Lending Application FNB Bank

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Consumer Loan Application

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Consumer Loan Application

FNB Consumer Loan Application

Step 1 of 3

33%

Credit Request

Type of Credit(Required)

Secured

Unsecured

Type of Credit(Required)

Individual Credit-Relying solely on my income or assets

Joint Credit – We intend to apply for joint credit

Amount Requested(Required)

For How Long(Required)

Payment Date Desired

MM slash DD slash YYYY

Specific Loan Officer Request

Loan Purpose(Required)

APPLICANT INFORMATION:

Please tell us about yourself: Please note that you must reside in the United States and be 18 years old or older to apply.

Name(Required)

First Middle Last

Date of Birth(Required)

MM slash DD slash YYYY

Social Security Number(Required)

Phone Number(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Number of Years(Required)

Housing Information(Required)

Parents/Relative

Own

Rent

Other

Another Phone Number

Email(Required)

Nearest Relative's Name

First Last

Nearest Relative's Phone Number

Any Unsatisfied Judgements?(Required)

Yes

No

Declared Bankruptcy in the last 10 years?(Required)

Yes

No

Gross Monthly Income Available(Required)

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.

Employer(Required)

Employment Length(Required)

Employer's Phone Number

Obligated to make Alimony, Support, or Maintenance payments?(Required)

Yes

No

Amount

JOINT APPLICANT INFORMATION:

Please tell us about yourself: Please note that you must reside in the United States and be 18 years old or older to apply.

Name(Required)

First Middle Last

Date of Birth(Required)

MM slash DD slash YYYY

Social Security Number(Required)

Phone Number(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Number of Years(Required)

Housing Information(Required)

Parents/Relative

Own

Rent

Other

Another Phone Number

Email(Required)

Nearest Relative's Name

First Last

Nearest Relative's Phone Number

Any Unsatisfied Judgements?(Required)

Yes

No

Declared Bankruptcy in the last 10 years?(Required)

Yes

No

Gross Monthly Income Available(Required)

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.

Employer(Required)

Employment Length(Required)

Employer's Phone Number

Obligated to make Alimony, Support, or Maintenance payments?(Required)

Yes

No

Amount

DEBT INFORMATION

Creditor 1

Present Balance 1

Monthly Payment 1

Creditor 2

Present Balance 2

Monthly Payment 2

Creditor 3

Present Balance 3

Monthly Payment 3

Creditor 4

Present Balance 4

Monthly Payment 4

Creditor 5

Present Balance 5

Monthly Payment 5

Creditor 6

Present Balance 6

Monthly Payment 6

Creditor 7

Present Balance 7

Monthly Payment 7

Creditor 8

Present Balance 8

Monthly Payment 8

Creditor 9

Present Balance 9

Monthly Payment 9

Creditor 10

Present Balance 10

Monthly Payment 10

Creditor 11

Present Balance 11

Monthly Payment 11

Creditor 12

Present Balance 12

Monthly Payment 12

Creditor 13

Present Balance 13

Monthly Payment 13

Creditor 14

Present Balance 14

Monthly Payment 14

SIGNATURES:

You certify that everything you have stated in this Credit Application and on any other documents submitted to us are true and correct to the best of your knowledge. You understand that you must update the information contained in this Credit Application if either your financial condition materially changes or we make a request to you orally or in writing. You understand that we will retain this Credit Application whether or not it is approved.

You authorize us to request one or more consumer reports, to check and verify your credit and employment history, and to answer questions others may ask us about our credit experience with you.

You authorize us to contact you using any of your telephone numbers - regardless whether the number we use is assigned to a paging service, cellular telephone service, specialized mobile radio service, other radio common carrier service or any other service for which you may be charged for the call. You further authorize us to contact you through the use of voice, text and email and through the use of prerecorded/artificial voice messages or an automatic dialing device.

You further agree that you have signed this Credit Application with one or more electronic signatures. You intend your electronic signature to have the effect of your written ink signature. You viewed and read the entire and notices before you signed it. You received a paper copy of this after it was signed. You understand that this is in the electronic form that we will keep. We may rely on, and enforce, this in the electronic form or as a paper version of the electronic form.

Consent(Required)

I agree to the above statement.

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NOTICE: FNB Bank will never request customers to update their account information via e-mail. If you receive a request of this nature, please contact the bank immediately. Also note, any e-mail message sent via this web site is sent via standard e-mail and is not encrypted. Please do not include any sensitive information such as account numbers, usernames or passwords in the e-mail.

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