Unsecured Loan Required Disclosure


 
INSURANCE DISCLOSURE
As required by law, this insurance disclosure is being provided to you at the time you apply for credit from Solvay Bank.
  • Solvay Bank may not condition an extension of credit on either your purchase of an insurance product from the Bank or your agreement not to obtain, or a prohibition on you from obtaining, an insurance product from an unaffiliated entity;
  • The insurance product is not a deposit or other obligation of, or guaranteed by, Solvay Bank;
  • The insurance product is not insured by the Federal Deposit Insurance Corporation (FDIC) or any other agency of the United States or Solvay Bank;
  • There is investment risk associated with the insurance product including the possible loss of value.
*By checking this box I/(we) acknowledge that the foregoing disclosures were provided at the time I(we) applied for credit from Solvay Bank and before the initial sale of the insurance product was completed.

 
FOR HOME IMPROVEMENT USE ONLY
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 and fair housing laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a Lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it. However, if you choose not to furnish it, under Federal regulations, this Lender is required to note race and sex on the basis of visual observation or surname. If you do not wish to furnish the above information, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the Lender is subject under applicable state law for the paticular type of loan applied for.)
Borrower: Co-Borrower:
I do not wish to furnish this information. I do not wish to furnish this information.
   
Ethnicity:  
Hispanic or Latino Hispanic or Latino
Not Hispanic or Latino Not Hispanic or Latino
   
Race/National Origin: Race/National Origin:
American Indian or Alaskan Native American Indian or Alaskan Native
Asian Asian
Black or African American Black or African American
Native Hawaiian or Other Pacific Islander Native Hawaiian or Other Pacific Islander
White White
Other Other
(Specify other) (Specify other)
   
Sex: Sex:
Female   Male Female   Male

 
CREDIT INQUIRIES
"I/WE AUTHORIZE the Lender to make whatever credit inquiries it deems necessary in connection with this credit application or in the course of review or collection of any credit extended in reliance on the application. I/We authorize and instruct any person or consumer reporting agency to compile and furnish to the Lender any information it may have or obtain in response to such credit inquiries and agree that same shall remain your property whether or not credit is extended.
I am/We are hereby notified that a consumer report may be requested in connection with this credit application. If I/we request, I/we will be informed whether or not a consumer report was requested, and if such report was requested, I/we will be informed of the name and address of the consumer reporting agency that furnished the report. Subsequent consumer reports may be requested or utilized in connection with an update, renewal or extension of the credit. "
All information set forth in this application is declared to be true representation of facts for the purpose of obtaining the credit requested and any willfull misrepresentation on the application could result in criminal action.
*By checking this box I/(we) acknowledge that I(we) have read the above Credit Inquiry disclosure. I(we) agree to and accept all terms and conditions within.

 
Print Disclosure Statement
For future reference please go to our Services page to reprint the Disclosure Statement.

 

*Indicates Required Fields