Charter National Bank

 

Loan Application

NOTE: Charter National Bank will only accept applications for credit from residents living in the Illinois counties of Cook, DuPage, Kane, Lake, McHenry & Will. Other applications will not be processed. Thank you.

 

Loan Information
Will there be a co-applicant on this loan application? 
Yes or No 
Amount requested 
Purpose
Security
If other Security, please specify
Length of Loan

Personal Information
First Name:
Middle Initial:
Last Name:
Social Security Number:
Marital Status: Married
Unmarried
(includes single, widowed and divorced)
Birthdate (xx/xx/xxxx)
Home Address:
   City:
   State:
   Zip:
How Long?
Home Phone Number:
If you've lived at your current address less than 2 years, please provide your previous home address:
Previous Home Address:
   City:
   State:
   Zip:

Employment Information
Work Phone Number:
Employer name:
    Address:
    City:
    State:
    Zip:
Position:
Date Started:

Joint Applicant Information  

If you are applying for individual credit, you may skip this section.
Joint Applicant's First Name:
Middle Initial:
Last Name:
Social Security Number:
Marital Status: Married
Unmarried
(includes single, widowed and divorced)
Birthdate (xx/xx/xxxx)
Home Address:
   City:
   State:
   Zip:
How Long?
Home Phone Number:
If you've lived at your current address less than 2 years, please provide your previous home address:
Previous Home Address:
   City:
   State:
   Zip:

Employment Information
Work Phone Number:
Employer name:
    Address:
    City:
    State:
    Zip:
Position:

Income & Asset Information
Gross monthly pay:
Other income Note: Alimony, child support or separate maintenance income need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.
Savings/Checking balance
Real Estate- locations, value
Auto - year, make model
Auto - year, make model
Auto - year, make model
Other Asset
Other Asset

Payment Option

Automatic Loan Payment Method

You do not have to select an automatic payment method to obtain credit. These are offered to you as a service from our institution.  If you bank at Charter National Bank & elect to have your payment automatically debited from your checking or savings account, you will receive a 1/4 point discount on your interest rate. 

Automatic Loan Payment (Payment is transferred monthly on the due date.)
From Savings Account #
From Checking Account #

 
Any comments or questions you may have for us?

Email Address:     

By submitting this application, I/We certify that this information has been supplied truthfully, accurately and voluntarily, and therefore authorize Charter National Bank to investigate our creditworthiness, credit history, employment history and financial responsibility through any credit bureau or by any other reasonable means for consideration for the loan applied for, or for any other services offered.  This application does not constitute a contract for the extension of credit.  

As noted above, Charter National Bank will only accept applications for credit from residents living in the Illinois counties of Cook, DuPage, Kane, Lake, McHenry & Will.  Other applications will not be processed.  Thank you. 

 

--------------------- 847.882.1000 ---------------------


2200 West Higgins Road 1400 Irving Park Rd Old Church & Barrington Rd 2069 Barrington Rd.
Hoffman Estates, IL 60169 Hanover Park, IL 60133 Schaumburg, IL 60168 Hoffman Estates, IL 60169