Personal Loan Application City National Bank

Personal Loan Application

Please fill out the fields in the form to complete your online application process. Once submitted one of our loan representatives will contact you within one business day to complete the process. Thank you for giving City National Bank the opportunity to serve you.

Eligibility

To apply for a loan online with City National Bank you must reside within our market area. Before proceeding, please input the zip code of your residence and confirm our eligibility below.

Zip Code

Customer Consent

I acknowledge and agree that I consent to receive account information electronically that is being provided in connection with a transaction affecting interstate commerce that is subject to the Federal Electronic Signature in Global and National Commerce Act, and that I and the bank both intend that the Act apply to the fullest extent possible to validate our ability to conduct business with one another by electronic means.

Untitled(Required)

Yes. I consent to receive legal disclosures electronically and to the terms and conditions listed above.

View Privacy Policy

Untitled(Required)

Yes, I consent and acknowledge that I have read, received and understand the insurance disclosure.

Federal Credit Application Insurance Dislcosure

Purpose

You are applying for a loan, in connection with your loan application, Lender may be soliciting, offering to buy insurance product or annuity. Federal law requires Lender to provide you with the following disclosures.

Acknowledgement

• IMPORTANT APPLICANT INFORMATION: 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 identifications 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.

1. Type of Application

Application Type(Required)

INDIVIDUAL CREDIT - relying solely on my income or assets

INDIVIDUAL CREDIT - relying solely on my income or assets as well as income or assets from other sources

JOINT CREDIT - We intend to apply for joint credit

2. Type of Requested Credit

Application Date(Required)

Amount(Required)

Financing Type(Required)

New

Refinance

Modification

No. of Months(Required)

Repayment Interval(Required)

Monthly

Other

First Payment Date(Required)

Credit Type(Required)

Line of Credit

Loan

Sale

Lease

Loan Purpose(Required)

Agriculture

Business

Consumer

Security for Credit(Required)

Unsecured

Secured

Proceeds of Credit to Be Used for(Required)

To purchase property that will secure your credit

To purchase property that is a residential dwelling and is not real estate

To finance home improvements to a residential dwelling

Other

3. Applicant Information

Primary Applicant

Full Name(Required)

First Middle Last

Gov't ID Type(Required)

Gov't ID No.(Required)

Gov't ID Issued By(Required)

Gov't ID Issue Date(Required)

Gov't ID Exp. Date(Required)

Date of Birth(Required)

Soc. Sec. No.(Required)

Primary Phone(Required)

Secondary Phone

Email Address(Required)

Present Address(Required)

Own

Rent

Other

No. of Years(Required)

Present Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous Address(Required)

Own

Rent

Other

No. of Years(Required)

Previous Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Dependents(Required)

Ages(Required)

Nearest Relative (not living with you)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Your Relationship to Us (or our affiliate)(Required)

None

Employee

Insider (Shareholder, Director, Officer)

Have you ever received credit from us?(Required)

Yes

If yes, When?

Office/Branch:

Joint Applicant or Other Party

Name

First Middle Last

Gov't ID Type

Gov't ID No.

Gov't ID Issued By

Gov't ID Issue Date

Gov't ID Exp. Date

Date of Birth

Soc. Sec. No.

Primary Phone

Secondary Phone

Email Address

Present Address

Own

Rent

Other

No. of Years

Present Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous Address

Own

Rent

Other

No. of Years

Previous Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Dependents

Ages

Nearest Relative not living with you

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Your relationship to Us (or our affiliate)

None

Employee

Insider (Shareholder, Director, Officer)

Have you ever received credit from us?

Yes

If yes, when

Office/Branch

4. Asset and Debt Information

If the "Joint Applicant" or "Other Party" Sections were completed, this Section should be completed by giving information about both the Applicant, and the Joint Applicant or Other Party, if applicable.

Assets Owned
Type of Asset or Description
Account Number
Current Market Value
Remaining Balance of Lien (enter "0" if none)
Asset Owner's Name

Amounts from Continuation Form
Amounts from Continuation Form

List
Current Market Value
Remaining Balance of Lien (Enter "0" if none)

Total Assets

Total Assets
Current Market Value
Remaining Balance of Lein (enter "0" if none)

Outstanding Debts (This section should be charge accounts, installment contracts, credit cards, rent, mortgages and other obligations.)

List
Creditor Name
Type of Debt, or Account Number
Original Amount
Present Balance
Monthly Payment
Debtor's Name
Past Due (Yes/No)

Amounts from Continuation Form
Amounts from Continuation Form

List
Original Amount
Present Balance
Monthly Payment

Total Debts

List
Original Amount
Present Balance
Monthly Payment

Credit References
Name
Original Amount Borrowed
Date Paid in Full

5. Employment Information

1st Employer

Current

Previous

Self

No. of Years

Employer Name

Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Manager

Phone

Gross Monthly Salary/Comm.

Position/Title

2nd Employer

Current

Previous

Self

No. of Years

Employer Name

Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Manager

Phone

Gross Monthly Salary/Comm.

Position/Title

3rd Employer

Current

Previous

Self

No. of Years

Employer Name

Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Manager

Phone

Gross Monthly Salary/Comm.

Position/Title

Joint Applicant or Other Party

1st Employer

Current

Previous

Self

No. of Years

Employer Name

Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Manager

Phone

Gross Monthly Salary/Comm.

