Loans : Personal : About American Bank

We welcome applications from adults living in the Corpus Christi, Port Aransas, Rockport, Goliad, Victoria, and Austin, Texas areas. After completing this simple application, print a copy and sign it. Then, please return it to us by:

	Fax:	361-884-7678 (Corpus Christi)
		361-749-7524(Port Aransas)
		361-727-9975(Rockport)
		361-645-3226(Goliad)
		361-576-2764(Victoria)
		512-328-1200 (Austin)
	Mail:	Personal Loan Manager, PO Box 6469, Corpus Christi, Texas 78466-6469
	A visit to any of our thirteen banking offices

Your application will receive our immediate attention and a quick response.

Type of credit you are requesting

American Ready Cash
(Personal line of credit for overdrafts on your American Bank checking account or quick loans)
Your Checking Account Number

Personal Loan
Requested loan amount (Minimum $2500)
Preferred number of payments

NOTE: If you are applying for a Home Refinance or a Home Purchase loan (including mobile homes),
please use this Real Estate Credit Application instead.

Purpose for loan request: (select as many as apply)

Home Improvement	Purchase RV
Debt Consolidation	Medical Expenses
Purchase Vehicle	Other (please describe below)
Pay Taxes
Other Purpose for loan request (be specific) Note: This printed form will only accept up to 6 lines of description.

Location of Property to be Improved: (only if Purpose includes Home Improvement)

Type of credit:
     Individual
     Joint
     Individual, but relying on another's assets

Type of loan:
Unsecured
Secured
Collateral description (if secured)

Would you like to receive a .25% rate discount for authorizing automatic payment from your American Bank Checking account?
Yes
No

Your Checking Account Number

I certify that all information provided for in this application is true and complete. I authorize American Bank to check my credit and employment history and to answer questions others may ask about my credit record with American Bank at any time. I give permission for American Bank to keep this application whether or not my credit request is approved. I agree to update credit information at American Bank's request.

Applicants Signature __________________________________

Co-Applicants Signature _______________________________

Please tell us about yourself:

Name (First, Middle, Last)

Social Security Number

Date of Birth

Street address

City

State

Zip

Home phone

Driver's License Number		Date of Issue
Country of Issue		Expiration Date
State of Issue

Check one:
             Own home
             Rent
             Other
             Live with relatives

Monthly housing payment

Time at current address

years

Time at previous address

years

Employer

Occupation

Business phone

Time with current employer

years

Time with previous employer

years

Gross monthly salary

Other income: alimony, child support, separate maintenance
(need not be revealed if you do not wish to have it considered as a basis for repayment)
            Amount     Source     Frequency
            Amount     Source     Frequency
            Amount     Source     Frequency

Do you have a checking account?
Yes
No

Do you have a savings account?
Yes
No

Please check any of the following credit you have established:
             Visa
             MasterCard
             Discover
             Gas
             Department Store
             Other

Co-applicant information:

Name (First, Middle, Last)

Social Security Number

Date of Birth

Street address

City

State

Zip

Home phone

Driver's License Number		Date of Issue
Country of Issue		Expiration Date
State of Issue

Check one:
             Own home
             Rent
             Other
             Live with relatives

Monthly housing payment

Time at current address

years

Time at previous address

years

Employer

Occupation

Business phone

Time with current employer

years

Time with previous employer

years

Gross monthly salary

Do you have a checking account?
Yes
No

Do you have a savings account?
Yes
No

Please check any of the following credit you have established:
             Visa
             MasterCard
             Discover
             Gas
             Department Store
             Other

APPLICANT		CO-APPLICANT

ADDENDUM: INFORMATION FOR GOVERNMENT MONITORING PURPOSES
ATTENTION: Only fill out this section if the purpose for obtaining a loan includes home improvement.
The following information is requested by the federal government for certain types of loans related to a dwelling, in order to monitor the lender's compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. You may select one or more designations for "Race." The law provides that a lender may not discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations the lender is required to note ethnicity, race and sex on the basis of visual observation or surname. If you do not wish to furnish the information, please check below.
I do not wish to furnish this information		I do not wish to furnish this information
Ethnicity:		Ethnicity:
Hispanic or Latino Not Hispanic or Latino		Hispanic or Latino Not Hispanic or Latino
Race		Race
American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White		American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Other Pacific Islander White
Sex		Sex
Male Female		Male Female
Applicant's Signature	______________________________	Co-Applicant's Signature	______________________________
Date	____________________	Date	____________________

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