Primary Applicant must be a Hawaii resident.
Only Primary Applicant is allowed to use the
credit and is responsible for repayment.
Fill in information for Primary Applicant Only.
• Only Primary Applicant must sign application.
Credit to be issued only to Primary Applicant.
INDIVIDUAL
Both Primary Applicant and Co-Applicant must be Hawaii residents.
Primary Applicant and Co-Applicant may use the credit without each other’s permission.
Each will be responsible for paying off the entire loan, no matter who used the money
from the loan.
• Fill in information for both Primary Applicant and Co-Applicant.
• Both Primary Applicant and Co-Applicant must sign application.
• Credit to be issued to Primary Applicant and Co-Applicant.
JOINT
we intend to apply for joint credit
Preferred CreditLine
SM
Overdraft Protection
($500 min.)
Loan amount applying for: Loan Purpose:
Savings Account #
Co-Applicant
Primary Applicant
Section I (For loan requests greater than $15,000 or for a Clean Energy Loan also complete Section II)
Signature(s)
I (i) certify that all information provided in this application is correct and to the best of my knowledge, (ii) authorize American Savings Bank (”ASB”) to verify my credit and
employment history at any time, (iii) understand that ASB retains this application whether or not approved, (iv) understand that if ASB approves my application, that ASB shall
furnish me with the loan product’s terms and conditions, (v) understand that by using the loan proceeds, I agree to all those terms and conditions and that I am bound to them,
and (vi) if this is for any Clean Energy financing, I authorize ASB to provide information about my loan to my contractor (if the contractor is a participating contractor).
If this is a personal line of credit application, then I (we) agree to be liable for any cash advances and all other charges. Assuming loan approval, then I (we) will receive a loan
agreement with your approval letter, and will read it. By using my (our) line of credit, I (we) agree to the terms of our loan agreement and that it will be binding upon me (us)
until I (we) or ASB cancels my (our) account as provided in the loan agreement. If I transmit this application as an “electronic record” containing my “electronic signature” (as
applicable Federal and/or state laws define them (excluding audio and video recordings), it shall be as effective, enforceable, and valid as if I delivered to ASB a paper version
of this application containing my original written signature. By signing below, I signify that I confirm and agree with the Sections that I completed on this application (Section
I and Section II if loan is greater than $15,000). See page 2 for important information about procedures for opening a new account.
Primary Applicant’s Signature Date
Co-Applicant’s Signature Date
XX
Initial
below
Savings Bank
Personal Loans and Lines of Credit Application
Checking Account #
Personal Loan
($2,500 min.)
Savings Secured
($1,000 min.)
Personal Line of Credit
($3,000 min.)
Clean Energy Loan
Contractor Name:
$
*Alimony, child support or separate maintenance income received under: Court Order Written Agreement Oral Understanding
Primary Applicant Information
Last Name
Home Address
Mailing Address (if different from Home Address)
Home Phone
Gross Monthly Income
Employer
* 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.
$
$
$
City State
ZIP
City State
ZIP
Years There?
Email
Work Phone
Cell Phone
How Long in Line of Work?
Years There?Position / Military Rank
Other Income* (Monthly) Source of Other Income*
First Name
Social Security No.
Date of BirthMI
Rent/Mortgage (Monthly)
1 of 2
*Alimony, child support or separate maintenance income received under: Court Order Written Agreement Oral Understanding
Co-Applicant Information
Last Name
Home Address
Mailing Address (if different from Home Address)
Home Phone
Gross Monthly Income
Employer
* 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.
$
$
$
City State
ZIP
City State
ZIP
Years There?
Email
Work Phone
Cell Phone
How Long in Line of Work?
Years There?Position / Military Rank
Other Income* (Monthly) Source of Other Income*
First Name
Social Security No.
Date of BirthMI
Rent/Mortgage (Monthly)
Debt Consolidation Primary/Secondary Education
Tax es
Home Improvement Personal Expenses
with 48 monthly payments
© 2019 American Savings Bank, F.S.B.
18H241 (10/19)
Section II (Complete this section for requests greater than $15,000 or for a Clean Energy Loan)
Other Real Estate Owned
(if additional space is needed, attach separate sheet)
Obligations
(if additional space is needed, attach separate sheet)
Primary Applicant Information
Previous Employer (if less than 2 years at current employer)
Previous Home Address (if less than 2 years at current address)
Property Address (Physical Address)
Rental Income
(if applicable)
Maintenance,
Taxes & Insurance
Monthly PaymentBalance Owing
Lender
$$$$
$
$$$$
Child Support (Monthly Payment) Alimony (Monthly Payment)
Other Obligations (Monthly Payment)
To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain,
verify, and record information that identifies each person who opens an account. What this means for you: When you open an account, we will
ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your driver's license
or other identifying documents.
Position / Military Rank Years There? Gross Monthly Income
$
$
$
2 of 2
City State
ZIP
Co-Applicant Information
Previous Employer (if less than 2 years at current employer)
Previous Home Address (if less than 2 years at current address)
$
Position / Military Rank Years There? Gross Monthly Income
City State
ZIP
Important Information About Procedures For Opening A New Account
© 2019 American Savings Bank, F.S.B.
Member FDIC
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