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Personal Loan Application

This e-mail address will receive a secure e-mail notification informing you of the results regarding this request. If you do not have an e-mail address that is able to receive this information do not complete our on-line personal loan application. Please contact a local Northwest Savings Bank Office or call toll free at 1-877-672-5678 (please choose option #3) and a loan officer will be happy to take your personal loan application via phone. Our Customer Service Representatives are available Monday - Friday, 7:00 am to 8:00 pm & Saturday, 8:00 am to 1:00 pm.

Thank you for your interest in Northwest Savings Bank.

RED = required information
Type of Credit Requested: Secured Unsecured
 
How do you intend to apply for credit: Individual Joint
Please make a selection.
Please enter your preferred Northwest Savings Bank Location:
Amount Requested:
(Unsecured Request: $2,500 Minimum)
(Secured Request: $1,000 Minimum)

 
For How Long:
Loan Purpose:
 
Section A - Individual Applicant Information
RED = required information
Last Name:
 
First Name:
 
Middle Initial:
Date of Birth:
 
Social Security Number:
(ex: xxx-xx-xxxx)

 
Email Address:
 
Driver's License Number:
 
State Issued:
 
Issued Date:
 
Expiration Date:
 
Phone Number:
 
Number of Dependents:
Ages of Dependents:
Current Address (number and street name):
 
City:
 
State:
 
Zip:
 
County:
Housing Arrangement:
(please select one)



 
Monthly Payment:
 
How Long at Current Address:
 
Landlord Name (if applicable):
Rent Payment (if applicable):
Previous Address (number and street name):
(if less than 3 years at present address)
City:
State:
Zip:
How Long at Previous Address:
Did you Own/Rent/Other:
Current Employer:
Self Employed borrower(s) may be required to provide additional documentation such as tax returns and financial statements.

 
How Long with Current Employer:
 
Current Employer Address (number and street name):
 
City:
State:
Zip:
Business Phone:
Position/Title:
 
Gross Monthly Income:
 
Sources of Other Income: Alimony, Child Support or Separate Maintenance Income need not be revealed if you choose not to have it considered for repaying this loan. Sources of other income may also include Social Security, Pensions, etc.
Sources of Other Income:
(Social Security, VA, Pensions, Alimony, or Child Support)
Amount Per Month:
Previous Employer:
(if less than 2 years at current employment)
How Long with Previous Employer:
Position/Title:
Name of nearest relative not living with you:
Relative's Address:
Relationship:
Phone Number:
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.
Applicant:
Married
Separated
Unmarried (including single, divorced, and widowed)
 
Section D - Assets & Debt Information
If section B has been completed, please fill out both the Applicant and Joint Applicant Sections below.
If Section B was not completed, only fill out the Applicant section.
Applicant Asset Information
Checking Account
Account Holder(s) Financial Institution Current Balance
Savings Account
Account Holder(s) Financial Institution Current Balance
Certificates of Deposit(s)
Account Holder(s) Financial Institution Current Value
Real Estate Owned
Address Date Acquired Current Value
Life Insurance
Issuer/Company Name Face Value Current Value
Automobiles
Make, Model, Year Current Value
Other (i.e. Marketable Securities, Stocks, 401-K)
Type of Asset Financial Institution Current Value
     
  Total Assets:
Applicant Debt Information
Mortgage
Financial Institution (Creditor)
Name Account is Carried In Original Amount Present Balance Monthly Payments
Second Mortgage
Financial Institution (Creditor)
Name Account is Carried In Original Amount Present Balance Monthly Payments
Automobiles
Financial Institution (Creditor)
Name Account is Carried In Original Amount Present Balance Monthly Payments
Financial Institution (Creditor)
Name Account is Carried In Original Amount Present Balance Monthly Payments
Other Debt
(credit card, department store, or credit union)
Financial Institution (Creditor)
Name Account is Carried In Original Amount Present Balance Monthly Payments
Financial Institution (Creditor)
Name Account is Carried In Original Amount Present Balance Monthly Payments
Financial Institution (Creditor)
Name Account is Carried In Original Amount Present Balance Monthly Payments
       
Total Debts:
 
Section E - Declarations
Complete the following information about both the Applicant and Joint Applicant or Other Person (if applicable)
  Applicant
Co-Applicant
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
1. Are you a Co-Signer or Co-Maker on a Loan? Yes No
 
2. Are there any Outstanding Judgments Against You? Yes No
 
3. Have you been Declared Bankrupt in the past 7 Years? Yes No
 
4. Have you had a Foreclosure/Given Deed in Lieu in the Last 7 Years? Yes No
 
5. Are you a party to a Law Suit? Yes No
 
6. Are you a U.S. Citizen? Yes No
 
7. Are you required to pay alimony or child support? Yes No
 
If so, please include amount and to whom payable:
Amount:
To Whom Payable:
SIGNATURE

I certify that everything I have stated in this application is correct. You may keep this application whether or not it is approved. By signing below I authorize you to check on 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. I also understand that I am executing this request for credit by electronic signature as defined by law, and I further understand that my electronic signature has the same force as a handwritten signature.

New York Residents Only: A consumer report may be requested in connection with this application or in connection with updates, renewals or extensions of any credit granted as a result of this application. Upon my request I will be informed whether or not a consumer credit report was requested, and if so, the name and address of the agency that furnished the report.

Ohio Residents Only: The Ohio laws against discrimination require that all creditors make credit equally available to all credit worthy customers and that credit reporting agencies maintain separate credit histories on each individual request. The Ohio Civil Rights Commission administers compliance with this law.

If this is an application for joint credit, first applicant and joint applicant each agree that we intend to apply for joint credit by signing below.
 
First Applicant Signature:

 
Date:

 
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Opening your Northwest account is just the beginning, don’t forget these extras to make your experience more rewarding!

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