Consumer Credit Application

Federal law requires financial institutions to obtain sufficient information to verify your identity.

You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. In some instances we may use outside sources to confirm the information.

The information you provide is protected by our privacy policy and federal law.

You certify that everything you have stated in this Consumer Credit Application and on any other documents submitted to us are true and correct to the best of your knowledge.

You understand that you must update the information contained in this Consumer Credit Application if either your financial condition materially changes or we make a request to you orally or in writing.

You understand that we will retain this Consumer Credit Application whether or not it is approved.

You authorize us to request one or more consumer reports, to check and verify your credit and employment history, and to answer questions others may ask us about our credit experience with you.

You authorize us to contact you using any of the telephone numbers listed on this Consumer Credit Application or that you subsequently provide us in connection with your credit account – regardless whether the number we use is assigned to a paging service, cellular telephone service, specialized mobile radio service, other radio common carrier service or any other service for which you may be changed for the call. You further authorize us to contact you through the use of voice, text and email and through the use of prerecorded/artificial voice messages or an automatic dialing device.

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.

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

1) My purchase of an insurance product or annuity from you or your affiliates; or

2) My agreement not to obtain, or a prohibition on me from obtaining, any insurance product or annuity from an unaffiliated entity.

By signing, I acknowledge that I have received a copy of this form on today’s date or within three (3) days if I have applied by telephone. Unless this disclosure is provided electronically or I have applied for credit by mail, I also acknowledge that you have provided this disclosure to me orally.