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Loan Info Request

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This questionnaire is intended for current customers or those moving to our geographic area who will be banking with us. If you will be relocating to our area, please advise us of your anticipated date of arrival.

If this does not apply to you, please be advised that we are not currently lending to non-customers out of our geographic area. If you apply, we may automatically access your credit record. Some lenders deny credit due to excessive inquiries and submitting this in error may reflect poorly if you apply elsewhere in the near future.

Warning, misrepresentation of your assets in a credit transaction could result in a violation of Federal Law. (Sec. 18 U.S.C. 1014)

Due to the Children's Online Privacy Protection Act, we do not intend to collect information about children who are under the age of 13. By completing and submitting this form, you certify that you are over the age of 13.