Home Equity Application

Step-1

Type of requested Account

  • Terms Requested

  • Collateral/Property Information


Borrower Information

  • Borrower


  • Co-Borrower


Step-2

Employment Information

  • Borrower

  • If employed with current employed for less than two years, or if currently employed with more than one job, complete the following:

  • Co-Borrower

  • If employed with current employed for less than two years, or if currently employed with more than one job, complete the following:

  • Income

  • Other Information

  • References

  • Insurance

    Hazard Insurance Company for Collateral Property

Step-3

Assets & Liabilities

  • Deposits and Investment Accounts

  • Real Estate Owned

  •  
  • Automobiles and Personal property

  •  
    • Unsecured Liabilities

Step-4

  • I certify that everything I have stated in this application and on any attachment is correct. Lender may keep this application whether or not it is approved. By signing below I authorize Lender to check my credit and employment history and to answer questions others may ask Lender about my credit record with Lender. I understand that I must update this credit information at Lender's request and if my financial condition changes.

    By signing this I acknowledge receipt of the Home Equity Brochure and the Lender's Home Equity disclosure statement on today's date.

  • X____________________________________________
    Borrower
  • X____________________________________________
    Co-Borrower
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Step-5

CONSUMER CREDIT INSURANCE DISCLOSURE

This document is a written disclosure for the sale of insurance or annuities when Green Belt Bank & Trust extends credit.

To Credit Applicant:


Green Belt Bank & Trust advises you that Green Belt Bank & Trust may not condition the extension of credit on the following:

  • Your purchase of an insurance product or annuity from Green Belt Bank & Trust or any of our affiliates;
  • Your agreement not to obtain, or a prohibition on obtaining, an insurance product or annuity from an unaffiliated entity.

Insurance and Annuities

  • Are not a deposit account or other obligation of Green Belt Bank & Trust or any affiliate of Green Belt Bank & Trust;
  • are not guaranteed or insured by Green Belt Bank & Trust;
  • Are not insured by the Federal Deposit Insurance corporation (FDIC);
  • Are not, except in the case of Federal Flood Insurance or Federal Corp Insurance, insured by any federal government agency;
  • May involve investment risk, including possible loss of value.

By signing, I acknowledge that I have received this disclosure orally and in writing.

  • __________________________________________
  • __________________________________
  • __________________________________________
  • __________________________________
  • For Creditor Use





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