Position/Title

2nd Employer

First Choice

Second Choice

Third Choice

No. of Years

Employer Name

Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Manager

Phone

Gross Monthly Salary/Comm.

Position/Title

3rd Employer

Current

Previous

Self

No. of Years

Employer Name

Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Manager

Phone

Gross Monthly Salary/Comm.

Position/Title

6. Other Income

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.

Alimony, child support, separate maintenance received under:

Court order

Written agreement

Oral understanding

Other Income (per month)

Source

Is any income listed in Sections 4, 5 or 6 likely to be reduced before the credit is paid off:

Yes (Explain in section 10.)

No

Joint Applicant or Other Party

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.

Alimony, child support, separate maintenance received under:

Court order

Written agreement

Oral understanding

Other Income (per month)

Source

Is any income listed in Sections 4, 5 or 6 likely to be reduced before the credit is paid off:

Yes (Explain in section 10.)

No

7. Other Obligations

Are you a co-maker, endorser, co-signer, surety, or guarantor on any loan, contract or other obligation?

Yes

No

If Yes: Amount (per month)

For whom

To whom

Are there any unsatisfied judgments against you?

Yes

No

If Yes: Amount (per month)

To Whom

Have you been declared bankrupt in the last 10 years?

Yes

No

If Yes: Where

Year

Are you obligated to make Alimony, Support or Maintenance Payments?

Yes

No

If Yes: Amount (per month)

To whom

Joint Applicant or Other Party

Are you a co-maker, endorser, co-signer, surety, or guarantor on any loan, contract or other obligation?

Yes

No

If Yes: Amount

For whom

To whom

Are there any unsatisfied judgments against you?

Yes

No

If Yes: Amount (per month)

To whom

Have you been declared bankrupt in the last 10 years?

Yes

No

If Yes: Where

Year

Are you obligated to make Alimony, Support or Maintenance Payments?

Yes

No

If Yes: Amount (per month)

To whom

8. Property Information (if secured)

Property Type

Boat or Vessel

Certificate of Deposit

Deposit Account

Manufactured Home

Motor Vehicle

Other

Property Description

Property
Residential Dwelling
Homestead Property

Property Location and Address

Primary Use of Property

Agricultural

Business

Consumer

Property Owner(s) Names & Addresses

9. Marital Status

Leave blank, unless:
(1) the credit will be secured, or
(2) you reside in a community property state, or
(3) you are relying on property, located in a community property state, as a basis for repayment.

Applicant

Married

Separated

Unmaried (including single, divorced, widowed)

Joint Applicant or Other Party

Married

Separated

Unmaried (including single, divorced, widowed)

10. Additional Information or Explanations

Additional Information or Explanations

11. Notices

California Residents. Each applicant, if married, may apply for a separate account.
New York Residents. A consumer report may be ordered in connection with your application. Upon your request, we will inform you whether or not a report was ordered. If a report was ordered, we will tell you the name and address of the consumer reporting agency that provided the report. Subsequent reports may be ordered or utilized in connection with an update, renewal or extension of credit for which you have applied.
Ohio Residents. The Ohio laws against discrimination require all creditors make credit equally available to all creditworthy customers, and that credit reporting agencies maintain separate credit histories on each individual upon request. The Ohio Civil Rights Commission administers compliance with this law. Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud.
Texas Residents. The owner of the homestead is not required to apply the proceeds of the extension of credit to repay another debt except debt secured by the homestead or debt to another lender.
Wisconsin Residents. Notice to Married Applicants. No provision of any marital property agreement, unilateral statement under Wisc. Statutes § 766.59 or a court decree under Wisc. Statutes § 766.70 adversely affects the interests of the Creditor unless the Creditor, prior to the time the credit is granted, is furnished a copy of the agreement, statement or decree or has actual knowledge of the adverse provision when the obligation to the Creditor is incurred.
For Married Wisconsin Residents. The credit being applied for, if granted, will be incurred in the interest of my marriage or family. I understand the Creditor may be required by law to give notice of this transaction to my spouse.

12. Certifications, Authorizations and Signatures

You certify that everything you have stated in this 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 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 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 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 charged 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.

Electronic Signature
Electronic Signature

If checked, You further agree that you have signed this Credit Application with one or more electronic signatures. You intend your electronic signature to have the effect of your written ink signature. You viewed and read the entire Credit Application and notices before you signed it. You received a paper copy of this Credit Application after it was signed. You understand that this Credit Application is in the electronic form that we will keep. We may rely on, and enforce, this Credit Application in the electronic form or as a paper version of the electronic form.

Applicant Signature
First Last

Date
MM slash DD slash YYYY

Joint Applicant, or Other Party, Signature (if applicable)
First Last

Date
MM slash DD slash YYYY

Notice: It is a federal crime punishable by fine, imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of Title 18, United States Code § 1001, et seq.

Mortgage Loan Originator Information

If this Credit Application is secured by a consumer's residential dwelling that is owned by you, we may be required under federal or state law to disclose our mortgage loan origination identification number(s), which are as follows, if applicable:
- Mortgage Loan Originator Name and Identifier: City National Bank
- Mortgage Loan Origination Company Name and Identifier: 447217

Comments
This field is for validation purposes and should be left unchanged.

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