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Sample Auto Loan Application

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					                                                                                           2455 Morris Avenue, Union, NJ 07083                     (908) 688-9500            Fax: (908) 810-0554
                                                                           Consumer Credit Application
LOAN TYPE:                                  AUTO LOAN                                PERSONAL LOAN                                 OVERDRAFT PROTECTION*
*If applying for an Overdraft Protection Account, please review our Account Agreement specific to that product for important terms and conditions. A copy of the Account Agreement will be
provided to you at the time the application is submitted or upon request. The terms set forth in the Account Agreement are legally binding upon you as soon as you activate the Overdraft Protection
Account (if approved). If approved, the bank will send you an additional copy of the Account Agreement.



    DATE              AMOUNT REQUESTED                                TERM                   PURPOSE OF LOAN:            New Automobile        Used Automobile               Debt Consolidation
                                                                                              Overdraft Protection         Education    Other:
Automatic Payment Authorization: I would like to have my monthly payments deducted automatically from                         Checking         Savings Account number: ____________________
CHECK BOX FOR JOINT ACCOUNT: ( ) If you are applying for a joint account or an account that you and another person will use, complete all sections, providing information in the
co-applicant section. If you are relying on income from another source for payment of this loan, see Other Income notice below.
We intend to apply for joint credit.


                                         Applicant                                                                                                   Co-Applicant
Name (First, MI, Last) Complete Marital Status Only if Secured by Real Estate         Unmarried     Name (First, MI, Last) Complete Marital Status Only if Secured by Real Estate        Unmarried
                                                                                      Married                                                                                            Married
                                                                                      Separated                                                                                          Separated
  Address                                                                                            Address

  City                     State                     Zip                  How Long                   City                    State                    Zip                    How Long

  Social Security #                      Date of Birth           Phone Number                        Social Security #                    Date of Birth             Phone Number

  Email Address                                                                                      Email Address

    Own        Mortgage/Rent Payment                 Mortgage Holder or Landlord                       Own       Mortgage/Rent Payment                Mortgage Holder or Landlord
    Rent                                                                                               Rent
  Employer Name/If Self Employed Name of Business               How Long Employed                    Employer Name/If Self Employed Name of Business              How Long Employed

  Employer Address                                                                                   Employer Address

  City                                State                     Zip                                  City                              State                      Zip

  Annual Salary                       Position                 Business Phone                        Annual Salary                     Position                  Business Phone

  Previous Employer Name (if less than 3 years as current employment)                                Previous Employer Name (if less than 3 years as current employment)

  Address                                                                                            Address

  Position                                                     How Long Employed                     Position                                                    How Long Employed


 Other Income: List all other sources of income e.g. p/t work, social security, dividends, etc. (NOTICE: Alimony, child support or separate maintenance income need
 not be revealed if you do not wish to have it considered as basis for repaying this obligations.) If you wish to rely on other income, you must provide us with the name,
 address, and phone numbers of the person(s) who will be making payments to you in the “Provider” section below. Use an additional sheet if necessary.
  Applicant Other Income                                        Source                               Co-Applicant Other Income                                      Source

  Provider                                                                                           Provider

                         Motor Vehicle Information:               This section is to be completed if the purpose of this loan is to purchase or refinance a Automobile Loan.
                                                                     Make                          Model                   Year           New         Engine Type
           Total Purchase Price Including Tax:                                                                                            Used
                                                           Serial #                                                         Mileage
         $______________________________
                                                           Seller Name and Phone #:
              Title will be in the name(s) of:
          ______________________________                   Name of Insurance Company:
          ______________________________
                                                           Agent Name, Address and Phone #:


PLEASE COMPLETE: Financial Statement Information (values are in whole dollars). Indicate whether or not you currently have any of the following. Attach an
additional sheet if necessary.
 ASSETS                                       BALANCE                                                       BANK / OR REAL ESTATE ADDRESS
 Checking Account
 Savings Account
 CD
 Stock
 Real Estate
 Other
Rev. 4/11                                                                                               1.                                                                          Member FDIC
LIABILITIES                               BALANCE                                 PAYOFF                                       ACCOUNT #                                     NAME
Loan                                                                           Yes             No
Loan                                                                           Yes             No
Car Loan                                                                       Yes             No
Car Loan                                                                       Yes             No
Mortgage                                                                       Yes             No
Credit Cards                                                                   Yes             No
Credit Cards                                                                   Yes             No
Credit Cards                                                                   Yes             No
Other                                                                          Yes             No

                                                                                CREDIT INQUIRIES
I/WE AUTHORIZE the Lender to make whatever credit inquiries it deems necessary in connection with this credit application or in the course of review of collection of any credit extended in
reliance on the application. I/We authorize and instruct any person or consumer reporting agency to compile and furnish to the lender any information it may have or obtain in response to such
credit inquiries and agree that same shall remain your property whether or not credit is extended. All information set forth in this application is declared to be a true representation of facts for
the purpose of obtaining the credit requested. Any willful misrepresentation on this application could result in criminal action. If your loan or line is approved and accepted, we may report
information about your account to a consumer reporting agency/credit bureau(s). Late payments, missed payments or other defaults on your account may be reflected in your credit report.


 Applicant’s Signature                                              Date                            Co-Applicant’s Signature                                          Date

                           HOW DID YOU HEAR ABOUT US?                                                                               FOR LENDER’S USE ONLY
    DIRECT MAIL            CUSTOMER REFERRAL                 TELEMARKETING                                BY MAIL                         IN PERSON                WEBSITE

    WALK-IN                EMPLOYEEE REFERRAL                STATEMENT STUFFER                            TELEPHONE                       FACSIMILE

    LOBBY SIGN             WEBSITE
                                                                                                      ACCEPTED BY:_______________________________________________________
    NEWSPAPER (Name)______________________________                                                                                       BANK REPRESENTATIVE’S NAME

                                                     IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT
 To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify and record information that identifies each
 person who opens an account. What this means for you: When you open an account, we will ask you for your name, address, date of birth and other information that will allow us to identify
 you. We may also ask to see your driver’s license or other identifying documents.


Rev. 4/11                                                                                            2.
                                                                                                                                                                                 Member FDIC

				
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Description: Sample Auto Loan Application document sample