Equal Housing Lender
Rev. 8/08
Page 1 of 3
Member FDIC
Home Equity Loan Application
If this is an application for joint credit, Borrower and Co-Borrower each agree that we intend to apply for joint credit (sign below):
__________________________________________ __________________________________________
Borrower
Co-Borrower
I. Type and Terms of Loan
Loan Amount:
$
Interest Rate:
%
Loan Type:
Fixed-Rate Home Equity Line of Credit with 5-year balloon
Variable-Rate Home Equity Line of Credit with 5-year balloon
5-Year Amortizing Home Equity Loan
10-Year Amortizing Home Equity Loan
15-Year Amortizing Home Equity Loan
20-Year Amortizing Home Equity Loan
II. Property Information and Purpose of Loan
Subject Property Location (street, city, zip):
Year Built or Purchased:
Purpose of Loan:
Property Will Be:
Primary Residence
Secondary Residence
Property description (check all that apply):
Freestanding
Attached
Condominium
Planned Unit Development - If condo or PUD, Project Name: ___________________________
Stick-built Modular Home Double-wide Mobile Home
Original Purchase Price:
$
Title Will Be Held in What Name(s):
Manner in Which Title Will Be Held:
Estate Will Be Held In:
Fee Simple
Leasehold
Borrower
III. Borrower Information
Co-Borrower
Borrower’s Name (indicate Sr. or Jr. if applicable):
Co-Borrower’s Name (indicate Sr. or Jr. if applicable):
Social Security Number:
Home Phone
(inc. area code):
Date of
Birth:
Yrs. In
School:
Social Security Number:
Home Phone
(incl. area code):
Date of
Birth:
Yrs. In
School:
Married
Unmarried (include single, divorced, widowed)
Separated