2300 West Lawrence Avenue • Chicago, Illinois 60625-1914
(773) 907-8100 • www.ravenswoodbank.com
PERSONAL FINANCIAL STATEMENT
PLEASE CHECK ONE
❑ Individual Statement. If you are applying for credit in your name alone, complete all information requested of Applicant.
❑ Joint Statement. If you are applying for credit together with any other person or relying on another person’s income or assets in applying for credit, complete information
requested of Applicant and Co-Applicant.
We intend to apply for Join Credit
❑ Update Personal Financial Statement as of _____________________________________, 20________
Information about your spouse need not be provided unless this is a joint statement with your spouse or if you are relying on his or her income or assets to obtain credit. All
parties whose assets are relied upon will be requested to sign notes or other documents required in connection with credit extended.
IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT
To help the government fight the funding of terrorism and money laundering activities, the USA Patriot Act requires all financial institutions to obtain, verify, and record information that identifies each
person who opens an account. What this means for you: When you open an account, we will ask for your name, physical address, date of birth, taxpayer identification number and other information that
will allow us to identify you. We may also ask to see your driver’s license or other identifying documents. We will let you know if additional information is required.
Years in Home
Date of Birth
Home Telephone Number
Cell Phone Number
Type of Business
Years at Job
Business Street Address
Business Telephone Number
Business Cell Phone Number
Business E-Mail Address
Driver’s License Number