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"Modern Banking... the Old Fashioned Way"

 

- Sheboygan, Ozaukee, and Manitowoc County residents only. If you live outside of the area. Please contact us.
 
Please provide all the requested information. When you have completed the form, press the Submit button to send your application or print it and mail it to us. You'll hear back from us as soon as possible, usually within one business day.
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Loan Information
* =  Required Fields

Will there be a co-applicant on this loan application? 
Amount requested   *
Purpose    
Collateral  *
Length of Loan
Credit Type  

You may apply for individual or joint credit, but choose only one of the following.  Thank you.

Notice to married applicant:  No provision of a marital property agreement, a unilateral statement under Wis. Stat. sec 766.59 or a court decree under Wis Stat. sec 766.70 adversely affects the interests of the bank unless prior to the time the credit is extended, the bank is furnished with a copy of the agreement statement or decree, or has actual knowledge of the adverse provision when the obligation to the bank is incurred.

Personal Information

First Name:  *
Middle Initial:    
Last Name:  *
Social Security Number:  *
Marital Status:  
(Unmarried includes single, widowed and divorced)
Birthdate * (xx/xx/xxxx)
Home Street Address: *
   City: *
   State:   
   Zip:   
How Long?   
Home Phone Number: *

Employment Information

Work Phone Number:    
Employer name:  *
Position:    
Gross Income per Month:  *
How Long Employed:    
Source of 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.
Amount per month:    

Joint or Other Applicant Information

If your loan application is for joint credit, for individual credit relying on income or assets from other sources, or you are married and reside in a  community property state, you must also fill out this section of the application.  If you are applying for individual credit, you can skip this section. 

Name:
Social Security Number:
Marital Status:
(Unmarried includes single, widowed and divorced)
Birth date (xx/xx/xxxx)
Home Street Address:
   City:
   State:
   Zip:
How Long?
Home Phone Number:

Employment Information

Work Phone Number:
Employer name:
Position:
Gross Income per Month:
How Long Employed:
Source of 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.
Amount per month:

Insurance Option

This insurance is available to help protect you in the future. Credit life and credit disability insurance are not required to obtain credit. 

I request the following Insurance Coverage:

 

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.  We will contact you with full details on this method of payment if you select it as an option.  

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

 

Any comments or questions you may have for us?
If you have a preference, please indicate the name of the OSB employee that is to receive this application, along with your preferred method of communication, and the best time to contact you.

Email Address: 

By submitting this application, I/We certify that this information has been supplied truthfully, accurately and voluntarily, and therefore authorize Oostburg State Bank to investigate our creditworthiness, credit 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.  

NOTICE OF RIGHT TO RECEIVE COPY OF APPRAISAL:  Under the Federal Equal Credit Opportunity Act, if the credit being applied for will be secured by a 1-4 family dwelling, you have the right to a copy of the appraisal report used in connection with your application.  If a copy was not already provided to you and you wish a copy, lease write to Oostburg State Bank at 905 Center Ave Oostburg, WI 53070.  Be sure to include your name and address.  The creditor must hear from you no later that ninety (90) days after it notifies you about action taken on your application or you withdraw your application.  In order to receive a copy of the appraisal report, you must also have paid for the appraisals or the costs of photocopying the report.  

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 credit transaction to my spouse. 

Thank You. Upon receipt of this application, someone at Oostburg State Bank will review your information and get back to you to extend credit, with additional questions or to request  further information. We appreciate this opportunity to be your financial partner.

 
REMINDER: This application is for residents of Sheboygan County. If you live outside of this area please contact us.

 

Copyright 2009 Oostburg State Bank, 905 Center Avenue, P.O. Box 700198, Oostburg, WI 53070-0198.  All Rights Reserved.
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