Personal Loan Application First United Bank and Trust Company

Personal Loan Application
Please fill out the fields in the form to the right. One of our representatives will contact you within one business day to complete the process. This form supports the maximum level of encryption technology your browser allows, up to 256-bit SSL encryption to protect your personal information while it is in transit. Please view our Privacy Policy for more information.
Application Steps
1. Loan Application
2. Consent for Electronic Disclosure
3. Individual Applicant Information
4. Employment Information
5. Applicant Asset & Debt Information
6. Insurance Disclosure For Credit Application
7. MLA Questionnaire
8. Form Complete
Eligibility
To apply for a loan online with First United Bank & Trust you must reside within our market area. Before proceeding, please input the zip code of your residence and confirm your eligibility below:*
Type of Credit Requested
Type of Loan*
- Secured
- Unsecured
Individual or Joint*
- Individual Credit
- Joint Credit
Amount Requested:*
Term of Loan (in months):*
Payment Date Desired:*
MM slash DD slash YYYY
Proceeds of Loan to Be Used For:*
Referred By:*

Application Steps
1. Loan Application
2. Consent for Electronic Disclosure
3. Individual Applicant Information
4. Employment Information
5. Applicant Asset & Debt Information
6. Insurance Disclosure For Credit Application
7. MLA Questionnaire
8. Form Complete
Customer Consent:
I acknowledge and agree that I consent to receive account information electronically that is being provided in connection with a transaction affecting interstate commerce that is subject to the federal Electronic Signatures in Global and National Commerce Act, and that I and the Bank both intend that the Act apply to the fullest extent possible to validate our ability to conduct business with one another by electronic means.*
- Yes, I consent to receive legal disclosures electronically and to the terms and conditions listed above.
- No, I do not consent to receive legal disclosures electronically and to the terms and conditions listed above.

Application Steps
1. Loan Application
2. Consent for Electronic Disclosure
3. Individual Applicant Information
4. Employment Information
5. Applicant Asset & Debt Information
6. Insurance Disclosure For Credit Application
7. MLA Questionnaire
8. Form Complete
Personal Information
Name*
First Middle Last
Social Security Number*
Date of Birth*
MM slash DD slash YYYY
Phone*
Email*
Verify Email*
Driver's License Number*
Choose the location you would like to complete your application*
How would you prefer to be contacted?*
- Phone
- Mail
- Email
When is the best time to arrange an appointment?*
- Morning
- Lunchtime
- Afternoon
Current Address:
Home Address (Not a P.O. Box)*
Street Address City State ZIP Code
Years At Home Address*
Do you*
- Own
- Rent
Previous Address:
Previous Address (Not a P.O. Box)*
Street Address City State ZIP Code
Years At Previous Address*
Dependent and Relative Information:
Number of Dependents*
Age of Dependents*
Name of Nearest Relative (Not living with you)*
First Last
Relationship of Relative*
Relative Address (Not a P.O. Box)*
Street Address City State ZIP Code
Relative Phone Number*

Application Steps
1. Loan Application
2. Consent for Electronic Disclosure
3. Individual Applicant Information
4. Employment Information
5. Applicant Asset & Debt Information
6. Insurance Disclosure For Credit Application
7. MLA Questionnaire
8. Form Complete
Current Employer
Employer's Name*
First Last
Employer's Phone*
Employer's Address*
Street Address City State ZIP Code
Your Position*
Years at Company*
Gross Salary Per Month*
Net Salary Per Month*
Previous Employer
Previous Employer's Name*
First Last
Previous Employer's Phone*
Previous Employer Address*
Street Address City State ZIP Code
Years at Previous Company*
Other Income Sources
Alimony, child support, or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Alimony, child support, separate maintenance income received under:*
- None
- Court Order
- Written
- Oral Understanding
Sources of Other Income*
Amount Per Month*
Is any income listed in this Section likely to be reduced before the credit request is paid off?*
- No
- Yes
Have you previously received credit from us?*
- No
- Yes

Application Steps
1. Loan Application
2. Consent for Electronic Disclosure
3. Individual Applicant Information
4. Employment Information
5. Applicant Asset & Debt Information
6. Insurance Disclosure For Credit Application
7. MLA Questionnaire
8. Form Complete
Checking Account:
Checking Bank Name
Checking Bank Address
Street Address City State ZIP Code
Name in Which the Checking Account is Carried
First Last
Is this Account Subject to Debt?
- No
- Yes
Savings Account:
Savings Account Number
Savings Balance
Please enter a number greater than or equal to 0.
Savings Bank Name
Savings Bank Address
Street Address City State ZIP Code
Name In Which the Savings Account Is Carried
First Last
Certificate of Deposit:
Certificate of Deposit Value
Certificate of Deposit Bank Name
Certificate of Deposit Bank Address
Street Address City State ZIP Code
Name In Which the Certificate of Deposit Is Carried
First Last
Marketable Securities Assets:
Marketable Securities Value
Issuer
Type
Number of Shares
Name In Which the Asset Is Carried
First Last
Real Estate Assets:
Real Estate Address
Street Address City ZIP Code
Date Acquired
MM slash DD slash YYYY
Name In Which the Real Estate Is Carried
First Last
Life Insurance Assets:
Life Insurance Face Value
Issuer
Name In Which the Life Insurance Is Carried
First Last
Automobile Assets:
Automobile Value
Automobile Make
Automobile Model
Automobile Year
Name In Which the Automobile Is Carried
First Last
Other Assets:
Value
Description
Name In Which the Asset Is Carried
First Last
Rent or Mortgage
Rent or Mortgage Payment*
- Rent
- Mortgage
- Neither
Landlord or Mortgage Holder*
Name In Which the Lease or Mortgage Is Carried*
First Last
Original Amount of Lease or Mortgage*
Present Balance of Lease or Mortgage*
Monthly Payment of Lease or Mortgage*
Automobile Debt
Automobile Creditor
Loan Account Number
Make
Model
Year
Name In Which the Loan Is Carried
First Last
Original Amount of Loan
Present Balance of Loan
Monthly Payment of Loan
Other Debt
Creditor
Account Number
Original Amount
Present Balance
Monthly Payment

