Personal Loan Application

Fields marked with an asterisk (*) are required.

Purpose of Loan *

Amount Requested*

APPLICANT(S) You may apply for separate or joint credit. Select one of the following:   Applying individually   Applying for separate credit
     (Complete application section I/complete section II with information about your spouse only if you are a married Wisconsin resident.)   Applying for joint credit with spouse (Complete section I and II.)   Applying for joint credit with another person
     (Each joint applicant must complete a separate application as if applying for separate credit and submit them together.
     Complete section II if you are a married Wisconsin resident.)

Marital Status

For Wisconsin residents only — Married Unmarried Legally Separated

Spouse's Name*

Annual Income

First Name*

Last Name *

E-mail Address *

Phone Number*Enter a 10 digit number

Rent or Own * Please choose one Rent Own

Current Value*

Current Rent*

Amount of Time at Current Address*Years

Current Address*

Current City*

Current State* Please choose one          Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming     

Current ZIP Code*

Previous Address Only if at current address less than two years

Previous City

Previous State Please choose one          Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming     

Previous ZIP Code

Social Security Number*Enter a 9 digit number

Date of Birth * January February March April May June July August September October November December / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924

Employer*

Amount of Time at Current Employer*Years

Current Position*

Annual Income*

Previous Employer(If with current employer less than two years)

Section II: Co-Applicant Joint Credit

First Name *

Last Name *

E-mail Address*

Phone Number*Enter a 10 digit number

Rent or Own* Please choose one Rent Own

Current Value*

Current Rent*

Amount of Time at Current Address*Years

Current Address*

Current City*

Current State* Please choose one          Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming     

Current ZIP Code*

Previous Address Only if at current address less than two years

Previous City

Previous State Please choose one          Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming     

Previous ZIP Code

Social Security Number*Enter a 9 digit number

Date of Birth* January February March April May June July August September October November December / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924

Employer*

Amount of Time at Current Employer*Years

Current Position*

Annual Income*

Debts and Obligations

First Mortgage Lender Name

Monthly Payment

Interest Rate

Unpaid Balance

Second Mortgage Lender Name

Monthly Payment

Interest Rate

Unpaid Balance

Do you have any credit cards? Please choose one Yes No

Do you escrow your property taxes? Please choose one Yes No

Do you escrow your homeowners insurance? Please choose one Yes No

Additional Comments

Authorization to Release Information* I authorize First National Bank of River Falls to obtain my/our credit report for the purpose of determining credit worthiness.
    The information that is obtained is strictly confidential.
    A photocopy or fax of this authorization may be deemed to be the equivalent of the original.

Married Wisconsin Applicant Only if applying for separate credit
The credit being applied for, if granted, will be incurred in the interest of my marriage or family.

Notice to married applicants: No provision of any marital property agreement, unilateral statement under s788.58, Wis Stats, or court decree under s788.70 adversely affects the interest of the creditor unless the creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree or has actual/knowledge of the adverse provision when the obligation to the creditor is incurred.

Electronic Signature *Please Type Your Name

Date *

Co-Applicant Electronic Signature*Please Type Your Name

Date*