Rolling Hills Bank & Trust offers various types of consumer loans including auto loans, personal loans, consolidation loans etc., all at competitive interest rates.
This application should be used for any consumer loan request other than for the purchase or refinance of a 1 to 4 family residence.
If you would prefer to print and fill out the application manually, please click here.
Consumer Loan Application
To complete and submit online, fill out the application below.
Alimony, child support or separate maintenance need not be disclosed unless you wish it to be considered as a basis for repaying this obligation.
Green = Value item | Blue = Monthly Payment item | Red = Unpaid Balance item
Pursuant to the national privacy law that took effect July 1, 2001, I/we authorize Rolling Hills Bank & Trust to obtain verification of any information needed to complete my/our loan request. This information includes but is not limited to my/our bank account, other assets, employment earnings records and the need to order a consumer credit report. I/We further authorize anyone to accept a photocopy or facsimile of this document as their authorization to release such information to Rolling Hills Bank and Trust. I/We have received Rolling Hills Bank and Trust's privacy statement. Rolling Hills Bank & Trust may report information about my/our account to credit bureaus. Late payments, missed payments or other defaults on my/our account may be reflected in my/our credit report.
SIGNATURES — I/We certify that everything I/we have stated in this application and on any attachments is correct. I/We may keep a copy of this application whether or not it is approved. By signing below, I/we authorized you to check my/our credit and employment history and to answer questions others may ask you about my/our credit record with you. I/we understand that I/we must update credit information at your request if my/our financial condition changes.
Revision Date: June 2014.
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