Home • Loans Consumer Loan Application Leave me blank for Consumer Loan Application. *Required Field * Will there be a joint applicant on this Loan Application? Yes No * Loan Type: - Select a Type - Auto Loan Equity Line Equity Loan HEAT Loan Home Improvement * Amount Requested: Primary Applicant Last 5 digits of account number if you have one with us: * Email Address: * Last Name: * First Name: Middle Initial: * Address: * City: * State: - Select a state - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * Zip: * Primary Phone Number: Business Phone Number: * Last 4 Digits of SSN: * Are you a US Citizen? Yes No * Are you a Permanent Resident? Yes No * Date of Birth: * Date of Birth: * Employer's Name: * Employer's Phone Number: * How long have you been employed?: * Annual Gross Income: Please provide the following information only if you've been employed less than two years with your current employer: Previous Employer: Employer's Phone Number: How long were you employed?: Joint Applicant Last 5 digits of account number if you have one with us: * Email Address: * Last Name: * First Name: Middle Initial: * Address: * City: *State: - Select a state - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * Zip: * Primary Phone Number: Business Phone Number: * Last 4 Digits of SSN: * Are you a US Citizen? Yes No * Are you a Permanent Resident? Yes No * Date of Birth: * Employer's Name: * Employer's Phone Number: * How long have you been employed?: * Annual Gross Income: Please provide the following information only if you've been employed less than two years with your current employer: Previous Employer: Employer's Phone Number: How long were you employed?: Monthly Expenses In addition to rent or mortgage, list debts that may not appear on a credit report (for example: home owner's association dues, alimony, child support, child care, IRS liabilities, 401k loans, etc.) Debts: Monthly Payment: Debts: Monthly Payment: Debts: Monthly Payment: more rows Debts: Monthly Payment: Debts: Monthly Payment: Debts: Monthly Payment: Debts: Monthly Payment: Debts: Monthly Payment: Debts: Monthly Payment: By pressing "submit" below, I authorize Colonial Federal Savings Bank to make any inquiries believed desirable or necessary in evaluating my application. I also authorize Colonial Federal Savings Bank to provide my name, address and other information about me or my accounts to its affiliates or to third parties as necessary to provide services relating to my account(s). This may include ordering a credit report. I herewith certify that all information is true and complete. I realize that it will be relied upon by Colonial Federal Savings Bank in deciding whether or not to grant the account(s) applied for. I understand that false statements may be used against me to demonstrate my intention to use fraud in obtaining an account. Any false information may automatically reject the application. If this is a joint application I understand that such liability is joint and several. </p><p></p><p> There was an error submitting the form Thanks for contacting Colonial Federal Savings Bank We'll respond to your loan request as soon as possible.