cla - Colonial Savings

Loan amount requested: $*

Loan purpose:*

If other, please specify:*

How long (loan term in months):*

Your Name:*

Time at current residence:

Home Phone:*

Work Phone:*

E-mail Address:*

Colonial Savings Consumer Privacy Policy

Social Security Number (no dashes):*

Driver License Number:*

Driver License was issued by:

Accounts with Colonial

Mortgage Account Number:

Checking Account Number:

Savings Account Number:

CD Account Number:

Consumer Loan Account Number:

Auto Loan Account Number:

Co-Applicant Information

Co-applicant's Name:

Time at current residence:

Home Phone:

Work Phone:

E-mail Address:

Social Security Number (no dashes):

Driver License Number:

Driver License was issued by:

Accounts with Colonial

Mortgage Account Number:

Checking Account Number:

Savings Account Number:

CD Account Number:

Consumer Loan Account Number:

Auto Loan Account Number:

Are you self-employed?

Are you Retired?

Employer's name:

Employer's Phone

Occupation:

Monthly income / salary: $

In job since:

Other income: $

Sources:

Co-Applicant Information

Is Co-Applicant self-employed?

Is Co-Applicant Retired?

Co Applicant's Employer's name:

Phone

Occupation:

Monthly income/salary: $

In job since:

Other income: $

Sources:

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Additional information that might help us evaluate your application:

The goal of this section is to increase our customers' overall satisfaction with Colonial Savings. We greatly appreciate the feedback from you. Your response will be held confidential. It will not be sent to our loan application underwriter. Thus, it will not affect the decision of the loan application.

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Colonial Savings Consumer Privacy Policy

I certify that everything I have stated in this application form is correct. By clicking on the Submit button, I authorize Colonial Savings, F. A. to check my credit, employment history, income and to answer questions others may ask Colonial Savings, F. A. about my credit record with you. I understand that I must update credit information at your request if my financial condition changes.

Consumer Loan Application

Accounts with Colonial

Co-Applicant Information

Accounts with Colonial

Co-Applicant Information

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