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Loan Application

 

FSNB Checking Account Number:
FSNB Savings Account Number:
Date of Birth:
Month
Day
Year
What type of loan would you like?
Loan Purpose
Note: For Home Improvement Loans please call 1-800-749-4583

Name:
E-Mail Address:
Home Telephone Number:
Cell Phone Number:
Amount of
Loan Requested:
Duration of
Loan (in months):
Social Security Number:
Referred By?:
Have you ever had a loan with FSNB?
Yes
No

Employment Information:
Present Employer or Branch of Service:
Address or Military Unit:
Length of Service (Employment):
Years
Months
Position or Rank:
ETS/ESA (military only)
Month
Day
Year
Type of
Business:
Monthly Gross Income
from Employer:
Phone
Number :
Name of Supervisor or Commanding Officer:
Amount of
Other income:
Source of
Other Income:
Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Local Address Information:
(Loan documents will be sent to this address for signature)
Street:
City:
State:
Zip Code:
Country:

Previous Home Address in United States:
Street:
City:
State:
Zip Code:
Country:

Name and address of nearest relative not living with you.
(other than present or former spouse)
Name:
Street:
City:
State:
Zip Code:
Country:
Relationship to you:
Relative Phone Number:
Current Indebtedness
Balance
Payment
Mortgage/Rent
Car 1
Car 2
Other 1:
Other 2:

Have you ever declared bankruptcy or had any judgments or garnishments against you within the last 14 years?
Yes
No

Employment Information for Co-Applicant
Is this a joint account?
Yes
No

Name:
Social Security Number :
Co-Applicant Present Employer or Branch of Service:
Co-Applicant Address or Military Unit:
Length of Service (Employment):
Years
Months
Co-Applicant Position or Rank:
ETS/ESA (military only):
Month
Day
Year
Type of
Business:
Monthly Gross Income
from Employer:
Phone
Number :
Name of Supervisor or Commanding Officer:
Amount of
Other income:
Source of
Other Income:
Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Upon approval how would you like the loan documents to be provided to you?

Method of Loan Repayment? (Choose one)
Transfer from FSNB Account
Coupon Book
FSNB Account Number to transfer from:

Desired monthly payment date:

Note: By selecting the "submit loan application" button below I certify that everything I have stated in this application is correct to the best of my knowledge. I understand that you will keep this application whether or not it is approved. I authorize you to check my credit and employment history through consumer reporting agencies, employers and other sources. I understand that the checking account number listed above will be assessed a $10.00 loan application fee at the time this application is submitted.