Consumer Loan Application :: Colonial Federal Savings Bank

Please provide the following information only if you've been employed less than two years with your current employer:

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:

* 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

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.

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* Required Field

Online Banking

Consumer Loan Application

Primary Applicant

Joint Applicant

Monthly Expenses