THE FIRST NATIONAL BANK AND TRUST COMPANY OF NEWTOWN

Online Loan Application

Welcome to THE FIRST NATIONAL BANK AND TRUST COMPANY OF NEWTOWN'S on-line loan application. Our primary lending area is Lower and Central Bucks County, Pennsylvania. We appreciate your business and will process your application as quickly as possible.

THE FIRST NATIONAL BANK AND TRUST COMPANY OF NEWTOWN cannot guarantee that this application will not be intercepted by a third party. If you are uncomfortable with completing this application on-line, please print this application, complete it manually and fax it to THE FIRST NATIONAL BANK AND TRUST COMPANY OF NEWTOWN Loan Department at 215-504-1049 or stop by any branch to complete an application.

Loan Type : Home Equity Line of Credit

Amount Desired $ Term (# of months) Promotion Code Purpose
How did you hear about us?
If you selected Social Media, please provide the name of the Social Media

If you selected Referred By, please provide the name of person who referred you

Name Date of Birth Social Security # E-mail Address Home Phone Number Work Phone Number Address

City	State	Zip

How long have you lived at this address?

Do you Own the Property, Rent the Property, or Live with a Relative?
Own Rent Live with Relative

What are your monthly Payments ($) for your Mortgage or to your Landlord? Who is the Mortgage Held By? What is the remaining Balance of the Mortgage ($)
Employer Position Employer Address
Gross Monthly Salary ($) How long have you been working with your current employer? *Other Income ($) Source
If less than 2 years, please indicate previous employment
Employer Position Employer Address
Gross Monthly Salary ($) How long did you work for this employer?
If applying jointly, please complete the following information on the joint applicant:

Name Date of Birth Social Security # Work Phone Number Employer Position Employer Address
Gross Monthly Salary ($) How long have you been working with your current employer? Any Additional Income ($) Source of the Other Income
If less than 2 years, please indicate previous employment
Employer Position Employer Address
Gross Monthly Salary $ How Long ? Additional Comments:

*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.

Have you ever had any suits, judgments, garnishments, bankruptcy or other legal proceeding against you?
Yes No

Are you a co-maker, endorser, or guarantor on any loan or contract?
Yes No

Do you have any other obligations such as alimony, child support, separate maintenance, etc?
Yes No

Are you currently a customer of THE FIRST NATIONAL BANK AND TRUST COMPANY OF NEWTOWN?
Yes No

I/We hereby certify that the above statements are true and correct and are made for the purpose of obtaining a loan or loans from you. I/We authorize you to obtain any information that you may require concerning the above statements. This application shall remain your property whether the loan is granted or not.
If you have read the above statement and agree, please type AGREE in this box

When you have finished the application form, please click the Submit Application button.
It may take up to 3 minutes to process this loan application once you have clicked Submit. Please be patient. You will see a confirmation screen when processing is complete.

The First National Bank and Trust Company of Newtown
215-860-9100 • Email Us • 40 S. State St. Newtown, PA 18940
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