Consumer Loan Application

IMPORTANT APPLICANT INFORMATION: Federal law requires financial institutions to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. In some instances we may use outside sources to confirm the information. The information you provide is protected by our privacy policy and federal law.

* Required



 Secured
 Unsecured

 Individual Credit - relying solely on my income and assets
 Individual Credit - relying on my income or assets as well as income from other sources
 Joint Credit - We intend to apply for joint credit




 Monthly
 Other


Section A - Individual Application Information
















 Own    Rent








 Own    Rent


Current Employer











Previous Employer
















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.


 Court Order
 Written Agreement
 Oral Understanding



 No
 Yes


No
Yes

Section B - Joint Applicant or Other Party Information
















Current Employer











Previous Employer








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.


 Court Order
 Written Agreement
 Oral Understanding



 No
 Yes


 No
 Yes

Section C - Marital Status

Complete only if: for joint or secured credit, or applicant resides in a community property state or is relying on property located in such a state as a basis for repayment of the credit requested.


 Married
 Separated
 Unmarried (including single divorced and widowed)

 Married
 Separated
 Unmarried (including single divorced and widowed)
Section D - Asset & Debt Information

If section B has been completed, this Section should be completed giving information about both the Applicant and Joint Applicant or Other Person.

Please mark Applicant-related information with an "A". If Section B was not completed, only give information about the Application in this Section.

Assets Owned


Checking Account




Savings Account




Certificate of Deposit(s)




Marketable Securities




Real Estate




Life Insurance




Automobiles




Other






Outstanding Debts

Including charge accounts, installment contracts, credit cards, rent, mortgages and other obligations. Use separate sheet if necessary.

Landlord or Mortgage Holder



 Rent Payment
 Mortgage


































Total Debts




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


 No
 Yes




 No
 Yes




 No
 Yes




 No
 Yes


Section E - Secured Credit







Mobile Banking and Mobile Deposit


Security BankUSA Mobile Banking is a fast, secure way to access your accounts from your mobile phone. Deposit your check using your smartphone. Anytime. Anywhere.

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