Consumer Loan Application

Loan Information

Borrower Information

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Physical Address

Employment Information

 

 

Co-Borrower Information

Contact Options

Physical Address

Employment Information

 

Notice: Alimony, child support, or separate maintenance income need not be revealed if the Borrower (B) or Co-Borrower (C) does not choose to have it considered for repaying this loan.

Credit Disclosures

An insurance product or annuity may be offered to you. If you purchase an insurance product or an annuity: (1) The insurance product or annuity is not a deposit or other obligation of, or guaranteed by, this institution or our affiliate(s); (2) With exception of Federal Flood Insurance or Federal Crop Insurance, the insurance product or annuity is not insured by the Federal Deposit Insurance Corporation (FDIC) or any other agency of the United States, this institution, or our affiliate(s); and (3) In the case of an insurance product or annuity that involves an investment risk, there is investment risk associated with the insurance product, including the possible loss of value. If an insurance product or annuity is offered, we cannot condition an extension of credit on either of the following: (1) Your purchase of an insurance product or annuity from us or any of our affiliates; or, (2) Your agreement not to obtain, or a prohibition on you from obtaining, an insurance product or annuity from an unaffiliated entity.

By clicking Submit, I certify that everything I have stated in this Application is correct to the best of my knowledge. I understand that AmeriState Bank will retain this Application whether or not it is approved. AmeriState Bank is authorized to check my credit and employment history and answer questions about its credit experience with me.


If you need further assistance or information, please contact an AmeriState account representative at (800) 522-4079.

External Link Disclaimer

Ameristate Bank has no control over information at any site hyperlinked to or from this website. Ameristate Bank makes no representation concerning and is not responsible for the quality, content, nature, or reliablity of any hyperlinked site and is providing this hyperlink to you only as a convenience. The Privacy and Security policies of the hyperlinked site may differ from those of Ameristate Bank. The inclusion of any hyperlink does not imply any endorsement, investigation, verification or monitoring by Ameristate Bank of any information in any hyperlinked site. In no event shall Ameristate Bank be responsible for your use of a hyperlinked site.

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Email Disclaimer

Notice: Because there is a risk that information transmitted via Internet email could fall into the wrong hands, Ameristate Bank suggests that confidential information, such as account numbers or social security numbers, not be transmitted via email. Instead, please contact Ameristate Bank directly at your nearest bank branch.

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