Marine Bank & Trust - Carthage, Hamilton, Augusta
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Individual with Stipulations Pre-Approval Form

If you are applying for individual credit in your own name and are relying on your income or assets, and not the income or assets of another person, as the basis for repayment of the credit requested, choose the Individual Pre-Approval instead. Marine Bank's authorized lending area includes all communities within a 50 mile radius of Carthage, IL.

I. Personal Information

Borrower Information
(include suffix ("Jr., Sr.") if applicable)

First Name

Middle Initial

Last Name

Suffix

Home Phone

Marital Status

Married
Separated
Unmarried

Date of Birth

/ /

Social Security Number

Address

 

City

State

Zip

Mortgage Payment/Rent

Ownership Status

Own Rent

No. of Years

E-mail

Co-Borrower
(person whose income you rely on)

First Name

Middle Initial

Last Name

Suffix

Home Phone

Marital Status

Married
Separated
Unmarried

Date of Birth

/ /

Social Security Number

Address

 

City

State

Zip

Mortgage Payment/Rent

Ownership Status

Own Rent

No. of Years

E-mail

II. Employment Information

Borrower Employment

Check if self-employed

Employer Name
Address
 
City
State
Zip
Phone
Occupation
Position/Title
Gross Monthly Income

Co-Borrower Employment

Check if self-employed

Employer Name
Address
 
City
State
Zip
Phone
Occupation
Position/Title
Gross Monthly Income

III. Nearest Relative or Friend Not Living With You

First Name

Last Name

Address

 

City

State Zip

Telephone

When you submit this form, your request will be forwarded to a Marine Bank Loan Representative, and you will be presented with a confirmation page showing the completed pre-approval form, formatted for printing to your local printer. After you have received two-hour loan pre-approval, bring your completed, printed application and approval to a Marine Bank Auto Dealer Partner for processing. This pre-approval form allows you to complete paperwork from the convenience of your computer; it is not a guarantee of credit approval. Certain auto dealers may require additional information.

Everything that I/we have stated in this application is correct to the best of my/our knowledge. I/we understand that you will retain this application whether or not it is approved, you are authorized to check my/our credit and my/our employment history and to answer questions about your credit experience with me/us.


flag As required by the
USA PATRIOT ACT
Important information about procedures for opening a new account

To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account.

What this means for you: When you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you.

We may also ask to see your driver's license or other identifying documents.

Marine Bank & Trust thanks you for your understanding for joining us in securing a safer tomorrow.

 

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