Credit Application › First National Bank of Livingston

Thank you for considering First National Bank of Livingston for your lending needs! We offer a wide variety of terms. So what are you waiting for? Let's get started!

This online credit application is intended for consumer loans only. Please fill out the fields in the form below, click 'Send Application', and we'll start processing your application right away. One of your representatives will contact you within one business day to complete the process.

If you are interested in applying for a commercial loan, or are a non-U.S. citizen, please give us a call at 1-800-327-9279 or 1-936-327-1234 and we will be happy to help you.

Please Note: First National Bank of Livingston is a community bank primarily serving the Polk and San Jacinto counties of East Texas. We do not normally provide banking services to residents outside our service area unless you are planning to relocate for either permanent or seasonal residency.

* Required Fields

Check here if you are applying for individual credit in your own name and are relying on your own income or assets and not the income or assets of another person as the basis of the credit requested.

Check here if you are applying for joint credit with another person and provide information about the joint applicant.

Check here if you are applying for individual credit, but are relying on income from alimony, child support, or separate maintenance or on the income or assets of another person on the basis of repayment for the credit requested. Complete all sections to the extent possible, providing information about the person on whose alimony, support, or maintenance payments or income or assets you are relying.

Amount Requested *

For How Long *

Purpose of Loan *

Individual Applicant Information

Name (Last, First, Middle) *

No. of Dependents *

Social Security Number *

Birthdate *

Drivers License Number *

State of Issue *

Expiration Date *

Home Phone *

Cell Phone *

Daytime Phone *

Email Address *

Physical Address*

City*

State *

Zip*

Own Rent Other

How Long *

Monthly Pmt. *

Mailing Address

Mailing Address*

City*

State *

Zip*

Previous Address

Previous Address*

City*

State *

Zip*

How Long *

Employment Information

Employer *

Address *

City *

State *

Zip *

Business Phone *

Occupation *

Salary per Month *

Previous Employer

Previous Employer *

Address *

City *

State *

Zip *

How Long *

Other Sources of Income

Alimony, child support, or separate maintenance need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Source(s)

Amount per Month

Do you have existing account(s) with us? *

Type(s) of Existing Account(s) *

Joint Applicant or Other Party Information

Name (Last, First, Middle) *

Social Security Number *

Birthdate *

Drivers License Number *

State of Issue *

Expiration Date *

Home Phone *

Cell Phone *

Daytime Phone *

Email Address *

Physical Address *

Own Rent Other

How Long

Monthly Pmt.

Mailing Address

Mailing Address*

City*

State *

Zip*

Previous Address

Previous Address *

City *

State *

Zip *

How Long *

Employment Information

Employer *

Employer Address *

Zip*

State *

Zip *

Business Phone *

Occupation *

Salary per Month *

Previous Employer

Previous Employer *

Address *

City *

State *

Zip *

How Long *

Other Sources of Income

Alimony, child support, or separate maintenance need not be revealed if you do not wish to have it considered as a basis for repaying this obligation.

Source(s)

Amount per Month

Do you have existing account(s) with us? *

Type(s) of Existing Account(s) *

Marital Status

Applicant

Married Unmarried Separated

Other Party

Married Unmarried Separated

Nearest Relatives

Name *

Relationship *

Address *

City *

State *

Zip *

Phone Number *

+ Add relative

Name *

Relationship *

Address *

City *

State *

Zip *

Phone Number *

+ Add relative

Name *

Relationship *

Address *

City *

State *

Zip *

Phone Number *

Complete the following about both the Applicant and Joint Applicant or Other Person (if applicable)

Are you obligated to make Alimony, Support, or Maintenance payments?

Payments per month

Yes No

Name of Payee

Address of Payee

Are you a co-maker, endorser, or guarantor on any loan or contract? *

If yes, for whom? *

Yes No

Are there any unsatisfied judgements against you? *

If yes, to whom owed? *

Yes No

Have you declared bankruptcy in the last 10 years? *

If yes, to where? *

Yes No

Notice of Negative Information: We may report information about your account to credit bureaus. Late payments, missed payments or other defaults on your account may be reflected on your credit report.

By clicking below or clicking the 'Send Application' button I certify that everything I have stated in this application is correct. Your may keep this application whether or not it is approved. By clicking the 'Send Application' button I authorize you to check my credit and employment history and to answer permissible questions, under the Fair Credit Reporting Act, others may ask you about my credit record with you. I understand that I must update credit information at your request if my financial condition changes.

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Thanks for your application!

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