Home Equity Line of Credit InFirst Bank

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Home Equity Line of Credit

Application

Home Equity Line of Credit

Application

**Please note that you may be required to stop in at one of our offices to complete the application process.

Terms(Required)

I Agree

I Disagree

TERMS OF LOAN

TERMS Amount

Credit Type Requested

Untitled

Individual Credit - relying solely on my income or assets

Individual Credit - relying on my income or assets as well as income or assets from other sources

Joint Credit

PROPERTY INFORMATION AND PURPOSE OF LOAN

Property Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

County

Number of Units

Description of Property

Purpose of Loan

Purchase

Refinance

Other

Property will be:

Primary Residence

Secondary Residence

Investment Property

Title will be held in what Name(s)

BORROWER INFORMATION

Borrower's Name(Required)

First Middle Last Suffix

SSN(Required)

Home Phone Number(Required)

Email Address

Driver's License Number

State

Date of Birth(Required)

MM slash DD slash YYYY

Years of School

Number of Dependents

Ages of Dependents

Present Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Years at this Address

Mailing Address (if different from Present Address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If residing at present address for less than two years, complete the following:

Former Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Untitled

There will be a Co-Borrower on this loan.

Co-Borrower's Name

First Middle Last Suffix

SSN

Home Phone Number

Email Address

Driver's License Number

State

Date of Birth

MM slash DD slash YYYY

Years of School

Number of Dependents

Ages of Dependents

Present Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Years at this Address

Mailing Address (if different from Present Address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

If residing at present address for less than two years, complete the following:

Former Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

EMPLOYMENT INFORMATION

Borrower's Employer Name

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Years Employed

If employed in current position for less than two years, or if currently employed in more than one position, complete the following:

Other Employer Name

Other Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Years Employed

Co-Borrower Employer Name

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Years Employed

If employed in current position for less than two years, or if currently employed in more than one position, complete the following:

Other Employer Name

Other Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Years Employed

MONTHLY INCOME AND COMBINED HOUSING EXPENSE INFORMATION

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

Gross Monthly Income - Borrower

Gross Employment Income

Overtime

Bonuses

Commissions

Dividends/Interest

Net Rental Income

Other

Total Income

Gross Monthly Income - Borrower

Gross Employment Income

Overtime

Bonuses

Commissions

Dividends/Interest

Net Rental Income

Other

Total Income

Monthly Housing Expense

Rent

First Mortgage (P&I)

NumberOther Financing (P&I)

NumberHazard Insurance

Real Estate Taxes

NumberMortgage Insurance

Homeowners Assoc. Dues

Other:

Total

ASSETS AND LIABILITIES

ASSETS

Please list all assets such as checking accounts, savings accounts, money market funds, mutuals, bonds, certificates of deposit, stocks, life insurance, automobiles, real estate, retirement funds, etc. Include a balance, institution and account number for each.

LIABILITIES

Please list all liabilities such as automobile loans, revolving charge accounts, real estate loans, alimony, child support, stock pledges, etc. Include a balance, institution and account number for each.

Real Estate Owned:

Property 1 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Property 1 Type of Property

Property 1 Present Market Value

Property 1 Amount of Mortgages & Liens

Property 1 Gross Rental Income

Property 1 Mortgage Payments

Property 1 Insurance, Maintenance, Taxes & Misc

Property 1 Net Rental Income

Property 2 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Property 2 Type of Property

Property 2 Present Market Value

Property 2 Amount of Mortgages & Liens

Property 2 Gross Rental Income

Property 2 Mortgage Payments

Property 2 Insurance, Maintenance, Taxes & Misc

Property 2 Net Rental Income

Property 3 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Property 3 Type of Property

Property 3 Present Market Value

Property 3 Amount of Mortgages & Liens

Property 3 Gross Rental Income

Property 3 Mortgage Payments

Property 3 Insurance, Maintenance, Taxes & Misc

Property 3 Net Rental Income

DECLARATIONS

Borrower

Are there any outstanding judgments against you?

Yes

No

Have you been declared bankrupt within the past 7 years?

Yes

No

Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?

Yes

No

Are you a party to a lawsuit?

Yes

No

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?

Yes

No

(This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee. Of "Yes," provide details, including date, name, and address of Lender.

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?

Yes

No

If "Yes", give details as described in the preceding question.

Are you obligated to pay alimony, child support, or separate maintenance?

Yes

No

Is any part of the down payment borrowed?

Yes

No

Are you a co-maker or an endorser on a note?

Yes

No

Are you a U.S. citizen?

Yes

No

Are you a permanent resident alien?

Yes

No

If "Yes", Have you had an ownership interest in a property in the last three years?

Yes

No

Do you intend to occupy the property as your primary residence?

Yes

No

What type of property did you own

How did you hold title to the home

Co-Borrower

Are there any outstanding judgments against you?

Yes

No

Have you been declared bankrupt within the past 7 years?

Yes

No

Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years?

Yes

No

Are you a party to a lawsuit?

Yes

No

Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment?

Yes

No

(This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee. Of "Yes," provide details, including date, name, and address of Lender.

Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?

Yes

No

If "Yes", give details as described in the preceding question.

Are you obligated to pay alimony, child support, or separate maintenance?

Yes

No

Is any part of the down payment borrowed?

Yes

No

Are you a co-maker or an endorser on a note?

Yes

No

Are you a U.S. citizen?

Yes

No

Are you a permanent resident alien?

Yes

No

Do you intend to occupy the property as your primary residence?

Yes

No

If "Yes", Have you had an ownership interest in a property in the last three years?

Yes

No

What type of property did you own

How did you hold title to the home

*ACKNOWLEDGMENT AND AGREEMENT

Untitled

Each of the undersigned hereby acknowledges that InFirst Bank has a current need to review your creditworthiness. By signing below, you agree we may verify your credit record and/or employment history by any means necessary, including preparation of a credit report by a consumer reporting agency.

You are entitled to one free copy of your credit report every 12 months from each of the three nationwide credit reporting companies. Order online from annualcreditreport.com, the only authorized website for free credit reports, or call 1-877-322-8228. You will need to provide your name, address, social security number, and date of birth to verify your identity.

One of our Lending Professionals will contact you within 24 hours (Monday through Friday) to finalize the details of your loan request.

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