First National Bank
of Trenton
Land Application
Amount Requested: _________________________________
Today's Date: ____________________________
Source of Down Payment:__________________________________________________________________________
Subject Property:__________________________________________________________________________________
Borrower
___________________________________
Borrower Information
Co-borrower
______________________________________
Name
Name
___________________________________
______________________________________
Social Security #
Social Security #
DOB
DOB
___________________________________
______________________________________
Home Ph #
Home Ph #
Cell Ph #
___________________________________
Present Street Address
___________________________________
City, State, Zip
Own Rent How long?__________
___________________________________
Mailing Address (if different from street)
Married
Unmarried (including single,
Cell Ph #
______________________________________
Present Street Address
______________________________________
City, State, Zip
Own Rent How long? ______________
______________________________________
Mailing address (if different from street)
Married
Unmarried (including
Separated
divorced or widowed)
Separated
single ,divorced or widowed)
If residing at present address for less than two years, complete following:
_____________________________________________
__________________________________________
Former address: Street, city, state, Zip
Former address: Street, city, state, zip
Own Rent
Own Rent
How long?__________
How long? ______________
Employment Information
Co-borrower  check here if self employed
Borrower  Check here if Self Employed
_______________________________
__________________________________
Employer name
___________________________________
Employer address
___________________________________
Business Phone
___________________________________
Years on job
Yrs. In this profession
___________________________________
Position/Title
Employer Name
______________________________________
Employer address
______________________________________
Business Phone
______________________________________
Years on job
Yrs. In this profession
______________________________________
Position/Title
If employed less than two years complete the following:
___________________________________
Former Employer Name
___________________________________
Former Employer Address
___________________________________
Business phone
How long?
Gross Monthly Income
Base Employee Income
Overtime
Bonuses
Commissions
Dividends / Interest
Net Rental Income
Other income**
Total
Borrower
$
$
$
$
$
$
$
$
______________________________________
Former Employer Name
______________________________________
Former Employer Address
______________________________________
Business phone
How long
Monthly Income
Co-borrower
$
$
$
$
$
$
$
0 $
Total
0
$
$
$
$
$
$
$
$
0
0
0
0
0
0
0
0
1
**Describe Other income below:
B/C
Monthly Amount
________________________________________________________________________________________________
________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Real Estate Owned
Property address (enter S if sold, PS if
pending sale, or R if Rental)
Type
Totals:
Present market
value
$
Amount of
Mortgage or
liens
0
$
Gross rental
income
0
$
Mortgage
payments
0
$
Insurance,
maintenance,
taxes, & misc.
$
0
Assets and Liabilities
Cash or Market
Liabilities
Value
Assets
Description
$
Name and Address of company:
List checking and savings accounts below:
$
$
Account number:
$
0
Monthly Payment
&
Unpaid Balance
Description
Cash deposit toward purchase held by:
0
Net Rental
Income
$
$
Name and address of Bank, S&L or Credit
Union
Name and address of Bank, S&L or Credit
Union
$
Name and address of Bank, S&L or Credit
Union
$
Name and Address of company:
$
$
Account number:
Name and Address of company;
$
Account number:
Name and Address of company:
$
$
Account number:
Name and address of Bank, S&L or Credit
Union
$
Stocks & Bonds (Company name/number &
Description)
$
Life Insurance net cash value
Face Amount: $
$
Subtotal Liquid Assets
$
$
Name and Address of company:
$
Account number:
Name and Address of company:
$
$
$
Account number:
Name and Address of company:
$
Account number:
R/E Owned (market value from
R/E schedule)
Vested interest in retirement
Net worth of business(es) owned
Autos owned (make & year)
0 List All Other Debt below:
$
$
$
$
$
$
$
$
$
$
0
Other assets (itemize)
a. Total assets
$
Total net worth (a
minus b)
0 b. Total Liabilities
$
$
0
0
2
Declarations
If you answer "Yes" to any questions "a" through "i", please explain at the end of application.
Borrower
Co-borrower
Yes
No
Yes
No
a. Are there any outstanding judgments against you?




b. Have you been declared bankrupt within the past 7 years?




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




d. Are you a party to a lawsuit?




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




f. Are you recently delinquent or in default on any Federal debt
or any other loan, mortgage, financial obligation, bond or loan
guarantee? (If yes, give details at end of application.)




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




h. Is any part of the down payment borrowed?




i. Are you a c-maker or endorser on a note?




________________________________________________________________________________________________
j. Are you a U.S. citizen?




k. Are you a permanent resident alien?




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




If "yes", complete question below
m. Have you had an ownership interest in a property in the last 3 years?




(1) What type of property did you own - principal residence (PR),
Second home (SH), or investment property (IP)
______ ______
______ ______
(2) How did you hold title to the home - solely by yourself (S),
Jointly with your spouse (SP), or jointly with another (O)?
______ ______
______ ______
Acknowledgment and Agreement
Signatures - I certify that everything I have stated in this application and on any attachments 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 mush update credit information at Lender's request if my financial condition changes.
_______________________________________________
Applicant's Signature
Date
_____________________________________________
Co-applicant's signature
Date
3
First National Bank of Trenton
Type of Credit Request
Date of Application: _____/ _____/ _____
I/We are applying for credit in the amount of $ _______________________.
_________
I am applying for individual credit in my own name and I am relying
on my own income and assets and not the income or assets of another
person.
_________
I am applying for individual credit and I am relying on my own
income and assets as well as income or assets from other sources.
_________
We are applying for joint credit with co-applicants or guarantors.
Signature(s):
____________________________________________
Signature – Applicant
____________________________________________
Signature – Joint Applicant (when applicable)
____________________________________________
Signature – Joint Applicant (when applicable)
_____________________________________________
Signature – Guarantor (when applicable)
_____________________________________________
Signature – Guarantor (when applicable)
Submit
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