Home Equity Line of Credit Application

By checking this box, I/We understand and acknowledge this application is for an open-end line of credit secured by real property. This application is not to be used for closed-end Real Estate Loans such as a Purchase, Refinance, or Modification to a First Mortgage.

Type of Application

First Name

Middle Initial

Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Number of Years

Monthly Housing Payment

Date of Birth

Phone Number

Email Address

Employment History

If less than 2 years at current position, please provide previous employer.

Employment Information

Re-order	Employer	Position	Telephone	Address	Supervisor	Start Date	Gross Monthly Salary	Weight	Operations
	Employer	Position	Telephone	Address	Supervisor	Start Date	Gross Monthly Salary	Item weight

more items

Other Income

per month

Other Income Source

Other Obligations

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

$per month

To Whom

Joint Applicant

First Name

Middle Initial

Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Date of Birth

Phone Number

Email Address

Employment History

If less than 2 years at current position, please provide previous employer.

Employment Information

Re-order	Employer	Telephone	Address	Supervisor	Start Date	Gross Monthly Salary	Weight	Operations
	Employer	Telephone	Address	Supervisor	Start Date	Gross Monthly Salary	Item weight

more items

Other Income

per month

Other Income Source

Other Obligations

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

$per month

To Whom

Property Information

If the property to secure the credit is different than that of your current address, please list the property address below.

Address

City/Town

State/Province

ZIP/Postal Code

Privacy Notice and Disclosures

By Clicking above, I am submitting an application for credit to Unity Trust MCB. I understand that this application includes having my credit pulled. I also understand that there may be additional documentation required prior to final underwriting and processing. The applicant(s) live within the 75 mile radius of Greenmarks/Mandan, or qualify for membership through a relative. Click for Privacy Policy and Application Disclosures.