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First National Bank of Eagle Lake
Member FDIC, Equal Housing Lender
("You" means Applicant, et al; and "We" means Creditor)
Important Information to Applicant(s). To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to obtain, verify, and record information that identifies each person who applies for a loan or opens an account.
Read each instruction carefully before completing this form.
If the "Joint Applicant" or "Other Party" Sections were completed, this Section should be completed by giving information about both Applicant, and the Applicant or Other Party, If applicable.
Leave blank, unless:
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.
You certify that everything you have stated in this Credit Application and on any 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 cell. 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.