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FNB Applications Center man on computer man on computer

Installment Loan Application

 *indicates required field  
Purpose of Loan:*
Amount Requested:*

Marital Status

APPLICANT(S) Check one of the following boxes. You may apply for separate or joint credit. 
Separate Credit (complete Application Section I) Complete Section II with information about your spouse only if you are a married Wisconsin resident.
Joint Credit with Spouse Complete Section I and Section II.

Joint Credit with who is not your spouse. Each joint applicant must complete a separate application as if applying for separate credit and submit them together, including completing Section II if you are a married Wisconsin resident.
Applicant:
(For secured credit or Wisconsin residents only)
Co-Applicant:
(For secured credit or Wisconsin residents only)
 

Applicant Information Section I

Name:*
Home Phone:*
Current address, city, state and zip:*
Previous address, city, state and zip:
(if less than 2 years)
Do you own or rent: Own Rent
Years There:
Current Value (if own):
Social Security Number:*
Date of Birth:*
Employer:*
Years at Employment:
Position:
*Annual Income:*
Email:*
Work Phone:
Previous Employer:
(if with current employer less than 2 years)

Co-Applicant Joint Credit Section II

Please check one:   Co-Applicant Joint Credit 
Spouse Non Applicant
Name:
Home Phone:
Previous address, city, state and zip:
(if less than 2 years)

Current address, city, state and zip:

Social Security Number:
Date of Birth:
Employer:
Years at Employment:
Position:
*Annual Income:
Email:
Work Phone:
Previous Employer:
(if with current employer less than 2 years)
* You need not list income from alimony, child support or separate maintenance unless you wish it considered for the purpose of repaying this obligation.
** A married Wisconsin resident applying for credit in his / her own name must complete the required spousal information in the co-applicant section.

Debts And Obligation

1st Mortgage Lender Name:
Address:
Monthly Payment:
Interest Rate:
Unpaid Balance:
 
2nd Mortgage Lender Name:
Address:
Monthly Payment:
Interest Rate:
Unpaid Balance:
 
Auto Lender:
Monthly Payment:
Unpaid Balance:
Credit Cards / Personal Loans
Name of Credit Card / Lender:
Minimum Monthly Payment:
Unpaid Balance:
   
Name of Credit Card / Lender:
Minimum Monthly Payment:
Unpaid Balance:
   
Name of Credit Card / Lender:
Minimum Monthly Payment:
Unpaid Balance:
Additional Information (i.e. name of banker you are currently working with, etc.):
 

If the credit line or loan is for home purchase, refinance, construction-to-perm, repair or maintenance , the following information is requested by the Federal government to monitor this lender's compliance with the Equal Credit Opportunity and Fair Housing Laws. The law provides that a lender may neither discriminate on the basis of this information nor on whether or not it is furnished. If you do not wish to furnish this information please indicate below.

The creditor shall also inform the applicant(s) that if the applicant(s) chooses not to provide the information, the creditor is required to note the race or national origin and sex on the basis of visual observation or surname.

If your request is not for the purpose of home purchase, refinance, construction-to-perm, repair or maintenance, do not fill in this section.

Applicant:
I do not wish to furnish this information
Race or National Origin: Sex:
Ethnicity:
Co-Applicant:
I do not wish to furnish this information
Race or National Origin: Sex:
Ethnicity:

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.

For Married Applicant 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.