Personal Loan Application

Individual Credit: Application for individual credit/relying solely on my income and assets

Joint Credit: Applicant and Co –Applicant agree that each of us intend to apply for joint credit

Personal Information

*First Name

*Middle Initial

*Last Name

*Date of Birth

*Social Security Number

*Street Address

*City

*State

*Zip Code

*Preferred Contact Phone Number

Email Address

*Employer

*Occupation

*Income

*Length Of Employment

Joint Owner

First Name

Middle Initial

Last Name

Date of Birth

Social Security Number

Street Address

City

State

Zip Code

Preferred Contact Phone Number

Email Address

Employer

*Occupation

Income

Length Of Employment

*Clear Lake Bank & Trust Office Most Convenient for You

Clear Lake

Garner

Mason City West

Downtown Mason City

Preferred Loan Officer

*Purpose Of Loan Inquiry

*Requested Loan Amount

Preferred Monthly Payment

Vehicle Make

Vehicle Model

Vehicle Year

Do you own a home?

Do you rent?

*Years at residence

*Monthly Mortgage Payment/Rent Payment

The purpose of this online form is to collect information to expedite the account opening process. By submitting the information above, we do not guarantee that an account will be opened as requested. All new account requests are subject to the bank's standard review and approval process. We reserve the right to restrict account openings to account owners in our normal trade area, and all account owners and authorized signers must physically appear at one of our bank offices to complete the account opening process. View US Patriot Act Information.

Personal Loan Application

Thank you for your application!

Personal Information

Joint Owner