Consumer Loan Application Citizens Bank

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Personal
- eBanking
- Checking
- Savings
- Lending
- Order Checks
Business
Loans & Mortgage
Planning
Events
Contact

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Consumer Loan Application

LOAN REQUEST

Select One:(Required)

An individual account

A joint account with your spouse

A joint account with someone other than your spouse

APPLICANT INFORMATION

Name(Required)

First Last

Social Security Number(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Phone Number(Required)

Email(Required)

Applicant desires the following voluntary insurance

Credit Life

Credit Disability

GAP

Warranty

Employer's Name(Required)

First Last

Length of Time Employed(Required)

years and months

Employer's Phone Number(Required)

If you’ve worked at your current employer for less than two years, check the box below to provide your former employer information.(Required)

Provide former employer

Job Position(Required)

CO-APPLICANT INFORMATION

Name(Required)

First Last

Social Security Number(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Phone Number(Required)

Email(Required)

Applicant desires the following voluntary insurance

Credit Life

Credit Disability

GAP

Warranty

Employer's Name(Required)

First Last

Length of Time Employed(Required)

years and months

Employer's Phone Number(Required)

If you’ve worked at your current employer for less than two years, check the box below to provide your former employer information.(Required)

Provide former employer

Job Position(Required)

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Contact Us

Need assistance? Speak to our helpful staff!
Call us at 317-831-0110

Bank NMLS: 484695

Routing Number: 074905225

Branch Locations

Avon – Avon, IN
County Line Road – Indianapolis, IN
Eminence – Eminence, IN
Heartland Crossing – Camby, IN
Main Office – Mooresville, IN
Monrovia – Monrovia, IN
Morton Avenue – Martinsville, IN
Plainfield – Plainfield, IN
Stones Crossing – Greenwood, IN

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