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Loan Request Form

The first step to getting the personal financing you need is to fill out our online loan request form. Simply enter in the required information below and submit the form. You will receive a confirmation at the top of this page upon completion. If you do not, verify that all fields are completed. A Peoples Bank loan officer will then be in contact with you to guide you through the next steps to obtaining a loan. If you are not contacted by a Peoples Bank representative by the next business day, please feel free to give us a call to verify that your request was received. You can contact us for any questions regarding the loan application process at any time by contacting Melissa Ruth at 931-676-3311.

Thank you for considering Peoples Bank for your financing needs!

Individual

Joint

Business

This is an application for joint credit. Borrower and Co-Borrower each agree to apply for joint credit.

This is an application for credit with a co-signer. Borrower and Co-Signer each agree to apply for joint credit.

Loan Type *

Amount Requested *

Collateral Description *

Preferred Officer *

Name

First Name *

Middle Name

Last Name *

Date of Birth *

Social Security Number *

Marital Status *

Spouse Name

Present Address

Street *

City *

State * (Present address)

Zip *

E-Mail Address *

Phone Number

Home Phone Number

Cell Phone Number *

Driver's License Information

State * (Driver's license)

License Number *

Issue Date *

Expiration Date *

Account Information

Current Deposit Accounts *

Account Number

Employment Information

Current Employer/Source of Income *

Occupation

Years at Current Employer

Years Employed in This Profession

Primary Gross Income (annually) *

Other Sources of Income

Other sources of income

Own

Rent

Monthly Rent/Payment Amount *

Additional Monthly Liabilities *

Joint Applicant/Co-Borrower's Information

Joint Applicant Name

Preferred Officer *

First Name * (Joint Applicant)

Middle (Joint Applicant)

Last Name * (Joint Applicant)

Date of Birth * (Joint Applicant)

Social Security Number * (Joint Applicant)

Marital Status *

Spouse Name

Joint Applicant's Present Address

Street * (Joint Applicant)

City * (Joint Applicant)

State * (Joint applicant's present address)

Zip * (Joint Applicant)

E-Mail Address *

Joint Applicant's Phone Number

Home Phone Number (Joint Applicant)

Cell Phone Number * (Joint Applicant)

Joint Applicant's Driver's License Information

State * (Joint applicant's Driver's license)

License Number * (Joint Applicant)

Account Information

Current Deposit Accounts *

Account Number

Issue Date * (Joint Applicant)

Expiration Date * (Joint Applicant)

Joint Applicant's Employment Information

Current Employer/Source of Income * (Joint Applicant)

Occupation (Joint Applicant)

Years at Current Employer (Joint Applicant)

Years Employed in This Profession (Joint Applicant)

Primary Gross Income (annually) * (Joint Applicant)

Joint Applicant's Other Sources of Income

Other sources of income for joint applicant

Own

Rent

Monthly Rent/Payment Amount * (Joint Applicant)

Additional Monthly Liabilities * (Joint Applicant)

During the course of reviewing a loan application, we will request your credit report and credit score from the major credit bureaus. All three national credit bureaus have ‘event-based trigger’ programs, which identify you to be in the market for new credit in the near-term based on certain changes in your credit profile. In this case, the fact that you are applying for a mortgage may indicate that you are likely to be shopping for a mortgage. Other lenders purchase this information and will contact you quickly in an attempt to win your business before you close your loan. Do you wish to allow Peoples Bank to exercise the Opt-Out of lists supplied by Equifax, Experian, Innovis and TransUnion for firm offers of credit or insurance?

Yes

I/We hereby request for a loan or credit described in this form. I/We certify that I/we made no misrepresentations in this loan request or in any related documents, that all information is true and complete, and that I/we did not omit any important information. I/We agree that any property securing the loan or credit will not be used for any illegal or restricted purpose. Lender is authorized to verify with other parties and to make investigation of my/our credit, either directly through any agency employed by Lender for that purpose. Lender may disclose to any other interested parties information as to Lender's experiences or transaction with my/our account. I/We understand that Lender will retain this form and any other credit information Lender receives, even if no loan or credit is granted.

Privacy Statement

Patriot Act Notice

I have read and agree to the terms *

* Required

Peoples Bank

Loan Request Form

Business Information

Address

Description

Applicant's Information

Name

Present Address

Phone Number

Driver's License Information

Account Information

Employment Information

Other Sources of Income

Joint Applicant/Co-Borrower's Information

Joint Applicant Name

Joint Applicant's Present Address

Joint Applicant's Phone Number

Joint Applicant's Driver's License Information

Account Information

Joint Applicant's Employment Information

Joint Applicant's Other Sources of Income

Thank you for your loan request!