Individual Loans : Mercantile Bank

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Individual With Stipulations Pre-Approval Form

If you are applying for individual credit in your own name and are relying on your income or assets, and not the income or assets of another person, as the basis for repayment of the credit requested, choose the Individual Pre-Approval instead. Mercantile Bank's authorized lending area includes all communities within a 100 mile radius of Quincy.

Borrower Information
(include suffix ("Jr., Sr.") if applicable)

Prefix
First Name*
Last Name*
Suffix
Home Phone*
Marital Status	Married Separated Unmarried
Age
Social Security Number*
Address*

City*
State*
ZIP*
Ownership Status	Own Rent
No of years
E-mail*

Other Individual Info
(this is the person whose income you rely on)

Prefix
First Name
Last Name
Suffix
Home Phone
Marital Status	Married Separated Unmarried
Age
Social Security Number
Address

City
State
ZIP
Ownership Status	Own Rent
No of years
E-mail

II. Employment Information

Borrower Employment

Check if self-employed
Name of Employer
Address

City
State
ZIP
Phone
Occupation
Position/Title
Gross Income

Other Individual Employment

Check if self-employed
Name of Employer
Address

City
State
ZIP
Phone
Occupation
Position/Title
Gross Income

III. Nearest Relative or Friend Not Living With You

First Name
Last Name
Address

City	State ZIP
Telephone

When you submit this form, your request will be forwarded to a Mercantile Loan Representative, and you will be presented with a confirmation page showing the completed pre-approval form, formatted for printing to your local printer. After you have received one-hour loan pre-approval, bring your completed, printed application and approval to a Mercantile Auto Dealer Partner for processing. This pre-approval form allows you to complete paperwork from the convenience of your computer; it is not a guarantee of credit approval. Certain auto dealers may require additional information.

Everything that I/we have stated in this application is correct to the best of my/our knowledge. I/we understand that you will retain this application whether or not it is approved, you are authorized to check my/our credit and my/our employment history and to answer questions about your credit experience with me/us.

Individual With Stipulations Pre-Approval Form

I. Personal Information

II. Employment Information

III. Nearest Relative or Friend Not Living With You