, firm, or entity, the Bank believes has a reasonable need to know such information, including the providing of payoff figures.

Submission of this form authorizes Watertown Savings Bank to verify information provided herein, including but not limited to employment and credit history.

Thank you. If you have any questions, please contact Customer Support at 617-928-9000, during regular business hours.

Applicant Date Co-Applicant Date