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Loan Inquiry

Thank you for your interest in Union Bank. Complete this loan inquiry form and one of our lenders will contact you.

This form is not a commitment from Union Bank to lend money. Its purpose is to provide information only.

Borrower

Name (First, Middle, Last)*

Email Address

Present Street Address*

City*

State*

Zip*

Number Of Dependents

Employer

Date of Birth*

Home/Cell Phone*

Years With Employer

Social Security Number*

Work Phone

Position

Annual Income*

Other Income Amount

Home Owners Insurance

Car Payments

Real Estate Taxes

Credit Card Payments

Child Support/Alimony** (Optional)

Own Rent

Mortgage/Rent Amount

Purpose Of Loan

Amount Requested*

Do you have a co-borrower?*

Yes No

Co-Borrower

Name (First, Middle, Last)*

Email Address

Present Street Address*

City*

State*

Zip*

Number Of Dependents

Employer

Date of Birth*

Home/Cell Phone*

Years With Employer

Social Security Number*

Work Phone

Position

Annual Income*

Other Income Amount

Real Estate Taxes

Mortgage/Rent Amount

By checking this box, you certify that this information is true and complete.*

You authorize us to check your credit history and to answer questions about our credit experience with you.

**Alimony, child support or separate maintenance income need not be revealed if you don't wish to have it considered as a basis repaying this obligation.

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Thank you.

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