Consumer & Mortgage Loan Application

Print a Consumer Loan Application

If you wish to print out a full consumer loan application to be completed and returned to a New Tripoli Bank office, please use the link below:

Consumer Loan Application

To apply for a consumer loan, please complete and submit the application below.

All applicants must be a U.S. resident and have a valid U.S. Social Security number.
All applicants must be at least 18 years of age.
If you are applying for a Home Equity credit line, please read What You Should Know About Home Equity Lines of Credit and Home Equity Line of Credit disclosure

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 to you: When you open an account, we will ask 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.

All of our mortgage lenders are licensed under the Secure and Fair Enforcement for Mortgage Licensing Act (SAFE Act). To see a listing of our lenders and their mortgage licensing numbers, please click here.

Vehicle Information

Year:

Make:

Model:

Sales Price:

Loan Amount: *

Term of Loan (in years): *

Purpose of Loan: *

Property Information

Street Address:

City:

State:

Estimated Property Value or Sales Price:

If you have already spoken with a loan officer, please provide their name:

Applicant Information

Personal Information

First Name: *

MI:

Last Name: *

Birthdate: *

Email: *

Driver's License #: *

State: *

Expiration Date: *

Issue Date: *

Home Phone: *

Mobile Phone:

Dependants:

Ages:

Current Address Information

Street Address: *

City: *

State: *

Zipcode: *

County: *

Own/Rent: *

How Long?: *

Previous Address Information (complete if less than 3 years at present address)

Street Address:

City:

State:

Zipcode:

County:

How Long?:

Current Employment Information

Employer: *

Street Address:

City:

State:

Zipcode:

Business Phone: *

Start Date: *

Position: *

Gross Salary ($) : *

How Often Paid?: *

Past Employment Information

Employer:

Street Address:

City:

State:

Zipcode:

Start Date:

End Date:

Position:

Additional Information

Name of Nearest Relative Not Living With You: *

Relationship: *

Address of Nearest Relative Not Living With You: *

*Alimony, Child Support, Separate Maintenance Received Pursuant To: *

*(Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered.)

Other Income Source :

Amount per Month ($):

Is any income listed in this Section likely to be reduced before the credit request is paid off?: *

Have you previously received credit from us?: *

Joint Applicant Information

Note, you do not need to fill out this section unless you are applying for a joint application.

Personal Information

First Name:

MI:

Last Name:

Birthdate:

Email:

Driver's License #:

State:

Expiration Date:

Issue Date:

Home Phone:

Mobile Phone:

Dependants:

Ages:

Current Address Information

Street Address:

City:

State:

Zipcode:

County:

Own/Rent:

How Long?:

Previous Address Information (complete if less than 3 years at present address)

Street Address:

City:

State:

Zipcode:

County:

How Long?:

Current Employment Information

Employer:

Street Address:

City:

State:

Zipcode:

Business Phone:

Start Date:

Position:

Gross Salary ($) :

How Often Paid?:

Past Employment Information (If less than 3 years at present employer)

Employer:

Street Address:

City:

State:

Zipcode:

Start Date:

End Date:

Position:

Outstanding Debts

Mortgage or Rental Payment

Creditor:

Account Number:

Name(s) on Account :

To Be Paid Off?:

Original Amount ($):

Account Balance ($):

Monthly Payment ($):

Home Equity Loan / Line of Credit

Creditor:

Account Number:

Name(s) on Account :

To Be Paid Off?:

Original Amount ($):

Account Balance ($):

Monthly Payment ($):

Other Creditor

Creditor:

Account Number:

Name(s) on Account :

To Be Paid Off?:

Original Amount ($):

Account Balance ($):

Monthly Payment ($):

General Information

Are you obligated to make Alimony, Support or Maintenance Payments? : *

If yes, to whom (Name & Address) :

Amount ($): per month

Are you a Co-maker, Endorser, or Guarantor on any loan or contract? : *

If yes, for whom? (Name & Address):

Amount ($):

Are there any suits or judgements pending against you?: *

If yes, to whom owed? (Name & Address):

Amount ($):

Have you been declared bankrupt in the last 10 years?: *

If yes, where?:

Year:

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.

Applicant:

I do not wish to furnish this information

Ethnicity:

Race:

Sex:

Co-Applicant:

I do not wish to furnish this information

Ethnicity:

Race:

Sex:

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

Applicant:

Co-Applicant:

Authorization: *

I certify that everything I have stated in this application is correct. New Tripoli Bank may keep this application whether or not it is approved. By submitting this application, I authorize New Tripoli Bank to check my credit and employment history, to have a consumer credit report prepared on me for the purpose of evaluating this application for credit and to answer questions others may ask about my credit record with New Tripoli Bank. I understand that I must update this credit information at your request and if my financial condition changes.

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