Credit Application

GENERAL DISCLOSURE

Thank you for your interest in applying for a loan with Bank of Bartlett.

Simply complete the application and you will be contacted by a loan officer within 24 hours! Fast and simple . . .

Must be 18 years of age to apply.

Must be a legal resident of the United States.

If your loan request is approved, additional information and/or documentation will be required to complete your loan request. All approvals are subject to a final review by an Bank of Bartlett loan representative.

Click here for Bank of Bartlett's Privacy Policy.

Purpose of Loan      
Auto Loans
Home Equity Loans
Other Consumer Loans
Secured
      

IMPORTANT: READ THESE DIRECTIONS BEFORE COMPLETING THIS APPLICATION

Check here if you are applying for individual credit in your own name and are relying on your own income or assets and not the income or assets of another person as the basis for repayment of the credit requested.

Check here if you are applying for joint credit with another person and provide information about the joint applicant.

Check here if you are applying for individual credit, but are relying on income from alimony, child support, or separate maintenance or on the income or assets of another person as the basis for repayment of the credit requested, complete all Sections to the extent possible, providing information about the person on whose alimony, support, or maintenance payments or income or assets you are relying.

Application Date:

Amount Requested

For How Long

Source

(minimum $5,000)      
Existing Customer
      New Customer

*Indicates a Required Field

Individual Applicant Information

*Name
(Last Suffix, First, Middle)
Social Security Number
*Date of Birth
*Home Phone
*E-mail
*Driver's License No.
*Date of Issue
County
*State
*Expiration Date
Cell Phone
*Current Address
*City
*State/Province   *Zip/Postal Code
   
*Residence Type Own   Rent    *How Long
Previous Address
(If less than 2 years)
City
State/Province   Zip/Postal Code
  How Long
Marital Status Married Unmarried Separated
Employer Street
Employer City
Employer State  Employer Zip/Postal Code
Business Phone
*Occupation Type
*Salary Per Month
How Long There
Previous Employer Name
(If less than 2 years)
Previous Employer Street
Previous Employer City
Previous Employer State  Employer Zip/Postal Code
  How Long

Sources of Other Income – Alimony, child support, or separate maintenance need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Amount per Month
Do you have existing account(s) with us? Yes No
 
 
Referred by
How did you hear about us?

Privacy Policy Notice: Nonpublic personal information collected about you from this application and other sources, including a credit report, may be disclosed to persons within this institution or our affiliates, if any, as permitted or required by law.

A copy of our privacy policy is available upon request. A consumer may obtain a copy of our privacy policy by calling or visiting our financial institution during regular business hours to request a copy of our privacy policy.

Notice of Negative Information: We may report information about your account to credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in your credit report.

I/We certify that everything I have stated in this application and on any attachments is correct. You may keep this application whether or not it is approved. By submitting this application, I/we authorize you to check my/our credit and employment history and to answer permissible questions, under the Fair Credit Reporting Act, others may ask you about my/our credit record with you. I/We understand that I/we must update credit information at your request if my/our financial condition changes.

 

Comments:

If any questions, please call 901-382-6600 or email us.