The Neffs National Bank Consumer Credit Application

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Loan Information
   
 
 
Vehicle Information
     
Property Information
 
Applicant Information
Personal Information
 
 
 
 
 
 
Current Address Information
   
 
Previous Address Information
(complete if less than 3 years at present address)
   
 
Current Employment Information
   
 
Past Employment Information
   
 
Additional Information
*(Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered.)
Joint Applicant Information
Note, you do not need to fill out this section unless you are applying for a joint application.
Personal Information
 
 
 
 
 
 
Current Address Information
   
   
Previous Address Information
(complete if less than 3 years at present address)
   
 
Current Employment Information
   
 
 
Past Employment Information
   
 
Outstanding Debts
Mortgage or Rental Payment
 
 
   
Home Equity Loan / Line of Credit
 
 
   
Other Creditor
 
 
   
General Information
  per month
 
 
 
Loan Application Information
If the 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 is required to note the ethnicity, race and sex on the basis of visual observation or surname.

 
 
Joint Credit Notice - We intend to apply for joint credit (initials)