Consumer Loan Application

Type Of Loan**

Purchase

Refinance

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Type of Application**

Individual

Joint Application

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Purpose of the Loan**

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Amount Requested**

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What term would you like?**

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Auto Payment from Northwoods Checking Account?**

Yes

No

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Vehicle Information

Year

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Make

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Model

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Mileage

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Applicant Information

Applicants First Name**

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Applicants Last Name**

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Email**

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Date Of Birth (For Security Purposes Only)**

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Phone**

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Address

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Applicant Employment Information

Applicant Employer's Name

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Occupation

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Years / Months

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Employer's Phone

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Employer's Address

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You need not list income or alimony, child support, and separate maintenance if you do not want it considered in determining your ability to repay this obligation. If you do not list such income, please provide the source you are relying on for such income.

Gross Monthly Income

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Other Income

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Other Income Source

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Co-Applicant Information

Co-Applicant's First Name*

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Co-Applicants Last Name*

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Co-Applicants Email*

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Co-Applicants Date Of Birth (For Security Purposes Only)*

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Co-Applicants Phone*

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Co-Applicants Address

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Co-Applicant Employment Information

Co-Applicants Employer's Name

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Co-Applicants Occupation

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Co-Applicants Years / Months

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Co-Applicants Employer's Phone

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Co-Applicants Employer's Address

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You need not list income or alimony, child support, and separate maintenance if you do not want it considered in determining your ability to repay this obligation. If you do not list such income, please provide the source you are relying on for such income.

Co-Applicants Gross Monthly Income

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Co-Applicants Other Income

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Co-Applicants Other Income Source

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Additional Comments

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Statement Certification*

I certify that all of the statements in this application are true and complete and are made for the purpose of obtaining credit. I agree to provide and/or authorize Northwoods Bank or its lending partners to obtain such additional information as required, including credit reports, in order to complete the processing of my application. I have applied for an extension of credit with you. You are soliciting, offering, or selling me an insurance product or annuity in connection with this extension of credit. Invalid Input

FEDERAL CREDIT APPLICATION INSURANCE DISCLOSURE

FEDERAL LAW PROHIBITS YOU FROM CONDITIONING THE EXTENSION OF CREDIT ON EITHER:

1. My purchase of an insurance product or annuity from you or from any of your affiliates; or
2. My agreement not to obtain or prohibition on me from obtaining, an insurance product or annuity form an unaffiliated entity.

I acknowledge that I have received a copy of this disclosure electronically. Invalid Input

If applying jointly: I, the applicant intend to apply jointly. Invalid Input

If applying jointly: I, the co-applicant intend to apply jointly. Invalid Input

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