Secured Credit
Property Description
Co-Owner Name
Co-Owner Address
Street Address City State ZIP Code
If the security is real estate, give the full name of your spouse (if any)
First Last

Application Steps
1. Loan Application
2. Consent for Electronic Disclosure
3. Individual Applicant Information
4. Employment Information
5. Applicant Asset & Debt Information
6. Insurance Disclosure For Credit Application
7. MLA Questionnaire
8. Form Complete
Insurance Disclosure For Credit Application

PURPOSE:
You have submitted an application for a loan. In connection with your loan application, Lender may be soliciting, offering to sell, or will sell you an insurance product or annuity. Federal law requires Lender to provide you with the following disclosures.
CREDIT DISCLOSURES
1. Lender, as a condition of granting you a loan, cannot require that you purchase an insurance product or annuity from Lender or any of its affiliates;
2. Lender, as a condition of granting you a loan, cannot require your agreement not to obtain or prohibit you from obtaining an insurance product or an annuity from an unaffiliated entity.
ACKNOWLEDGEMENT
Consent*
I ACKNOWLEDGE THAT I HAVE READ, RECEIVED AND UNDERSTAND THIS INSURANCE DISCLOSURE.
Download the Insurance Disclosure For Credit Application

Application Steps
1. Loan Application
2. Consent for Electronic Disclosure
3. Individual Applicant Information
4. Employment Information
5. Applicant Asset & Debt Information
6. Insurance Disclosure For Credit Application
7. MLA Questionnaire
8. Form Complete
MLA Questionnaire

COVERED BORROWER IDENTIFICATION STATEMENT
Who is Qualified: Federal law provides important protections to active duty members of the Armed Forces and their dependents. To ensure that these protections are provided to eligible applications, we require you to select one of the following statements as applicable. Dependents include for example, a member’s spouse, a member’s child under the age of twenty-one years old, or an individual for who the member provided more than one-half of the individual’s financial support for 180 days immediately preceding today’s date.
Select One*
- I AM a member of the U.S. Armed Forces, such as Army, Navy, Marine Corps, Air Force, or Coast Guard, serving on active duty under a call or order that does not specify a period of 30 days or fewer or on active Guard and Reserve duty (generally for a period of 180 consecutive days or more.
- I AM a dependent of a member of the U.S. Armed Forces on active duty as described above.
- I AM NOT a regular or reserve member of the U.S. Armed Forces, such as Army, Navy, Marine Corps, Air Force, or Coast Guard, serving on active duty under a call or order that does not specify a period of 30 days or fewer or on active Guard and Reserve duty (or a dependent of such a member).
Borrower Name*
First Last
***If you are not the Service Member, please include the Name of the Service Member for whom you are a dependent or child:
Name of Service Member for Whom you are a Dependent of Child
First Last
WARNING: It is important to fill out this form accurately. Knowingly making a false statement on a credit application is a crime.

Application Steps
1. Loan Application
2. Consent for Electronic Disclosure
3. Individual Applicant Information
4. Employment Information
5. Applicant Asset & Debt Information
6. Insurance Disclosure For Credit Application
7. MLA Questionnaire
8. Form Complete
By clicking Submit below, I certify that everything I have stated in this application is correct. First United Bank and Trust Company may keep this application whether or not it is approved. By submitting this application I authorize First United Bank and Trust Company to check my credit and employment history and to answer questions others may ask First United Bank and Trust Company about my credit record with First United Bank and Trust Company. I understand that I must update credit information at the request of First United Bank and Trust Company if my financial condition changes.
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Personal Loan Application

Personal Loan Application

Step 1 of 9

Personal Loan Application

Application Steps

Eligibility

Type of Credit Requested

Application Steps

Customer Consent:

Application Steps

Personal Information

Current Address:

Previous Address:

Dependent and Relative Information:

Application Steps

Current Employer

Previous Employer

Other Income Sources

Application Steps

Checking Account:

Savings Account:

Certificate of Deposit:

Marketable Securities Assets:

Real Estate Assets:

Life Insurance Assets:

Automobile Assets:

Other Assets:

Rent or Mortgage

Automobile Debt

Other Debt

Secured Credit

Application Steps

Insurance Disclosure For Credit Application

PURPOSE:

CREDIT DISCLOSURES

ACKNOWLEDGEMENT

Application Steps

MLA Questionnaire

COVERED BORROWER IDENTIFICATION STATEMENT

Application Steps