Consumer Loan Application

Begin Here

Disclosures

A Note To Our Customers:

In order to process your application all documents must be completed to your fullest ability. Please contact the Loan Department with any questions. Thank you!

CUSTOMER IDENTIFICATION PROGRAM DISCLOSURE

How We Identify You: Branson Bank, like all financial institutions is required by federal law to obtain, verify, and record information that identifies each customer who opens an account with us. When you open an account with us, we will ask for your name, address, and other information that will allow us to identify you.

FEDERAL CREDIT APPLICATION INSURANCE DISCLOSURE

I have applied for an extension of credit with you. You are soliciting, offering, or selling me an insurance product or annuity in connection with this extension of credit. FEDERAL LAW PROHIBITS YOU FROM CONDITIONING THE EXTENSION OF CREDIT ON EITHER:

My purchase of an insurance product or annuity from you or from any of your affiliates; or
My agreement not to obtain, or a prohibition on me from obtaining, an insurance product or annuity from an unaffiliated entity.

By checking the consent box below, I acknowledge that I received a copy of this form on today's date.

Unless this disclosure is provided electronically or I have applied for credit by mail, I also acknowledge that you have provided this disclosure to me orally.

AGE REQUIREMENT DISCLOSURE

You must be 18 years of age to apply for credit with Branson Bank. By agreeing to this disclosure, you are acknowledging you are at least 18 years of age.

CREDIT APPLICATION

TYPE OF CREDIT REQUESTED(Required)

SECURED

UNSECURED

ATTENTION: Select the appropriate choice above and complete the applicable sections.

TYPE OF CREDIT REQUESTED(Required)

INDIVIDUAL CREDIT - relying solely on my income or assets

INDIVIDUAL CREDIT - relying on my income or assets as well as income or assets from other sources

JOINT CREDIT - we are applying for joint credit

AMOUNT REQUESTED(Required)

FOR HOW LONG(Required)

(In Months)

PAYMENT DATE DESIRED(Required)

WANT TO REPAY(Required)

MONTHLY

Other

Use of Proceeds(Required)

Officers(Required)

PROCEEDS OF LOAN TO BE USED FOR:(Required)

INDIVIDUAL APPLICANT INFORMATION

NAME(Required)

First Middle Last

EMAIL ADDRESS(Required)

BIRTHDATE(Required)

TELEPHONE NO.(Required)

DRIVER'S LICENSE NO.(Required)

SOCIAL SECURITY NO.(Required)

NO. DEPENDENTS

AGES OF DEPENDENTS

(Separate with commas)

ADDRESS (Street, City, State & Zip)(Required)

Street Address Address Line 2 City State ZIP Code

MONTHLY RENT OR MORTGAGE(Required)

IF MONTHLY RENT OR MORTGAGE IS $0, EXPLAIN:

HOW LONG(Required)

PREVIOUS ADDRESS (Street, City, State & Zip)

Street Address Address Line 2 City State ZIP Code

(Complete if less than 3 years at present address)

PROPERTY

Own

Rent

HOW LONG

EMPLOYER (Company Name & Address)

HOW LONG

BUSINESS PHONE Ext.

(Separate phone and extension with commas)

POSITION OR TITLE

SALARY PER MONTH (Gross)

SALARY PER MONTH (Net)

NAME OF NEAREST RELATIVE NOT LIVING WITH YOU

First Last

ADDRESS OF NEAREST RELATIVE NOT LIVING WITH YOU

Street Address Address Line 2 City State ZIP Code

RELATIONSHIP

TELEPHONE NO. (Include Area Code)

Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation. Alimony, child support, separate maintenance received under:

Court Order

Written Agreement

Oral Understanding

SOURCES OF OTHER INCOME

AMOUNT PER MONTH

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

Yes

If "Yes", Explain

Have you previously received credit from us?

Yes

If "Yes", When?

JOINT APPLICATION OR OTHER PARTY INFORMATION

Complete only if: for joint credit, for individual credit relying on income or assets from other sources, or applicant is married and resides in a community property state.

NAME

First Middle Last

EMAIL ADDRESS

BIRTHDATE

TELEPHONE NO.

DRIVER'S LICENSE NO.

SOCIAL SECURITY NO.

DOCUMENT UPLOAD

Drop files here or

Max. file size: 8 MB.

Upload multiple PNG, JPEG or PDF attachments. Upload the front and back of the document(s) as separate uploads.

NO. DEPENDENTS

AGES OF DEPENDENTS

(Separate with commas)

RELATIONSHIP TO APPLICANT (If Any)

PRESENT ADDRESS (Street, City, State & Zip)

Street Address Address Line 2 City State ZIP Code

MONTHLY RENT OR MORTGAGE

IF MONTHLY RENT OR MORTGAGE IS $0, EXPLAIN:

HOW LONG

EMPLOYER (Company Name & Address)

HOW LONG

BUSINESS PHONE Ext.

(Separate phone and extension with commas)

POSITION OR TITLE

SALARY PER MONTH (Gross)

SALARY PER MONTH (Net)

Court Order

Written Agreement

Oral Understanding

SOURCES OF OTHER INCOME

AMOUNT PER MONTH

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

Yes

If "Yes", Explain

Has Joint Applicant or Other Party ever received credit trom us?

Yes

If "Yes", When?

MARITAL STATUS

APPLICANT

Married

Separated

Unmarried (including single, divorced, and widowed)

CO-APPLICANT

Married

Separated

Unmarried (including single, divorced, and widowed)

Complete the following information about both the Applicant and Joint Applicant or Other Person (if applicable):

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

Yes

If yes, to (Name)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Amount per month

Are you a co-maker, endorser, or guarantor on any loan or contract?

Yes

If yes, for whom?

To whom?

Are there any unsatisfied judgments against you?

Yes

If yes, to whom owed?

Amount

Have you been declared bankrupt in the last 10 years?

Yes

If yes, where?

Year?

Please enter a number from 1930 to 2100.

SECURED CREDIT

Complete only if credit is to be secured. Briefly describe the property to be given as security:

PROPERTY DESCRIPTION

NAMES & ADDRESSES OF ALL CO-OWNERS OF THE PROPERTY

IF THE SECURITY IS REAL ESTATE, GIVE THE FULL NAME OF YOUR SPOUSE (if any).

SIGNATURES - I 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 signing below I authorize you to check my credit and employment history and to answer questions others may ask you about my credit record with you. I understand that I must update credit information at your request if my financial condition changes.

Applicant's Signature(Required)

Date(Required)

Other Signature (Where Applicable)

Date

DOCUMENT UPLOAD

Drop files here or

Max. file size: 8 MB.

Upload multiple PNG, JPEG or PDF attachments. Upload the front and back of the document(s) as separate uploads.

Upload copies your drivers license (front and back), title to vehicle (front and back), paystub, insurance verification, etc. All information is transmitted via encrypted portal

Online Banking

Consumer Loan Application

Begin Here

Disclosures

A Note To Our Customers:

In order to process your application all documents must be completed to your fullest ability. Please contact the Loan Department with any questions. Thank you!

CUSTOMER IDENTIFICATION PROGRAM DISCLOSURE

FEDERAL CREDIT APPLICATION INSURANCE DISCLOSURE

AGE REQUIREMENT DISCLOSURE

CREDIT APPLICATION

INDIVIDUAL APPLICANT INFORMATION

JOINT APPLICATION OR OTHER PARTY INFORMATION

MARITAL STATUS

SECURED CREDIT