Personal Loan Application First United Bank and Trust Company

Personal Loan Application

Step 1 of 9

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
Type of Collateral*
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:*

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
Joint Borrower Property Description
Joint Borrower Co-Owner Name
Joint Borrower Co-Owner Address
Street Address City State ZIP Code
Joint Borrower 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
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
Joint Borrower 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).
Joint 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
Joint Borrower 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.

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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